Preterm newborn's postnatal growth patterns: how to evaluate them
Journal Title: Jornal de Pediatria - Year 2019, Vol 95, Issue 0
Abstract
Objectives There are several factors that influence the postnatal growth of preterm infants. It is crucial to define how to evaluate the growth rate of each preterm child and its individual trajectory, the type of growth curve, either with parameters of prescriptive curves for healthy preterm infants with no morbidities or, in the case of preterm infants and their “bundle of vulnerabilities”, growth curves that may represent how they are actually growing, with the aim of directing appropriate nutritional care to each gestational age range. Data sources The main studies with growth curves for growth monitoring and the appropriate nutritional adjustments that prioritized the individual trajectory of postnatal growth rate were reviewed. PubMed and Google Scholar were searched. Data synthesis The use of longitudinal neonatal data with different gestational ages and considering high and medium-risk pregnancies will probably be essential to evaluate the optimal growth pattern. Conclusions Prioritizing and knowing the individual growth trajectory of each preterm child is an alternative for preterm infants with less than 33 weeks of gestational age. For larger preterm infants born at gestational age >33 weeks, the Intergrowth 21st curves are adequate.
Authors and Affiliations
Rita de Cássia Silveira
Keywords
Related Articles
- EP ID EP497617
- DOI 10.1016/j.jped.2018.10.006
- Views 68
- Downloads 0
Advanced bone age as an indicator facilitates the diagnosis of precocious puberty
Objective Diagnosis of central precocious puberty has always been challenging in clinical practice. As an important method in the diagnosis of central precocious puberty, luteinizing hormone-releasing hormone stimulation...
The effect of NaCl 0.9% and NaCl 0.45% on sodium, chloride, and acid–base balance in a PICU population
Objectives To study the effect of two intravenous maintenance fluids on plasma sodium (Na), and acid–base balance in pediatric intensive care patients during the first 24h of hospitalization. Methods A prospective rando...
Autism in Brazil: a systematic review of family challenges and coping strategies
Objective To describe the challenges faced by families caring for children with autism spectrum disorder (ASD) in Brazil and the coping strategies employed. Sources Systematic review of articles published until Septembe...
Hospitalizations of children with sickle cell disease in the Brazilian Unified Health System in the state of Minas Gerais
Objective To identify and characterize hospital admissions and readmissions in the Brazilian Unified Public Health System (Sistema Único de Saúde [SUS]) in children with sickle cell disease diagnosed by the Minas Gerais...
Adolescents’ physical activity is associated with previous and current physical activity practice by their parents
Objective The purpose of this study was to determine whether parents’ current and previous physical activity practice is associated with adolescents’ physical activity. Methods The sample was composed of 1231 adolescent...