Monitoring the Postnatal Growth of Preterm Infants: A Paradigm Change.

Autor:	Villar J; Nuffield Department of Obstetrics & Gynaecology and Oxford Maternal & Perinatal Health Institute, Green Templeton College and jose.villar@obs-gyn.ox.ac.uk., Giuliani F; Azienda Ospedaliera, Ospedale Infantile Regina Margherita Sant'Anna, Universitaria Città della Salute e della Scienza di Torino, Turin, Italy., Barros F; Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, Brazil.; Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brazil., Roggero P; NICU, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda, Milano, Italy., Coronado Zarco IA; Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Mexico City, Mexico., Rego MAS; Departmento de Pediatria, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil., Ochieng R; The Aga Khan Hospital, Nairobi, Kenya., Gianni ML; NICU, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Ca' Granda, Milano, Italy., Rao S; St John's Medical College Hospital, Bangalore, India., Lambert A; Nuffield Department of Obstetrics & Gynaecology and Oxford Maternal & Perinatal Health Institute, Green Templeton College and., Ryumina I; Center for Obstetrics, Gynecology and Perinatology, Moscow, Russian Federation., Britto C; Department of Paediatrics, University of Oxford, Oxford, United Kingdom., Chawla D; Department of Paediatrics, Government Medical College, Chandigarh, India., Cheikh Ismail L; Nuffield Department of Obstetrics & Gynaecology and Oxford Maternal & Perinatal Health Institute, Green Templeton College and., Ali SR; The Aga Khan Hospital, Karachi, Pakistan., Hirst J; Nuffield Department of Obstetrics & Gynaecology and Oxford Maternal & Perinatal Health Institute, Green Templeton College and., Teji JS; Ann & Robert H. Lurie Children's Hospital of Chicago and Mercy Hospital and Medical Center, Chicago, Illinois., Abawi K; Geneva Foundation for Medical Education and Research, Geneva, Switzerland., Asibey J; Holy Family Hospital, Techiman, Brong Ahafo Region, Ghana., Agyeman-Duah J; Geneva Foundation for Medical Education and Research, Geneva, Switzerland., McCormick K; John Radcliffe Hospital, Headington, Oxford, United Kingdom., Bertino E; Dipartimento di Scienze Pediatriche e dell'Adolescenza, Università degli Studi di Torino, Torino, Italy., Papageorghiou AT; Nuffield Department of Obstetrics & Gynaecology and Oxford Maternal & Perinatal Health Institute, Green Templeton College and., Figueras-Aloy J; Department of Pediatrics, University of Barcelona, Barcelona, Spain; and., Bhutta Z; Center for Global Child Health, Hospital for Sick Children, Toronto, Canada., Kennedy S; Nuffield Department of Obstetrics & Gynaecology and Oxford Maternal & Perinatal Health Institute, Green Templeton College and.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2018 Feb; Vol. 141 (2). Date of Electronic Publication: 2018 Jan 04.
DOI:	10.1542/peds.2017-2467
Abstrakt:	There is no consensus regarding how the growth of preterm infants should be monitored or what constitutes their ideal pattern of growth, especially after term-corrected age. The concept that the growth of preterm infants should match that of healthy fetuses is not substantiated by data and, in practice, is seldom attained, particularly for very preterm infants. Hence, by hospital discharge, many preterm infants are classified as postnatal growth-restricted. In a recent systematic review, 61 longitudinal reference charts were identified, most with considerable limitations in the quality of gestational age estimation, anthropometric measures, feeding regimens, and how morbidities were described. We suggest that the correct comparator for assessing the growth of preterm infants, especially those who are moderately or late preterm, is a cohort of preterm newborns (not fetuses or term infants) with an uncomplicated intrauterine life and low neonatal and infant morbidity. Such growth monitoring should be comprehensive, as recommended for term infants, and should include assessments of postnatal length, head circumference, weight/length ratio, and, if possible, fat and fat-free mass. Preterm postnatal growth standards meeting these criteria are now available and may be used to assess preterm infants until 64 weeks' postmenstrual age (6 months' corrected age), the time at which they overlap, without the need for any adjustment, with the World Health Organization Child Growth Standards for term newborns. Despite remaining nutritional gaps, 90% of preterm newborns (ie, moderate to late preterm infants) can be monitored by using the International Fetal and Newborn Growth Consortium for the 21st Century Preterm Postnatal Growth Standards from birth until life at home. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2018 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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