TY  - JOUR
T1  - Term SGA (small for gestational age) infantlarda büyümenin izlemi ve büyümeyi etkileyen faktörler
TT  - Term SGA (small for gestational age) infantlarda büyümenin izlemi ve büyümeyi etkileyen faktörler
AU  - Silahlı, Musa
AU  - Koç, Hasan
PY  - 2021
DA  - July
Y2  - 2021
DO  - 10.16899/jcm.752747
JF  - Journal of Contemporary Medicine
JO  - J Contemp Med
PB  - Rabia YILMAZ
WT  - DergiPark
SN  - 2667-7180
SP  - 433
EP  - 439
VL  - 11
IS  - 4
LA  - en
AB  - Aim:  Infants born small for gestational age (SGA) confront many problems in adulthood. Most of them catch up with their peer asgrowth in the first six months. In this study,  we investigated theperinatal predictive factors that influence postnatal catch-upgrowth in the term SGA infants.Material and Method: The study included seventy-three term,healthy infants. Prenatal, natal, and postnatal information formswere filled for each infant. Infants were examined in 0, 1, 6, and 12thmonths. The information form was recorded. At the examinationtime parameters concerning growth like weight, length, andhead circumference were recorded. Postnatal growth catch-upwas defined as above the 10thcentile according to the referencepopulation growth curves. By the SPSS 10,0 version for windowsprenatal, natal and postnatal factors that influence postnatal catch-up growth were investigated.Results: Infants in the Catch up (CU) group at the first month were significantly taller than the non-catch-up (NCU) group. APGARscores of the group CU at the sixth month were significantly more increased than group NCU. Length and head circumferenceof the sixth month and body length of the twelfth month weresignificantly more increased than the NCU group at the sixthmonth. Other infections and usage of vitamin D in the group NCUin the twelfth month were significantly more increased than thegroup CU. Length and head circumference at the twelfth month ingroup CU were significantly more increased than group NCU.Conclusion: For infants with born SGA, it is very important to followup postnatal growth patterns and growth velocity. Body length,head circumference, and APGAR scores can be a positive predictorfor the postnatal growth catch up for healthy term SGA infants.The usage of vitamin D and other infections can also be negativepredictors. Infants that catch up growth first few months mayanticipate that will be continued growth velocity for six months.
KW  - SGA infant
KW  - growth catch up
KW  - perinatal predictors
KW  - Small for Gestational 
Age
N2  - Amaç: SGA doğan infantlar yetişkin hayatta birçok riskle karşı karşıyadırlar. Postnatal hayatta çoğu ilk 6 ay içerisinde hızlı bir büyüme göstererek yaşıtlarının büyüme yüzdelerini yakalarlar. Bu çalışmada sağlıklı term SGA infantların büyümeyi yakalamaya etkisi olan perinatal prediktif faktörler incelendi. Gereç ve Yöntem: Çalışmaya sağlıklı 73 term SGA infant katıldı. Her hasta için prenatal, natal ve postnatal bilgi formu dolduruldu. İnfantların 0, 1, 6 ve 12. aylarda fiziki incelemeleri yapıldı ve geçmişe yönelik anamnez formu dolduruldu. Muayene sırasında kilo, boy ve baş çevresi gibi büyüme ile ilgili parametreler kaydedildi. Postnatal dönemde büyümeyi yakalama kriteri olarak referans toplumun büyüme eğrilerinde 10. persentilin üzerine çıkma olarak tanımlandı. Büyümeyi yakalama üzerine SPSS 10.0 kullanılarak perinatal, natal ve postnatal faktörlerin etkisi araştırıldı. Bulgular: Bulgular 1. ayda catch-up (CU) grubundaki infantların boyu non-catchup (NCU) grubundakilerden anlamlı derecede daha uzun idi. 6. aydaki CU grubunun APGAR skorları, 6.ayda ölçülen boy ve baş çevresi, 12. ayda boy ölçümleri NCU grubuna göre daha fazla bulundu.12. aydaki NCU grubunda diğer enfeksiyonlar ve D vitamini kullanımı CU grubuna göre daha fazla bulundu. Vakaların 12. aydaki boy ve baş çevreleri NCU grubuna göre daha fazla bulundu. Sonuç: SGA'lı doğan infantların postnatal büyüme paternlerini ve büyüme hızlarını takip etmek son derece önemlidir. Sağlıklı term SGA infantlar için postnatal büyümeyi yakalamada boy ve baş çevresi ve APGAR skorunun pozitif belirleyici, D vitamini ve diğer enfeksiyonların negatif belirleyiciler olarak kullanılabilir. Ve ilk aylarda büyümeyi yakalayan infantların büyüme hızlarını özellikle ilk 6 ay koruyabilecekleri öngörülebilir.
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UR  - https://doi.org/10.16899/jcm.752747
L1  - https://dergipark.org.tr/en/download/article-file/1150697
ER  -