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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto

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1619-3997
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Volume 36, Issue 4

Issues

Head circumference and long-term outcome in small-for-gestational age infants

Masayuki Ochiai
  • 1Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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/ Hideki Nakayama / Kazuo Sato / Kouichi Iida / Shunji Hikino / Shouichi Ohga / Kiyomi Tsukimori
  • 7Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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/ Norio Wake
  • 8Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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/ Kouji Masumoto
  • 9Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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/ Tomoaki Taguchi
  • 10Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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/ Toshiro Hara
  • 11Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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Published Online: 2008-05-19 | DOI: https://doi.org/10.1515/JPM.2008.042

Abstract

Objectives: To assess risk factors for the growth and development of small-for-gestational age (SGA) infants whose birth weight was less than the 10th percentile.

Patients and methods: SGA infants who were admitted to the neonatal intensive care unit from 1995 to 1998 were enrolled in the study. Fifty-six SGA infants, having no chromosomal abnormalities, inherited diseases, TORCH infections, major anomaly and/or multiple birth, were divided into 34 asymmetrical and 22 symmetrical SGA infants by ≥ or <10th percentile head circumference (HC) at birth. The physical growth including HC, and the developmental quotient (DQ) and intelligent quotient (IQ) scores were evaluated up to 6 years of age.

Results: Symmetrical SGA infants had lower levels of weight, height and HC, but not of total DQ at 3 years or IQ scores at 6 years of age than asymmetrical SGA infants. The 21 SGA infants who had a HC less than the 10th percentile at 1 year of age (non-catch-up group) showed lower total DQ (mean 96 vs. 105) and IQ (82 vs. 102) scores than 34 SGA infants who had not (catch-up group).

Conclusions: These results suggested that psychomotor development of SGA infants depended on the HC at 1 year of age rather than that at birth.

Keywords: Development; growth; head size; low birth weight infant; small-for-gestational age infant

About the article

Corresponding author: Masayuki Ochiai, MD Department of Pediatrics Graduate School of Medical Sciences Kyushu University 3-1-1 Maidashi Higashi-ku Fukuoka, 812-8582 Japan Tel.: +81-92-642-5421 Fax: +81-92-642-5435


Received: 2007-10-23

Revised: 2008-01-04

Accepted: 2008-03-19

Published Online: 2008-05-19

Published Online: 2008-05-24

Published in Print: 2008-07-01


Citation Information: Journal of Perinatal Medicine, Volume 36, Issue 4, Pages 341–347, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/JPM.2008.042.

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