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Do growth-retarded premature infants have different rates of perinatal morbidity and mortality than appropriately grown premature infants?
Abstract
OBJECTIVE: To determine if perinatal morbidity and mortality differ in growth-retarded, small for gestational age (SGA), premature infants and appropriate for gestational age (AGA) infants. METHODS: All consecutive, singleton, nondiabetic, preterm pregnancies delivered over a 15-year period were analyzed. Infants were categorized as SGA (at or below the tenth percentile) or AGA (11th to the 89th percentiles), then stratified by birth weight and gestational age categories. Perinatal morbidity and mortality were examined. RESULTS: We studied 4183 preterm deliveries, 1012 of them SGA and 3171 of them AGA. Overall, we found significantly higher rates of fetal and neonatal death in the SGA group. Stratification by gestational age revealed significantly higher rates of neonatal death for the SGA group compared with the AGA group in each gestational age category. Overall, comparison also revealed significantly higher rates of fetal heart rate abnormality in the SGA group but no difference in neonatal sepsis, birth trauma, cesarean delivery, hyaline membrane disease, or congenital anomalies. CONCLUSION: Growth-retarded premature infants have a significantly higher risk of morbidity and mortality, both before and after delivery, than do appropriately grown infants.
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Citations
Cited by
Birth weight in relation to morbidity and mortality among newborn infants
McIntire, D. D., Bloom, S. L., Casey, B. M., & Leveno, K. J. (1999) · New England Journal of Medicine · doi:10.1056/nejm199904223401603 · Cited by 1,258
Intrauterine growth restriction
Resnik, R. (2002) · Obstetrics & Gynecology · doi:10.1016/s0029-7844(01)01780-x · Cited by 1,022
Morbidity and mortality among very-low-birth-weight neonates with intrauterine growth restriction
Bernstein, I. M., Horbar, J. D., Badger, G. J., Ohlsson, A., & Golan, A. (2000) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(00)70513-8 · Cited by 840
Perinatal outcome and later implications of intrauterine growth restriction
Pallotto, E. K., & Kilbride, H. W. (2006) · Clinical Obstetrics and Gynecology · doi:10.1097/00003081-200606000-00008 · Cited by 427
Impact of fetal growth restriction on mortality and morbidity in a very preterm birth cohort
Zeitlin, J., El Ayoubi, M., Jarreau, P.-H., Draper, E. S., Blondel, B., Künzel, W., Cuttini, M., Kaminski, M., Gortner, L., Van Reempts, P., et al. (2010) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2010.05.002 · Cited by 223
Metadata
- Authors
- PIPER, J., XENAKIS, E., MCFARLAND, M., ELLIOTT, B., BERKUS, M., & LANGER, O.
- Venue
- Obstetrics & Gynecology
- Published
- 1996-02
- Volume
- 87
- Issue
- 2
- Pages
- 169-174
- ISSN
- 0029-7844 (ISSN-L)
- OpenAlex
- W2028885195
- Cited by
- 160
- References
- 0
- FWCI
- 5.87
- Type
- journal article
- Language
- en
- Open access
- closed
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- PIPER, J., XENAKIS, E., MCFARLAND, M., ELLIOTT, B., BERKUS, M., & LANGER, O. (1996). Do growth-retarded premature infants have different rates of perinatal morbidity and mortality than appropriately grown premature infants? Obstetrics & Gynecology. https://doi.org/10.1016/0029-7844(95)00400-9
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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