Velocidade de crescimento de recém-nascidos pré-termo adequados para a idade gestacional

Anchieta, Lêni Márcia; Xavier, César Coelho; Colosimo, Enrico A.

doi:10.1590/s0021-75572004000600014

Cited by 6 publications

(8 citation statements)

References 20 publications

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“…Extrauterine growth restriction is a marker of severe nutritional deficit during the first weeks of life, which can be assessed at 36 weeks of corrected age or at discharge based on reference intrauterine or postnatal growth curves 3,7,8 . Fenton & Kim 9 curves, which became available recently, are considered the standard postnatal growth curves [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Extrauterine growth restriction: Universal problem among premature infants

et al. 2016

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Objective: To analyze the growth rate of premature infants in the first weeks of life and factors associated with extrauterine growth restriction. Methods: This is a cross-sectional study of 254 premature infants in a neonatal intensive care unit conducted from January 1, 2008 to December 31, 2010. Infants who died or had malformations incompatible with life were excluded. Median weight curves according to gestational age were constructed for the first four weeks of life. The Fenton growth chart calculations provided the weight Z-scores. Extrauterine growth restriction was defined as corrected weight-for-age Z-score ≤-2. Perinatal, morbidity, and health care variables were analyzed. The Poisson regression model yielded the prevalenceratios . Associations between extrauterine growth restriction and the perinatal, morbidity, and care variables were investigated. Poisson regression controlled possible confounding factors. Results: The frequency of extrauterine growth restriction was 24.0%. Most (85.0%) small-for-gestational-age infants developed extrauterine growth restriction; 55.3% of extrauterine growth restriction cases involved small-for-gestational-age infants. Premature infants with gestational age >32 weeks did not recover the median birth weight until the third week of life and had a higher frequency of small-for-gestational-age. The Z-scores of non-small-for-gestational-age infants decreased more after birth than those of small-for-gestational-age infants. extrauterine growth restriction was associated with small-for-gestational-age (PR=6.14; 95%CI=3.33-11.33;p <0.001) and time without enteral diet (PR=1.08; 95%CI=1.04-1.13; p =0.010). Conclusion: Extrauterine growth restriction occurs in premature infants of all gestational age. The participation of small-for-gestational-age and nutritional practices in its genesis is noteworthy. We suggest prospective studies of all premature infants. The implementation of best care practices, individualized for small-for-gestational-age infants, to improve nutrient supply can minimize the problem.

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Section: Introductionmentioning

confidence: 99%

Extrauterine growth restriction: Universal problem among premature infants

et al. 2016

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“…Principalmente em relação ao peso, as taxas absolutas (g/dia) podem não ser adequadas. No entanto, observa-se que as taxas relativas (g/Kg/dia) mostram um crescimento adequado (12) . Neste estudo, quando se calcula a taxa absoluta, observa-se que, os RN tendem a perder mais peso em relação à taxa relativa.…”

Section: Velocidade Relativa De Ganho De Peso Na 2ª Etapa Do MMC Seguunclassified

“…Estudo sobre a velocidade de crescimento de prematuros AIG, chamam a atenção para a importância de que as taxas de crescimento sejam alcançadas a todo o momento e que possam ser aceleradas ou diminuídas de acordo com essa avaliação (12) .…”

Section: Velocidade Relativa De Ganho De Peso Na 2ª Etapa Do MMC Seguunclassified

“…Avalição sobre o crescimento de RN pré-termo de 1200 a 2000 gramas de peso ao nascers acompanhados na metodologia mãe-canguru, mostrou que é possível identificar aqueles que crescem exclusivamente com leite materno e aqueles que necessitaram de suplementação temporária ou prolongada, para proteger seu potencial de crescimento (9)(10)(11)(12) .…”

Section: Velocidade Relativa De Ganho De Peso Na 2ª Etapa Do MMC Seguunclassified

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Método Mãe-Canguru: evolução ponderal de recém-nascidos

Freitas

Camargo

2007

Acta paul. enferm.

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OBJETIVOS: analisar a evolução ponderal de recém-nascido (RN) na 2ª etapa do Método Mãe-Canguru e a influência do aleitamento materno no ganho de peso. MÉTODOS: pesquisa quantitativa, prospectiva com 22 RN na 2ª etapa do método, entre março e agosto de 2005. Os dados foram computados no Programa Epi-info. RESULTADOS: 54,6% estavam abaixo do percentil 5 na alta; as médias das variáveis estudadas foram: tempo para atingir pesos mínimo e de recuperação 5,2 e 17,4 dias; percentual de perda de peso 9,8%; velocidade relativa de ganho de peso na 1ª etapa 9 g/Kg/dia e 2ª etapa 13,2 g/Kg/dia; velocidade relativa de ganho de peso dos RN alimentados com leite da genitora 11,9 g/Kg/dia e dos alimentados com leite da genitora e leite pasteurizado 14,5 g/Kg/dia. CONCLUSÕES: este estudo revela a necessidade de acompanhar RN em pequeno, médio e longo prazo e ampliar as discussões sobre o acompanhamento do crescimento como uma estratégia de atenção básica, visando uma assistência de qualidade.

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“…No mundo, de 5% a 13% dos recém-nascidos vivos são prematuros, e a grande maioria deles é prematuro tardios (34)(35)(36) sem. e seis dias) e forma um grupo relativamente grande com sérias implicações médicas, sociais e econômicas para seus pais, para o cuidado à saúde e para a sociedade 16,17 .…”

Section: Epidemiologiaunclassified

Crescimento de recém-nascidos pré-termos tardios nos primeiros seis meses de idade corrigida em Cuiabá-MT

Lopes¹

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Introduction: The birth of newborns late preterm (RNPT -T), usually treated as "near term", has been increasing in recent decades. Several factors are attributed to its etiology and contribute to increased rates of perinatal and infant morbidity and mortality. Currently there are few studies of these newborns, especially about their growth. Objectives: To analyze the growth pattern of late preterm infants from birth to six months of corrected age. Methods: This cohort study included 64 RNPT-T, in four major hospitals in Cuiabá, between January and September 2013 and followed until 6 months corrected age. Data were collected at birth, at 40 weeks, 3 and 6 months corrected age. Correlation analyzes between anthropometric parameters mid-arm circumference (MAC) and triceps skinfold (TS) on the basis of anthropometric indices MAC / HC (head circumference), weight / length (W / L) and body mass index (BMI) were performed multiple linear regression. Results: At birth, 81.3 % were classified as appropriate for gestational age, with the average weight of 2343.80 ± 430.50 g. All newborns had a continuous growth in the six months corrected age for the values of weight, length and head circumference (HC). The average value of TS values of MAC / HC and BMI showed no difference at 6 months of corrected age. All correlation coefficients (r) of the TS and MAC parameters in relation to anthropometric indices showed statistically significant, with the highest values for MAC versus MAC / HC and W / L and lower for MAC versus BMI. At the end of the TS model of multiple linear regression, the MAC / HC contributed significantly to predict the deposition of fat at birth, at 40 weeks and at 3 months' corrected age (33.8 %, 46.07 % and 18.08 % respectively); at 6 months was the best predictor of the ratio W/ L (10.45%). The best predictor for the MAC was the MAC / HC, which remained in the model with values of 73.71 % at all evaluated times. Conclusion: The parameters weight, length, head circumference and armcircumference and the ratio W / L increased in the four times of measurement, while the TS and MUAC / HC relations and BMI did not change from the first to the second quarter and MAC / HC was the best predictor of subcutaneous fat deposit triceps (TS) and fat and muscle (MAC) mass.

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Velocidade de crescimento de recém-nascidos pré-termo adequados para a idade gestacional

Cited by 6 publications

References 20 publications

Extrauterine growth restriction: Universal problem among premature infants

Extrauterine growth restriction: Universal problem among premature infants

Método Mãe-Canguru: evolução ponderal de recém-nascidos

Crescimento de recém-nascidos pré-termos tardios nos primeiros seis meses de idade corrigida em Cuiabá-MT

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