Assesment of Growth Term and Preterm Neonates

Year 2016, Volume: 8 Issue: 2, 83 - 87, 30.03.2016

Doç. Dr. Hilal Özkan

Abstract

Abstract

The evaluation of growth is important in the newborn period as brain development is so critical in this period. In the assesment of growth, neurological and developmental status should be evaluated in addition tosomatic growth during this period. Therefore, it is really important to evaluate the infant in growth charts according to the antropometric measurements. The optimal growth target for preterm infants should be the catch-up of intrauterine growth. In addition to appropriate antenatal follow-up, postnatal parenteral andenteral nutrition including sufficient protein, energy, vitamin and minerals should be supplied for this purpose,

Keywords

Newborn, preterm, growth, nutrition

Preterm ve Term Yenidoğanda Büyümenin Değerlendirilmesi

Abstract

Öz

Büyümenin değerlendirilmesi yenidoğan dönemi gibi beyin gelişiminim kritik öneme sahip olduğu bir dönemde son derece önemlidir.  Bu dönemde büyümenin takibi  sadece somatik büyümeyi değil nörolojik ve gelişimsel düzeyin de değerlendirilmesini gerektirir.  Optimal büyümenin ileri yaşam sağlığı ve nörolojik gelişim üzerine olumlu etkileri bilinmektedir. Bu nedenle her kontrol anında bebeğin antropometrik ölçümlerinin yapılıp büyüme eğrilerinden yararlanılarak  değerlendirilmesi büyük önem taşımaktadır. Prematüre bebeklerde optimal büyümede hedef bebeğin intrauterin büyüme hızını yakalama olmalıdır.  Bu hedefe ulaşmak, uygun prenatal takip ve  postnatal parenteral ve enteral olarak yeterli protein, enerji, vitamin ve mineral desteğinin sağLanması ile mümkün olabilir.

Keywords

Yenidoğan, preterm, büyüme, beslenme

References

• Kaynaklar 1.Hack M, Flannery DJ, Schluchter M, et al. Outcomes in yo-ung adulthood for very-low-birth-weight infants. N Engl J Med2002; 346:149. 2.Ehrenkranz RA, Younes N, Lemons JA, et al. Longitudinalgrowth of hospitalized very low birth weight infants. Pediat-rics 1999; 104:280. 3.Lapillonne A, O’Connor DL, Wang D, Rigo J. Nutritional Re-commendations for the Late-Preterm Infant and the PretermInfant after Hospital Discharge. Journal of Pediatrics 2013;162:90-100. 4.Acunaş B, Yağmur Baş A, Uslu S. Türk Neonatoloji Derne-ği Yüksek Riskli Bebek İzlem Rehberi. 2014. 5.Fenton TR, Kim JH. A systematic review and metaanalysis torevise the Fenton growth chart for premature infants. BMCPediatrics 2013; 13:59. 6.Gokcay G, Furman A, Neyzi O. Updated growth curves for Turkishchildren aged 15 days to 60 months. Child Care Health Dev 2008. 7.Hintz SR, Kendrick DE, Vohr BR, Poole WK, Higgins RD; Na-tional Institute of Child Health and Human Development Neo-natal Research Network. Changes in neurodevelopmental out-comes at 18 to 22 months’ corrected age among infants of lessthan 25 weeks’gestational age born in 1993-1999. Pediatrics.2005;115:1645-51. 8.Latal-Hajnal B1, von Siebenthal K, Kovari H, Bucher HU, Lar-go RH. Postnatal growth in VLBW infants: significant asso-ciation with neurodevelopmental outcome. J Pediatr 2003;143:163-70. 9.Arslanoglu S1, Moro GE, Ziegler EE. Adjustable fortificati-on of human milk fed to preterm infants: does it make a dif-ference? J Perinatol 2006; 26: 614-21. 10.Bloomfield FH, Spiroski AM, Harding JE. Fetal growth factorsand fetal nutrition. Seminars in Perinatol 2013;30:1744-65. 11.Köksal N, Ozkan H, Gider C, et al. Gestasyon Haftasına GöreDüşük Doğum Ağırlığı (SGA) Olan Bebeklerin Uzun Süreli İz-lemi. 2004;2:73-9. 12.Kültürsay N, Bilgen H, Türkyılmaz C. Prematüre ve Hasta TermBebeğin Beslenmesi Rehberi Tür Neonatoloji Derneği. 2014. 13.Agostoni C, Buonocore G, Carnielli VP, De, et al. Enteral nut-rient supply for premature infants: commentary from the Eu-ropean Society of Paediatric Gastroenterology, Hepatology,and Nutrition Committee on Nutrition. J Pediatr Gastroente-rol Nutr 2010;50:85-91. 14.ESPGHAN Committee on Nutrition, Arslanoglu S, Corpele-ijn W, Moro G, et al. Donor human milk for preterm infants:current evidence and research directions. J Pediatr Gastro-enterol Nutr 2013; 57:535-42. 15.Abrams SA and the AAP COMMITTEE ON NUTRITION. Cal-cium and Vitamin D Requirements of Enterally Fed PretermInfants. Pediatrics 2013;131: 1676-83. 16.Young L, Morgan J, McCormick Felicia M, McGuire W Nut-rientenriched formula versus standard term formula for pre-term infants following hospital discharge. Cochrane Databa-se Syst Rev 2012;14:CD004696. 17.Young L, Embleton ND, McCormick FM, McGuire W. Mul-tinutrient fortification of human breast milk forpreterm infantsfollowing hospital discharge. Cochrane Database of Systema-tic Reviews 2013;2:CD004866.