scholarly journals Identification of Growth Patterns in Low Birth Weight Infants from Birth to 5 Years of Age: Nationwide Korean Cohort Study

Author(s):  
So Jin Yoon ◽  
Joohee Lim ◽  
Jung Ho Han ◽  
Jeong Eun Shin ◽  
Soon Min Lee ◽  
...  

This study aimed to investigate the nationwide growth pattern of infants in Korea according to the birth-weight group and to analyze the effect of growth on development. A total of 430,541 infants, born in 2013 and who received the infant health check-up regularly from 6 months to 60 months of age, were included. The weight, height, head circumferences percentiles, and neurodevelopment using screening tests results were compared among the birth-weight groups. Using longitudinal analysis, the study found a significant difference in height, weight, and head circumference, respectively, according to age at health check-up, birth weight group, and combination of age and birth weight (p < 0.001). The growth parameters at 60 months of age showed a significant correlation with those at 6 months of age especially in extremely low birth weight infants. The incidence of suspected developmental delay was significantly higher in infants with growth below the 10th percentiles than in those with growth above the 10th percentiles. Among 4571 (1.6%) infants with suspected developmental delay results at 60 months of age, birth weight, sex, and poor growth parameters were confirmed as associated factors. This nationwide Korean study shows that poor growth and neurodevelopment outcomes persisted among low-birth-weight infants at 60 months of age. Our findings provide guidance for developing a nationwide follow-up program for infants with perinatal risk factors in Korea.

2012 ◽  
Vol 52 (5) ◽  
pp. 300
Author(s):  
Putu Junara Putra

Background The prevalence and the mortality of low birthweight infants are still high. Low birth weight (LBW) births areresponsible for newborn death. LBW infants are easier to sufferserious health problems and death. Lower infant body weightand younger gestational age are determinants of greater risk ofmortality.Objective To determine the characteristics of LBW infants andtheir outcomes in Sanglah Hospital, Denpasar.Methods This prospective study was conducted on all LBWinfants in the nursery from their time of admission until dischargefor the year of 20 11..Results There were 120 LBW infants admitted to SanglahHospital fromJanuary 2011 to December 2011. The prevalenceofLBW was 8.9%. The birth weight group of 1500􀁰2499 gramshad the highest number of infants (79.2%). The gestational agegroup of 33􀁰36 weeks had 53.3% of the infants, while 68.3% ofthe LBW infants were of the appropriate gestational age. Themost common method of delivery was normal spontaneousdelivery (70%). Moderate asphyxia was observed in 25% of thesubjects, while severe asphyxia was observed in 22.5% of subjects.The mortality rate was 24.2%.Conclusions The prevalence of LBW of all newborns in ourhospital was 8.9%. Severe asphyxia was observed in 22.5% ofsubjects. The mortality rate of the LBW infants was 24.2%. OurLBW infants were most cormnonly in the categories of birth weightof 1500􀁰2499 grams, gestational age was between 33􀁰36 weeks,appropriate for gestational age, as well as delivered spontaneously.[Paediatr lndanes. 2012,52:30003].


2016 ◽  
Vol 29 (3) ◽  
pp. 553-560 ◽  
Author(s):  
Graziela Ferreira Biazus ◽  
Cidia Cristina Kupke

Abstract Introduction: In neonatal therapy units, physical therapy is directed toward integral baby care. Objective: To describe the profile of newborns (NBs) hospitalized in a Neonatal Intensive Care Unit (NICU). Methods: Retrospective documentary study with data collection from medical records from July 2011 to July 2013. The sample consisted of NBs who performed motor and respiratory therapy. Data were grouped into five categories according to birth weight (≤ 1000g, 1001-1500g, 1501-2000g, 2001-2500g, ≥ 2501g). Results: total of 1,884 newborns were admitted to the NICU within the stipulated period, 168 (13.9%) underwent physical therapy. Of the 168 NBs who underwent physical therapy, 137 were born in the hospital (81.5%) and 31 were transferred there (18.5%); 17 of these babies died during the neonatal hospital stay (10.1%). All newborns of the extremely low birth weight group (≤ 1000g) required mechanical ventilation, 72.7% non-invasive ventilation and 16.6% high-frequency oscillatory ventilation. The occurrence of pneumothorax in the extremely low birth weight group was 13.8% and 16% in the group with birth weight 1001-1500g. Conclusion: Infants with low birth weight (<2500g) constituted the profile of NBs who underwent physical therapy, which was directly related to higher incidence of death and pneumothorax, as well as increased use of mechanical and non-invasive ventilation.


2013 ◽  
pp. 228-231
Author(s):  
Wiradharma Wiradharma ◽  
I Gusti Ayu Trisna Windiani ◽  
Ekawaty Lutfia Haksari

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2869
Author(s):  
Ting Ting Fu ◽  
Heather C. Kaplan ◽  
Trayce Fields ◽  
Alonzo T. Folger ◽  
Katelyn Gordon ◽  
...  

Protein content is often inadequate in donor breast milk (DBM), resulting in poor growth. The use of protein-enriched target-pooled DBM (DBM+) has not been examined. We compared three cohorts of very low birth weight (VLBW) infants, born ≤ 1500 g: DBM cohort receiving > 1-week target-pooled DBM (20 kcal/oz), MBM cohort receiving ≤ 1-week DBM, and DBM+ cohort receiving > 1-week DBM+. Infants followed a standardized feeding regimen with additional fortification per clinical discretion. Growth velocities and z-scores were calculated for the first 4 weeks (n = 69 for DBM, 71 for MBM, 70 for DBM+) and at 36 weeks post-menstrual age (n = 58, 64, 59, respectively). In total, 60.8% MBM infants received fortification >24 kcal/oz in the first 30 days vs. 78.3% DBM and 77.1% DBM+. Adjusting for SGA, length velocity was greater with DBM+ than DBM in week 1. Average weight velocity and z-score change were improved with MBM compared to DBM and DBM+, but length z-score decreased similarly across all groups. Incidences of NEC and feeding intolerance were unchanged between eras. Thus, baseline protein enrichment appears safe in stable VLBW infants. Weight gain is greatest with MBM. Linear growth comparable to MBM is achievable with DBM+, though the overall length trajectory remains suboptimal.


PEDIATRICS ◽  
1964 ◽  
Vol 33 (5) ◽  
pp. 805-805
Author(s):  
MARGARET DANN

This is a clear, well-organized account of a longitudinal study of several hundred prematurely born and full-term children, born in Edinburgh in 1952 and 1953. Starting with 595 children, 251 singletons weighing 5 lb 8 oz or less at birth, 119 full-term singletons as controls and 225 twins of all birth weights, Dr. Drillien was able to follow nearly 90 percent to school age. Besides the main survey group, she added a supplementary group of children of very low birth weight (3 lb or less) born between 1948 and 1960; in all, 110 children in this birth weight group were traced, and 72 followed to school age.


PEDIATRICS ◽  
2007 ◽  
Vol 120 (6) ◽  
pp. e1512-e1519 ◽  
Author(s):  
R. V. Walden ◽  
S. C. Taylor ◽  
N. I. Hansen ◽  
W. K. Poole ◽  
B. J. Stoll ◽  
...  

1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 253A-253A
Author(s):  
Enrica Pittaluga ◽  
Patricia Mena ◽  
Angelica Alegria ◽  
Ivonne D'Apremont ◽  
Elisa Jimenez ◽  
...  

2013 ◽  
Vol 2 (2) ◽  
pp. 125-129 ◽  
Author(s):  
Anasuya Ghosh ◽  
C Manjari ◽  
S Mahapatra

Background: The anthropometric measurement of the craniofacial region plays an important role in the evaluation of the newborn with dysmorphic features and their corrective surgery. This study was undertaken to establish a baseline craniofacial dataset for the newborn population of Kolkata where it is still lacking. Methods: In this study, we obtained the measurement of 6 distinct parameters (length of nose, height of nose, width of columella, length of philtrum, width of philtrum, oral commissural distance) of craniofacial region of 1860 healthy newborns (both male & female). Their body weight was recorded. We compared the values in both sexes and also in normal & low birth weight babies. Results: Our study shows statistically significant higher values in all parameters except oral commissural distance among male than female newborn. It again results statistically significant higher values of length of nose, length of philtrum and oral commissural distance in normal birth weight newborns than the low birth weight group in both sexes. Conclusion: We here present a set of reference value for the newborn population (both normal & low birth weight) of East India (Kolkata). Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 125-129 DOI: http://dx.doi.org/10.3126/njms.v2i2.8955


2013 ◽  
Vol 53 (4) ◽  
pp. 228 ◽  
Author(s):  
Wiradharma Wiradharma ◽  
I Gusti Ayu Trisna Windiani ◽  
Ekawaty Lutfia Haksari

Backgrourui Developmental delay may be due to a variety offactors occurring during the prenatal, perinatal, or postnatalperiods, one of which is hyperbilirubinemia.Objective To evaluate the impact ofhyperbilirubinemia on infantdevelopmental delay.Methods A prospective cohort study was conducted from March toJuly 2011. Subjects were low birth weight infants with and withouthyperbilirubinemia. Developmental delay was measured using theMullen Scales of Early Learning. Data was analyzed by Chi squaretest and relative risks were calculated. Logistic regression analysiswas performed to assess factors associated with developmentaldelay. Differences were considered statistically significant for Pvalues < 0.05.Results Forty-six low birth weight infants were enrolledin this study, 23 with hyperbilirubinemia and 23 withouthyperbilirubinemia. The relative risk (RR) for developmentaldelay in the hyperbilirubinemia group was 2.08 (95%CI 0.51 to8 .40). Multivariate analysis revealed that hyperbilirubinemia didnot significantly influence developmental delay (RR 1.45; 95%CI0.29 to 7.31). However, small for gestational age with or withouthyperbilirubinemia significantly influenced developmental delay(RR 12.13; 95%CI 2.43 to 60.56).Conclusion Hyperbilirubinemia in low birth weight infants isn ot a risk factor for developmental delay at the age of 3 months.However, being small for gestational age with or withouthyperbilirubinemia significantly influences the likelihood ofdevelopmental delay.


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