A prospective study of late preterm infants' physical growth

ZHANG Zhan-Zhan, CHENG Qian

Chinese Journal of Contemporary Pediatrics ›› 2012, Vol. 14 ›› Issue (07) : 481-484.

PDF(1012 KB)
PDF(1012 KB)
Chinese Journal of Contemporary Pediatrics ›› 2012, Vol. 14 ›› Issue (07) : 481-484.
CLINICAL RESEARCH

A prospective study of late preterm infants' physical growth

  • ZHANG Zhan-Zhan, CHENG Qian
Author information +
History +

Abstract

OBJECTIVE: To evaluate birth weights (BW) in late preterm infants (LPI) with different gestational ages (GA) and their physical growths at correct ages (CA) 1, 3 and 6 months. METHODS: A total of 287 LPIs were recruited for a cohort study between May 2010 and September 2011. Birth weights (BW) in infants with different gestational ages and their physical growths at CA 1, 3 and 6 months were evaluated. RESULTS: Of the 287 LPIs, mean BW in LPIs with gestational ages of 34-34+6and 35-35+6weeks was significantly lower than the reference value from a physical growth investigation on newborns of 15 cities of China in 1986 (P<0.05). However, mean BW in singleton LPIs (n=128) with gestational ages of 36-36+6weeks was significantly higher than the reference value (P<0.05). At CA 1, 3 and 6 months, more than 90% LPIs reached P3 level in weights for age, length for age and head circumference for age. At CA 1 and 3 months, weight for age and head circumference for age in the LPIs were statistically higher than the reference values of physical growth in children under 7 years from nine cities of china in 2005 (P<0.05). Mean length for age at CA 1, 3 and 6 months was not significantly different from the reference value. CONCLUSIONS: There are obvious differences in BW in the LPIs compared with the reference value from a physical growth investigation on newborns of 15 cities of China in 1986, suggesting that the reference value of BW at different gestational ages needs to be updated in a certain interval. Before CA 6 months, there is a risk of overweight in LPIs and long-term monitoring is necessary. Growth of length should be followed-up for a long time.

Key words

Physical growth / Gestational age / Birth weight / Late preterm infant

Cite this article

Download Citations
ZHANG Zhan-Zhan, CHENG Qian. A prospective study of late preterm infants' physical growth[J]. Chinese Journal of Contemporary Pediatrics. 2012, 14(07): 481-484

References

[1]Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) infants: a summary of the workshop sponsored by the National Institute of Child Health and Human Development[J]. Pediatrics, 2006, 118(3): 1207-1214.

[2]Engle WA, Tomashek KM, Wallman C. "Late-preterm" infants: a population at risk[J]. Pediatrics, 2007, 120(6): 1390-1401.

[3]Khashu M, Narayanan M, Bhargava S, Osiovich H. Perinatal outcomes associated with preterm birth at 33 to 36 weeks′ gestation: a population-based cohort study[J]. Pediatrics, 2009, 123(1): 109-113.

[4]张晓蕊,曾超美,刘捷. 287例晚期早产儿早产危险因素及并发症研究[J]. 中国当代儿科杂志,2011,13(3):177-180.

[5]中国15城市新生儿体格发育科研协作组. 我国15城市不同胎龄新生儿体格发育调查研究 [J]. 中华儿科杂志,1988,26(4):206-208.

[6]九市儿童体格发育调查协作组. 2005年中国九市七岁以下儿童体格发育调查[J]. 中华儿科杂志,2007,45(8):609-614.

[7]Donahue SM, Kleinman KP, Gillman MW, Oken E. Trends in birth weight and gestational length among singleton term births in the United States: 1990-2005[J]. Obstet Gynecol, 2010, 115(2 Pt 1): 357-364.

[8]Martin JA, Hamilton BE, Sutton PD, Ventura SJ, Mathews TJ,Kirmeyer S, et al. Births: final data for 2007[J]. Nat Vital Stat Rep, 2010, 58(24): 1-85.

[9]刘宇,黎海芪. 婴幼儿出生至2岁身长和体重生长轨道变化的随访研究[J]. 中国循证儿科杂志,2010,5(5):360-365.

[10]袁月,庞汝彦,潘迎,武明辉,王军华,何亚萍,等. 胎龄别新生儿出生体重分析[J]. 中国儿童保健杂志,2011,19(6):509-514.

[11]Karlberg J, Cheung YB, Luo ZC. An update on the update of growth charts[J]. Acta Paediatr, 1999, 88(8): 797-802.

[12]American Academy of Pediatrics Committee on Nutrition: Nutritional needs of low-birth-weight infants[J]. Pediatrics, 1985, 75(5): 976-986.

[13]Nutrient needs and feeding of premature infants Nutrition Committee, Canadian, Paediatric, Society[J]. CMAJ, 1995, 152(11): 1765-1785.

[14]Hack M, Schluchter  M, Cartar L, Rahman M, Cuttler L, Borawski E. Growth of very low birth weight infants to age 20 years[J]. Pediatrics, 2003, 112(1 Pt 1): e30-e38.

[15]Darendeliler F,Coban A, Bas F, Bundak R, Disci R, Sükür M, et al. Catch-up growth in appropriate-or small-for-gestational age preterm infants[J]. Turk J Pediatr, 2008, 50(3):207-213.

[16]Finken MJ, Keijzer-Veen MG, Dekker FW, Frolich M, Hille ET, Romijn JA, et al. Preterm birth and later insulin resistance: effects of birth weight and postnatal growth in a population based longitudinal study from birth into adult life[J]. Diabetologia, 2006, 49(3): 478-485.

[17]Euser AM, Finken MJ, Keijzer-Veen MG, Hille ET, Wit JM, Dekker FW; Dutch POPS-19 Collaborative Study Group. Associations between prenatal and infancy weight gain and BMI, fat mass, and fat distribution in young adulthood: a prospective cohort study in males and females born very preterm[J]. Am J Clin Nutr, 2005, 81(2): 480-487.

[18]《中华儿科杂志》编辑委员会,中华医学会儿科学分会新生儿学组,中国医学会儿科学分会儿童保健学组.早产/低出生体重儿喂养建议[J].中华儿科杂志,2009,47(7):508-510.

[19]Brandt I, Sticken EJ, Gousche R, Lentze MJ. Catch-up growth of supine length/height of very low birth weight, small for gestational age preterm infants to adulthood[J]. J Pediatr, 2005, 147(5): 662668.

[20]Santos IS, Matijasevich A, Domingues MR, Barros AJ, Victora CG, Barros FC. Late preterm birth is a risk factor for growth faltering in early childhood: a cohort study[J]. BMC Pediatr, 2009, 9: 71.

[21]Dodrill P, Cleghorn G, Donovan T, Davies P. Growth patterns in preterm infants born appropriate for gestational age[J]. Paediatr Child Health, 2008, 44(6): 332-337.
PDF(1012 KB)

Accesses

Citation

Detail

Sections
Recommended

/