Abstract
In a prospective multicenter study para I and 2 women were followed closely from 17 weeks gestation to identify risk factors for and consequents of IUGR. This report describes the impact of IUGR on postnatal growth and development with special reference to mothers who repeatedly give birth to small for gestational age (SGA) babies (repeaters). 190 SGA infants (birth weight <10.th percentile) were examined at birth and at 13 months of age and compared with a control group of 414.79 of the SGA infants were born by repeaters. At 13 months of age growth and psychomotor development (Bayleys scale) were evaluated. At follow-up, the SGA children were still significantly (p < 0.001) shorter (75.4 cm vs. 77.3 cm), lighter (9.6 kg vs. 10.4 kg) and had a smaller head circumference (46.7 vs. 47.5) than the controls. The mental developmental index (MDI) was also significantly lower (MDI=111.3 vs 115.1, p=0.001) while the psychomotor index (PDI) did not differ (PDI: 106.1 vs 106.5). Within the group of SGA infants the MDI did not differ between repeaters and non-repeaters (MDI=112.4 vs.110.8). The results confirm that IUGR has a negative effect on postnatal growth and development SGA infants of repeaters do not as a group have a better outcome at one year of age when compared to those of non-repeaters.
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Vik, T., Markestad, T., Ahlsten, G. et al. 44 INTRAUTERINE GROWTH RETARDED (IUGR) CHILDREN: FOLLOW-UP AT ONE YEAR. Pediatr Res 30, 635 (1991). https://doi.org/10.1203/00006450-199112000-00074
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DOI: https://doi.org/10.1203/00006450-199112000-00074