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Perinatal correlates and neonatal outcomes of small for gestational age infants born at term gestation.
Am J Obstet Gynecol. 2001 Sep; 185(3):652-9.AJ

Abstract

OBJECTIVE

We sought to examine the current perinatal correlates and neonatal morbidity associated with intrauterine growth failure among neonates born at term gestation.

STUDY DESIGN

We compared 372 small for gestational age (SGA, birth weight <10th percentile) infants born at term gestation to 372 appropriate for gestational age controls (AGA, birth weight 10th to 90th percentile) matched by sex, race, and gestational age within 2 weeks.

RESULTS

Compared with AGA controls, significant (P < .05) maternal risk factors for SGA status included single marital status (59% versus 53%), lower prepregnancy weight (144 +/- 41 lbs versus 153 +/- 40 lbs), lower weight gain during pregnancy (29 +/- 15 lbs versus 33 +/- 15 lbs), smoking (25% versus 17%), hypertension (14% versus 7%), and multiple gestation (9% versus 2%). Mothers of SGA infants were more likely to undergo multiple (>or=3) antenatal ultrasound evaluations (19% versus 7%), biophysical profile monitoring (11% versus 4%), and oxytocin delivery induction (28% versus 16%) (P < .05). Pediatrician attendance was more common among SGA deliveries (50% versus 37%, P < .05). SGA infants had significantly higher rates of hypothermia (18% versus 6%) and symptomatic hypoglycemia (5% versus 1%). These neonatal problems remained significant even when medical or pathologic causes of intrauterine growth failure, including pregnancy hypertension, multiple gestation, and congenital malformations, were excluded.

CONCLUSION

Despite higher rates of pregnancy complications among mothers of SGA infants, the rates of neonatal adverse outcomes are low. However, SGA infants remain at risk for hypothermia and hypoglycemia and require careful neonatal surveillance.

Authors+Show Affiliations

Department of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11568794

Citation

Doctor, B A., et al. "Perinatal Correlates and Neonatal Outcomes of Small for Gestational Age Infants Born at Term Gestation." American Journal of Obstetrics and Gynecology, vol. 185, no. 3, 2001, pp. 652-9.
Doctor BA, O'Riordan MA, Kirchner HL, et al. Perinatal correlates and neonatal outcomes of small for gestational age infants born at term gestation. Am J Obstet Gynecol. 2001;185(3):652-9.
Doctor, B. A., O'Riordan, M. A., Kirchner, H. L., Shah, D., & Hack, M. (2001). Perinatal correlates and neonatal outcomes of small for gestational age infants born at term gestation. American Journal of Obstetrics and Gynecology, 185(3), 652-9.
Doctor BA, et al. Perinatal Correlates and Neonatal Outcomes of Small for Gestational Age Infants Born at Term Gestation. Am J Obstet Gynecol. 2001;185(3):652-9. PubMed PMID: 11568794.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perinatal correlates and neonatal outcomes of small for gestational age infants born at term gestation. AU - Doctor,B A, AU - O'Riordan,M A, AU - Kirchner,H L, AU - Shah,D, AU - Hack,M, PY - 2001/9/25/pubmed PY - 2001/10/12/medline PY - 2001/9/25/entrez SP - 652 EP - 9 JF - American journal of obstetrics and gynecology JO - Am. J. Obstet. Gynecol. VL - 185 IS - 3 N2 - OBJECTIVE: We sought to examine the current perinatal correlates and neonatal morbidity associated with intrauterine growth failure among neonates born at term gestation. STUDY DESIGN: We compared 372 small for gestational age (SGA, birth weight <10th percentile) infants born at term gestation to 372 appropriate for gestational age controls (AGA, birth weight 10th to 90th percentile) matched by sex, race, and gestational age within 2 weeks. RESULTS: Compared with AGA controls, significant (P < .05) maternal risk factors for SGA status included single marital status (59% versus 53%), lower prepregnancy weight (144 +/- 41 lbs versus 153 +/- 40 lbs), lower weight gain during pregnancy (29 +/- 15 lbs versus 33 +/- 15 lbs), smoking (25% versus 17%), hypertension (14% versus 7%), and multiple gestation (9% versus 2%). Mothers of SGA infants were more likely to undergo multiple (>or=3) antenatal ultrasound evaluations (19% versus 7%), biophysical profile monitoring (11% versus 4%), and oxytocin delivery induction (28% versus 16%) (P < .05). Pediatrician attendance was more common among SGA deliveries (50% versus 37%, P < .05). SGA infants had significantly higher rates of hypothermia (18% versus 6%) and symptomatic hypoglycemia (5% versus 1%). These neonatal problems remained significant even when medical or pathologic causes of intrauterine growth failure, including pregnancy hypertension, multiple gestation, and congenital malformations, were excluded. CONCLUSION: Despite higher rates of pregnancy complications among mothers of SGA infants, the rates of neonatal adverse outcomes are low. However, SGA infants remain at risk for hypothermia and hypoglycemia and require careful neonatal surveillance. SN - 0002-9378 UR - https://www.unboundmedicine.com/medline/citation/11568794/Perinatal_correlates_and_neonatal_outcomes_of_small_for_gestational_age_infants_born_at_term_gestation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9378(01)57421-9 DB - PRIME DP - Unbound Medicine ER -