Extrauterine Growth Restriction: Need for an Accurate Definition.

Autor:	Bagga N; Department of Neonatology, Rainbow Children's Hospital, Hyderabad, Telangana, India; Global Newborn Society, Maryland, United States of America., Panigrahi N; Department of Neonatology, Rainbow Children's Hospital, Hyderabad, Telangana, India; Global Newborn Society, Maryland, United States of America., Germain A; Department of Neonatology, Johns Hopkins All Children's Maternal, Fetal, and Neonatal Institute, St. Petersburg, Florida, United States of America., Namazova I; Department of Pediatrics, Azərbaycan Tibb Universiteti, Baku, Azerbaijan; Global Newborn Society, Maryland, United States of America., Rahman MM; Department of Neonatology, Institute of Child and Mother Health, Dhaka, Bangladesh., Saugstad OD; Paediatric Research Institute, Oslo, Norway., Maheshwari A; Department of Neonatology and Pediatrics, Louisiana State University Health Sciences Center - Shreveport, Louisiana, United States of America.
Jazyk:	angličtina
Zdroj:	Newborn (Clarksville, Md.) [Newborn (Clarksville)] 2023 Jul-Sep; Vol. 2 (3), pp. 198-202. Date of Electronic Publication: 2023 Sep 25.
DOI:	10.5005/jp-journals-11002-0072
Abstrakt:	Neonates show considerable variation in growth that can be recognized through serial measurements of basic variables such as weight, length, and head circumference. If possible, measurement of subcutaneous and total body fat mass can also be useful. These biometric measurements at birth may be influenced by demographics, maternal and paternal anthropometrics, maternal metabolism, preconceptional nutritional status, and placental health. Subsequent growth may depend on optimal feeding, total caloric intake, total metabolic activity, genetic makeup, postnatal morbidities, medications, and environmental conditions. For premature infants, these factors become even more important; poor in utero growth can be an important reason for spontaneous or induced preterm delivery. Later, many infants who have had intrauterine growth restriction (IUGR) and are born small for gestational age (SGA) continue to show suboptimal growth below the 10th percentile, a condition that has been defined as extrauterine growth restriction (EUGR) or postnatal growth restriction (PNGR). More importantly, a subset of these growth-restricted infants may also be at high risk of abnormal neurodevelopmental outcomes. There is a need for well-defined criteria to recognize EUGR/PNGR, so that correctional steps can be instituted in a timely fashion. Competing Interests: Conflict of interest: Dr Nitasha Bagga, Dr Md Mozibur Rahman and Dr Akhil Maheshwari are associated as the Editorial board members of this journal and this manuscript was subjected to this journal’s standard review procedures, with this peer review handled independently of these Editorial board members and their research group.
Databáze:	MEDLINE
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