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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Milner, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

9 Issues per year


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Online
ISSN
1619-3997
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Volume 34, Issue 6 (Dec 2006)

Issues

Postnatal growth failure in preterm infants: ascertainment and relation to long-term outcome

Prakesh S. Shah
  • Department of Pediatrics, Mount Sinai Hospital, Toronto, Canada and Department of Pediatrics, University of Toronto, Toronto, Canada
/ Kit Y. Wong
  • Department of Nutrition, St Michael's Hospital, Toronto, Canada
/ Susan Merko
  • Perinatal and Gynecology Program, Sunnybrook Health Science Center, Toronto, Canada
/ Roshine Bishara
  • Perinatal and Gynecology Program, Sunnybrook Health Science Center, Toronto, Canada
/ Michael Dunn
  • Perinatal and Gynecology Program, Sunnybrook Health Science Center, Toronto, Canada and Department of Pediatrics, University of Toronto, Toronto, Canada
/ Elizabeth Asztalos
  • Perinatal and Gynecology Program, Sunnybrook Health Science Center, Toronto, Canada and Department of Pediatrics, University of Toronto, Toronto, Canada
/ Pauline B. Darling
  • Department of Nutrition, St Michael's Hospital, Toronto, Canada and Department of Nutritional Sciences, University of Toronto, Toronto, Canada
Published Online: 2006-12-01 | DOI: https://doi.org/10.1515/JPM.2006.094

Abstract

Objective: Traditional measure of postnatal growth failure assessment has poor discriminatory power for long-term outcomes. Our objective was to identify measure of postnatal growth failure associated with long-term outcome in preterm infants born at <28 weeks' gestation.

Patients and methods: Four measures of defining postnatal growth failure at 36 weeks corrected gestational age: (1) weight <10th centile, (2) weight <3rd centile, (3) z score difference from birth >1 and, (4) z score difference from birth >2; were compared for their predictive values and strength of association with adverse neurodevelopmental outcomes at 18–24 months.

Results: Postnatal growth failure defined as a decrease in z score of >2 between birth and 36 weeks corrected gestational age had the best predictive values compared to other postnatal growth failure measures, however, it was significantly associated with psychomotor developmental (P=0.006) but not with mental developmental indices (P=0.379).

Conclusion: Postnatal growth failure defined by z score change influenced psychomotor but not mental tasks in this cohort. This method of ascertainment could be useful to identify infants who might benefit from nutritional interventions.

Keywords: Newborn; neurodevelopmental outcome; nutrition; postnatal growth

References

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About the article

Corresponding author: Dr. Prakesh S. Shah Assistant Professor Mount Sinai Hospital Department of Paediatrics Rm 775A- 600 University Avenue Toronto, Ontario M5G 1X5/Canada


Received: February 12, 2006

Revised: August 1, 2006

Accepted: September 7, 2006

Published Online: 2006-12-01

Published in Print: 2006-12-01


Citation Information: Journal of Perinatal Medicine, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2006.094. Export Citation

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