Risk Factors Associated with Severely Small for Gestational Age Neonates

1988 ◽  
Vol 5 (03) ◽  
pp. 267-271 ◽  
Author(s):  
Arja Tenovuo ◽  
Pentti Kero ◽  
Heikki Korvenranta ◽  
Risto Erkkola ◽  
Pekka Klemi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Factors Associated

scholarly journals Risk Factors and Short Term Morbidities Associated With Term-Small for Gestational Age Babies Delivered at Nepalgunj Medical College

2022 ◽  
Vol 19 (1) ◽  
pp. 97-100
Author(s):  
Piush Kanodia ◽  
Arun Kumar Verma ◽  
Sumit Adhikari
Keyword(s):  
Risk Factors ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Congenital Heart ◽  
Meconium Aspiration Syndrome ◽  
Short Term ◽  
Factors Associated ◽  
Medical College ◽  
Maternal Hypertension ◽  
Common Risk Factors

Introduction: Small for gestational age (SGA) refers to birth weight of neonates less than 10th percentile for gestational age or 2nd standard deviation below the population norms on the growth charts. Aims: To identify common risk factors and common morbidities for small for gestational age babies. Methods: This is a cross sectional descriptive study and it has been conducted at Department of pediatrics, Nepalgunj Medical college which is a tertiary level teaching hospital located in western part of Nepal. All term small for gestational age neonates born during study period from January 2020 to December 2020 were included. Detailed baseline demographic and clinical profile has been collected and recorded in the predesigned Proforma. Results: The most common risk factors associated with small for gestational age babies in our study were maternal hypertension (14.6%) , maternal GDM(9.6%), Urinary Tract Infection (UTI) in 1st or 2nd trimester of pregnancy, maternal anemia, smoking, alcohol consumption, hypothyroidism and congenital heart disease. The most common short term complications associated with Small for gestational age babies were hypoglycemia and Meconium aspiration syndrome. Conclusion: The most common risk factors associated with Small for gestational age  babies in our study were maternal hypertension, maternal Gestational diabetes Mellitus (GDM), Urinary Tract Infection  in 1st or 2nd trimester of pregnancy, maternal anemia, smoking, alcohol consumption, hypothyroidism and congenital heart disease. The most common short term complications associated with Small for gestational age  babies were hypoglycemia and Meconium aspiration syndrome (MAS).

scholarly journals Associations between antenatal and perinatal risk factors and cerebral palsy: a Swedish cohort study

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e038453
Author(s):  
Anna Jöud ◽  
Andréa Sehlstedt ◽  
Karin Källén ◽  
Lena Westbom ◽  
Lars Rylander
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Caesarian Section ◽  
Neonatal Care ◽  
Late Preterm ◽  
P Values ◽  
Factors Associated ◽  
Very Preterm

ObjectivesTo investigate known and suggested risk factors associated with cerebral palsy in a Swedish birth cohort, stratified by gestational age.SettingInformation on all births between 1995 and 2014 in Skåne, the southernmost region in Sweden, was extracted from the national birth register.ParticipantsThe cohort comprised a total of 215 217 children. Information on confirmed cerebral palsy and subtype was collected from the national quality register for cerebral palsy (Cerebral Palsy Follow-up Surveillance Programme).Primary and secondary outcome measuresWe calculated the prevalence of risk factors suggested to be associated with cerebral palsy and used logistic regression models to investigate the associations between potential risk factors and cerebral palsy. All analyses were stratified by gestational age; term (≥37 weeks), moderately or late preterm (32–36 weeks) and very preterm (<32 weeks).ResultsIn all, 381 (0.2 %) children were assigned a cerebral palsy diagnosis. Among term children, maternal preobesity/obesity, small for gestational age, malformations, induction, elective and emergency caesarian section, Apgar <7 at 5 min and admission to neonatal care were significantly associated with cerebral palsy (all p values<0.05). Among children born moderately or late preterm, small for gestational age, malformations, elective and emergency caesarian section and admission to neonatal care were all associated with cerebral palsy (all p values <0.05), whereas among children born very preterm no factors were significantly associated with the outcome (all p values>0.05).ConclusionOur results support and strengthen previous findings on factors associated with cerebral palsy. The complete lack of significant associations among children born very preterm probably depends on to the small number of children with cerebral palsy in this group.

scholarly journals Incidence and risk factors associated with hypoglycemia in the first 48 hours of life in Small for Gestational Age Neonates

2018 ◽  
Vol 5 (6) ◽  
pp. 2300
Author(s):  
Alph Shirley S. ◽  
Antony Leo Jerry T. ◽  
Shiji R.
Keyword(s):  
Risk Factors ◽  
Enteral Feeding ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Mode Of Delivery ◽  
Capillary Blood ◽  
Early Initiation ◽  
Capillary Blood Glucose ◽  
Factors Associated ◽  
And Gender

Background: Hypoglycemia is one of the important problems encountered in small for gestational age (SGA) neonates.  The incidence and risk factors associated with hypoglycemia in the first 48 hours of life in Small for Gestational Age (SGA) Neonates was investigated in this study.Methods: Capillary Blood Glucose was screened by glucostix at 1, 2, 6, 12, 24, and 48 hours of age in 100 SGA neonates fulfilling the inclusion and exclusion criteria.Results: The overall incidence of hypoglycemia in SGA neonates in the study was 24%. The incidence of hypoglycemia was significantly higher in preterm SGA neonates (37.50%) when compared to term SGA neonates (17.65%).  The incidence of symptomatic hypoglycemia was 9%. Maximum incidence of hypoglycemia was noted at 2 hours of life. Of the 24 SGA neonates with hypoglycemia, 33.33% had one episode of hypoglycemia, 45.83% had two episodes of hypoglycemia, 12.50% had three episodes of hypoglycemia, 8.33% had four episodes of hypoglycemia. None of the SGA neonate had more than four episodes of hypoglycemia. Early initiation of enteral feeding was significantly associated with decreased incidence of hypoglycemia in SGA neonates. There was no significant correlation between incidence of hypoglycemia in SGA neonates and gender of the baby, parity of mother, mode of delivery and type of IUGR.Conclusions: It is recommended to monitor all SGA neonates especially preterm SGA for hypoglycemia and ensure early initiation of enteral feeding in all SGA neonates.

scholarly journals Maternal Risk Factors for Small-for-Gestational-Age Newborns in Mexico: Analysis of a Nationwide Representative Cohort

2021 ◽  
Vol 9 ◽  
Author(s):  
Suárez-Idueta L ◽  
Bedford H ◽  
Ohuma EO ◽  
Cortina-Borja M
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Maternal Education ◽  
Social Deprivation ◽  
Health Care Facilities ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Factors Associated

Background: Small for gestational age (SGA) is a key contributor to premature deaths and long-term complications in life. Improved characterization of maternal risk factors associated with this adverse outcome is needed to inform the development of interventions, track progress, and reduce the disease burden. This study aimed to identify socioeconomic, demographic, and clinical factors associated with SGA in Mexico.Methods: We analyzed administrative data from 1,841,477 singletons collected by the National Information Subsystem of Livebirths during 2017. Small-for-gestational-age was defined as being &lt;10th centiles according to the INTERGROWTH-21st standards. The comparison group was defined as being in ≥10th centiles. We fitted logistic regression models to determine odds ratios for the maternal factors associated with SGA.Results: Among the 1,841,477 singletons, 51% were male, 6.7% were SGA, 6.1% were term-SGA, and 0.5% were preterm-SGA. Maternal education presented a protective gradient of being SGA among mothers who achieved 1 to 6 years of education (adjusted odds ratio (aOR)0.95; 95% CI:0.91,0.99), 7 to 9 years (aOR 0.86; 95% CI:0.83,0.89), 10 to 12 years (aOR 0.75; 95% CI: 0.72, 0.79) and &gt; 12 years (aOR 0.63; 95% CI:0.6,0.66) compared with those without education. SGA was particularly likely to occur among primiparous (aOR 1.42; 95% CI: 1.39, 1.43), mothers living in very high deprivation localities (aOR 1.39; 95% CI: 1.36, 1.43), young (aOR 1.04; 95% CI: 1.02, 1.06), advanced age (aOR 1.14; 95% CI 1.09, 1.19), and mothers living in areas above 2,000 m (aOR 1.69; 95% CI: 1.65, 1.73). Antenatal care was associated with a reduced risk of SGA by 30% (aOR 0.7; 95% CI:0.67,0.73), 23% (OR 0.77; 95% CI:0.74,0.8), and 21% (OR 0.79; 95% CI:0.75,0.83), compared with those mothers who never received antenatal care, when women visited the clinic at the first, second and third trimester, respectively.Conclusion: Almost 7% of live births were found to be SGA. Parity, maternal age, education, place of residence, and social deprivation were significantly associated with this outcome. Antenatal care was protective. These findings imply that interventions focusing on early and adequate contact with health care facilities, reproductive health counseling, and maternal education should reduce SGA in Mexico.

RISK FACTORS FOR SMALL FOR GESTATIONAL AGE INFANTS: A STUDY BASED ON THE ARKHANGELSK COUNTY BIRTH REGISTRY

2020 ◽  
Vol 99 (1) ◽  
pp. 32-39
Author(s):  
A.A. Usynina ◽  
◽  
G.N. Chumakova ◽  
V.A. Postoev ◽  
J.O. Odland ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Birth Registry

Extensive Perivillous Fibrin and Intervillous Histiocytosis in a SARS-CoV-2 Infected Placenta From an Uninfected Newborn: A Case Report Including Immunohistochemical Profiling

2021 ◽  
pp. 109352662110251
Author(s):  
James Roberts ◽  
Jeanette D Cheng ◽  
Elizabeth Moore ◽  
Carla Ransom ◽  
Minhui Ma ◽  
...  
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Immunohistochemical Staining ◽  
Placental Pathology ◽  
Fibrin Deposition ◽  
Placental Infection ◽  
Fetal Infection

Placental infection by SARS-CoV-2 with various pathologic alterations reported. Inflammatory findings, such as extensive perivillous fibrin deposition and intervillous histiocytosis, have been postulated as risk factors for fetal infection by SARS-CoV-2. We describe the placental findings in a case of a 31-year-old mother with SARS-CoV-2 infection who delivered a preterm female neonate who tested negative for SAR-CoV2 infection. Placental examination demonstrated a small for gestational age placenta with extensive intervillous histiocytosis, syncytiotrophoblast karyorrhexis, and diffuse intervillous fibrin deposition. Immunohistochemical staining demonstrated infection of the syncytiotrophoblasts by SARS-CoV-2 inversely related to the presence of intervillous histiocytes and fibrin deposition. Our case demonstrates that despite extensive placental pathology, no fetal transmission of SARS-CoV-2 occurred, as well as postulates a relationship between placental infection, inflammation, and fibrin deposition.

Prediction of Preeclampsia and Delivery of Small for Gestational Age Babies Based on a Combination of Clinical Risk Factors in High-Risk Women

2010 ◽  
Vol 30 (1) ◽  
pp. 58-73 ◽  
Author(s):  
Paul T. Seed ◽  
Lucy C. Chappell ◽  
Michael A. Black ◽  
Katrina K. Poppe ◽  
Yuan-Chun Hwang ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Clinical Risk Factors ◽  
High Risk Women ◽  
Clinical Risk

scholarly journals Incidence and Characteristics of Infants with Retinopathy of Prematurity in Croatia

2018 ◽  
Vol 1 (1) ◽  
pp. 35-45
Author(s):  
Mirjana Vucinovic ◽  
Ljubo Znaor ◽  
Ana Vucinovic ◽  
Vesna Capkun ◽  
Julijana Bandic
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Gestational Age ◽  
Retinopathy Of Prematurity ◽  
Small For Gestational Age ◽  
Neonatal Intensive Care ◽  
Type 1 Rop

PURPOSE: To study the incidence of retinopathy of prematurity (ROP) in a neonatal intensive care unit in Croatia and obtain information on risk factors associated with ROP. There have been limited studies on ROP in Croatia where the screening for ROP and its treatment is still insufficient and not introduced in many intensive care units. MATERIAL AND METHODS: This retrospective study included 247 premature infants admitted to the neonatal intensive care unit of University Hospital Split, over a 5-year period between January 2012, and December 2016. In this paper the relationship between clinical risk factors and the development of ROP was analyzed. RESULTS: The overall incidence for ROP was 23,9 % (59 infants), for Type 1 ROP was 9,3% (23 infants); for Type 2 ROP was 14,6% (36 infants). Median gestational age (GA) and birthweight (BW) were significantly lower among infants with ROP versus those without ROP (29: 23-34 vs. 31: 23-34,p<0,001 and 1,180:630-2,000 vs. 1485:590-2000, p<0,001 respectively). Multivariate analysis showed that only BW (p=0,029) and small for gestational age (SGA) (p=0,045) predicted the development of ROP. CONCLUSION: Birth weight and small for gestational age were the most significant risk factors for developing ROP. In comparison with studies from highly developed countries, infants with a much wider range of gestational age and birth weights are developing Type 1 ROP. 

Sign in / Sign up

Export Citation Format

Share Document