Unit:
Κατεύθυνση Κλινική Παιδιατρική & Νοσηλευτική - ΈρευναLibrary of the School of Health Sciences
Author:
Kampouraki Afroditi
Supervisors info:
Ιακωβίδου Νικολέττα, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Σουλτάνα Σιαχανίδου, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Θεοδώρα Μπούτσικου, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Επιπολασμός και χαρακτηριστικά νεογνών με διαταραχή βάρους γέννησης
Translated title:
Prevalence and characteristics of neonates with birth weight disorder
Summary:
Background: Newborns with Birth Weight Disorders ("Small for Gestational Age - SGA " and / or newborn with " Intrauterine Growth Restriction – IUGR " and " Large for Gestational Age - LGA " newborns) are at increased risk of perinatal morbidity (long-term and short-term) and mortality and thus require special monitoring and treatment. The plurality of definitions and the diversity of populations do not allow the adoption of a universal prevalence rate. Among the predisposing factors are maternal and neonatal characteristics whose recognition can help identify and manage these neonates.
Objectives: : The aim of this study was to estimate the prevalence of SGA or/and IUGR and LGA newborns and display the maternal and neonatal characteristics associated with birth weight disorders.
Methods: The type of study was case – control and had been performed by retrospective recording. The sample of the study consisted of all the newborns born in the 2nd Obstetrics and Gynecology Clinic at Aretaio Hospital and were hospitalized at the Neonatology Clinic at the homonymous Hospital for the period 1/1/16 - 31/12/16 and were classified for birth weight under the under the 10th percentile defined as SGA or/and IUGR and above 90th percentile and defined as LGA neonates. The group of controls are neonates born at the same time and classified from the 10th percentile to the 90th percentile, defined as "Appropriate for Gestational Age - AGA newborns".
Results: The study population consisted of 214 newborns, of which 68 SGA or/and IUGR, 39 LGA neonates and 107 AGA. The prevalence of SGA or/and IUGR newborns was estimated at 8.2%, and LGA at 4.7%. The risk factors that has been emerged was maternal weight in labor, weight gain during pregnancy, Ethnicity, twin pregnancy and cytomegalovirus (CMV) and Gardnerella vaginalis infection. The additional morbidity resulting from birth weight disorders consists in the presence of Caput Succedaneum, Cephalohematoma at occipital area, need to stay in an incubator, and a higher bilirubin levels at the exit. Finally, the additional actions needed to be performed most frequently in the newborns of these groups, were a greater need for peripheral venous line or central vessel placement, pyoderma cell culture and glucose monitoring.
Conclutions: The morbidity of SGA or/and IUGR and LGA neonates is relatively limited and the prevalence of these conditions is estimated at low levels. The risk factors that emerged were mostly modifiable. Despite the small differences between the investigated groups when it comes to the individual complications that this study evaluates, a smooth transition to the extrauterine life is succeeded.
Main subject category:
Health Sciences
Keywords:
Small for Gestational Age, Intrauterine Growth Restriction, Large for Gestational Age, Morbitity, Prevalence, Birth Weight, Newborns, Characteristics
Number of references:
244
