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Risk factors and complications of small for gestational age.
Pak J Med Sci 2019 Sep-Oct; 35(5):1199-1203PJ

Abstract

Objective

The objective of this study was to find out the maternal risk factors and perinatal complications in small for gestational age (SGA) newborns.

Methods

A total of 181 SGA cases and 1299 cases of appropriate for gestational age (AGA) with the same gestational age between January 2015 and December 2016 were enrolled in Linyi People's Hospital, China. The risk factors were analyzed and the frequencies of perinatal complications were compared between the two groups.

Results

The frequencies of maternal risk factors such as pregnancy-induced hypertension, abnormal placenta and twins in the SGA group were significantly higher than that in the AGA group (P<0.05). The incidence of hyperbilirubinemia and hypoglycemia in the perinatal period was also higher in the SGA newborns group (P<0.05), while there were no significant differences in the incidence of pneumonia, apnea, septicemia, intracranial hemorrhage, neonatal asphyxia, congenital malformations, hypoxic-ischemic encephalopathy, respiratory distress syndrome and necrotizing enterocolitis between the two groups.

Conclusions

SGA can cause perinatal complications including neonatal hypoglycemia and hyperbilirubinemia. It is necessary to strengthen the perinatal monitoring and antenatal care to reduce SGA and the perinatal complications of SGA.

Authors+Show Affiliations

Dr. Qiang Liu, Department of Newborn, Linyi People's Hospital, Linyi, Shandong, 276003, China.Dr. Hui Yang, Department of Anesthesiology, Linyi People's Hospital, Linyi, Shandong, 276003, China.Dr. Xuemei Sun, Department of Newborn, Linyi People's Hospital, Linyi, Shandong, 276003, China.Dr. Guimei Li, Department of Pediatrics, Shandong Provincial Hospital Affiliated to Shandong University, Shandong University, Jinan, Shandong, 250021, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31488978

Citation

Liu, Qiang, et al. "Risk Factors and Complications of Small for Gestational Age." Pakistan Journal of Medical Sciences, vol. 35, no. 5, 2019, pp. 1199-1203.
Liu Q, Yang H, Sun X, et al. Risk factors and complications of small for gestational age. Pak J Med Sci. 2019;35(5):1199-1203.
Liu, Q., Yang, H., Sun, X., & Li, G. (2019). Risk factors and complications of small for gestational age. Pakistan Journal of Medical Sciences, 35(5), pp. 1199-1203. doi:10.12669/pjms.35.5.253.
Liu Q, et al. Risk Factors and Complications of Small for Gestational Age. Pak J Med Sci. 2019;35(5):1199-1203. PubMed PMID: 31488978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk factors and complications of small for gestational age. AU - Liu,Qiang, AU - Yang,Hui, AU - Sun,Xuemei, AU - Li,Guimei, PY - 2019/9/7/entrez PY - 2019/9/7/pubmed PY - 2019/9/7/medline KW - Complications KW - Risk factors KW - Small for gestational age SP - 1199 EP - 1203 JF - Pakistan journal of medical sciences JO - Pak J Med Sci VL - 35 IS - 5 N2 - Objective: The objective of this study was to find out the maternal risk factors and perinatal complications in small for gestational age (SGA) newborns. Methods: A total of 181 SGA cases and 1299 cases of appropriate for gestational age (AGA) with the same gestational age between January 2015 and December 2016 were enrolled in Linyi People's Hospital, China. The risk factors were analyzed and the frequencies of perinatal complications were compared between the two groups. Results: The frequencies of maternal risk factors such as pregnancy-induced hypertension, abnormal placenta and twins in the SGA group were significantly higher than that in the AGA group (P<0.05). The incidence of hyperbilirubinemia and hypoglycemia in the perinatal period was also higher in the SGA newborns group (P<0.05), while there were no significant differences in the incidence of pneumonia, apnea, septicemia, intracranial hemorrhage, neonatal asphyxia, congenital malformations, hypoxic-ischemic encephalopathy, respiratory distress syndrome and necrotizing enterocolitis between the two groups. Conclusions: SGA can cause perinatal complications including neonatal hypoglycemia and hyperbilirubinemia. It is necessary to strengthen the perinatal monitoring and antenatal care to reduce SGA and the perinatal complications of SGA. SN - 1682-024X UR - https://www.unboundmedicine.com/medline/citation/31488978/Risk_factors_and_complications_of_small_for_gestational_age DB - PRIME DP - Unbound Medicine ER -
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