The ponderal index in triplets: I. Relationship to small for gestational age neonates.

Autor: I. Blickstein, R. B. Kalish, G. Sharma, D. J. Rhea, L. G. Keith
Předmět:
Zdroj: Journal of Perinatal Medicine; Jan2004, Vol. 32 Issue 1, p62-65, 4p
Abstrakt: The aim of the study was to examine the ponderal index in small for gestational age (SGA) triplets. Prospectively collected data from a cohort of triplets born at 28 to 37 weeks were analyzed. A low neonatal ponderal index (birth weight / [length] [3]) was defined as less than 1 SD below the mean (2.0), and SGA was considered as birth weight below the 10th percentile by triplet standards. We studied 2181 sets of triplets. Triplets delivered at <=33 weeks have a lower mean ponderal index compared with those delivered at >33 weeks. About 70% of SGA triplets do not have a low ponderal index, whereas 79.2% of infants with a low ponderal index are not SGA by triplet standards. Both the frequency of a low ponderal index and the frequency of infants with a low ponderal index who are not SGA decrease with increasing gestational age. We conclude that the majority of triplets with a low ponderal index might not be considered growth restricted, supporting the concept that reduced fetal weight of triplets is more likely a physiological rather than a pathological phenomenon. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index