Assessment of renal circulation in small for gestational age and appropriate for gestational age term newborns: A prospective study

2008 ◽  
Vol 36 (4) ◽  
pp. 200-203 ◽  
Author(s):  
Hana Kolarovszka ◽  
Mirko Zibolen ◽  
Miroslav Stavel ◽  
Katarina Matasova ◽  
Branislav Kolarovszki ◽  
...  
2009 ◽  
Vol 25 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Paraskevi Karagianni ◽  
Maria Kyriakidou ◽  
Georgios Mitsiakos ◽  
Helias Chatzioanidis ◽  
Emmanouel Koumbaras ◽  
...  

PEDIATRICS ◽  
1971 ◽  
Vol 48 (2) ◽  
pp. 190-199
Author(s):  
James R. Humbert ◽  
Ronald W. Gotlin

Recent investigations have raised the possibility that growth hormone (GH) influences intra-uterine weight and length. Moreover, the hypoglycemic tendency of small for gestational age (FSGA) infants and their small size could result from GH deficiency. To verify these hypotheses, a prospective study of daily serum GH and glucose levels was conducted in 46 newborn infants, including 18 FSCA infants, 18-full-term, appropriate for gestational age (FAGA), and 10 premature (PR) infants. Two FSGA babies became hypoglycemic. Both manifested normal GH competence as evidenced by normal daily GH levels, adequate GH response to arginine provocation, and satisfactory growth for over 2 years. Eleven of 12 FSGA babies followed from 14 to 26 months showed no evidence of impaired linear growth. The FSGA babies had GH values similar in magnitude and pattern to those of FAGA and PR infants. During the second half of the first postnatal day, a significant rise in serum GH occurred in all infants regardless of their size or gestational age; this rise may be the result of the stimulating effect of early milk feedings. GH deficiency does not appear to contribute to either the small size or hypoglycemic tendency of FSGA newborn infants.


2011 ◽  
Vol 9 (3) ◽  
pp. 288-293
Author(s):  
José Ricardo Dias Bertagnon ◽  
Marcos da Cruz Rocha ◽  
Gabriela Alba Kuraim ◽  
Rosângela Guidara ◽  
Neil Ferreira Novo

ABSTRACT Objective: To compare the frequencies of newborn diseases in those newborns classified according to a weight/length rate and those classified by the adequacy weight for gestational age. Methods: A retrospective cross-sectional study by record assessment was carried out enclosing all the live newborns at Hospital Geral do Grajaú, from September to December, 2009 (n =577) classified according to the rate weight/length and also to the adequacy weight for gestational age. The 10 and 90 percentiles of the weight/length distribution, now designated as “indices” were calculated leading to the following classification: low index, for newborns below 54.8 g/cm; high index, for those over 75.8 g/cm; and average index, for the remaining newborns. According to the adequacy weight for gestational age the newborns were designated as pre-term for gestational age; term small for gestational age; appropriate term and large term. In this sample there were no small and large pre-term or post-term newborns. Major diseases were related to the index and adequacy extracts by the χ2 test for a contingency table. Results: A significant association was found among low index, pre-term for gestational age newborns and term small for gestational age; between average index and appropriate for gestational age term newborns; and high index with large term appropriate for gestational age newborns (p< 0.001). Hypoglycemia (3.4%) was associated to both low and high indices, to appropriate for gestational age preterm newborns and to small for gestational age term newborns. Sepsis (3.1%) was associated to both low index and pre-term appropriate for gestational age newborns. The respiratory distress syndrome (1.3%) was associated to low index and pre-term appropriate for gestational age newborns. Other respiratory distress syndromes (3.8%) were associated to low and high indices but not to the adequacy for gestational age classification. Jaundice (14.9%) was not associated to the studied classifications. Perinatal asphyxia (12.6%) was associated to low index and pre-term newborns. Conclusion: The weight/length index may represent a contribution to the newborn risk classification being similar to that of the weight for gestational age adequacy, for the studied diseases.


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