Term SGA (small for gestational age) infantlarda büyümenin izlemi ve büyümeyi etkileyen faktörler

Öz

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.

Anahtar Kelimeler

• SGA infant
• büyümeyi yakalama
• perinatal belirleyiciler
• Gestasyon yaşına göre küçük

Term SGA (small for gestational age) infantlarda büyümenin izlemi ve büyümeyi etkileyen faktörler

Öz

Aim: Infants born small for gestational age (SGA) confront many problems in adulthood. Most of them catch up with their peer as growth in the first six months. In this study, we investigated the perinatal predictive factors that influence postnatal catch-up growth in the term SGA infants.

Material and Method: The study included seventy-three term, healthy infants. Prenatal, natal, and postnatal information forms were filled for each infant. Infants were examined in 0, 1, 6, and 12th months. The information form was recorded. At the examination time parameters concerning growth like weight, length, and head circumference were recorded. Postnatal growth catch-up was defined as above the 10th centile according to the reference population growth curves. By the SPSS 10,0 version for windows prenatal, 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. APGAR scores of the group CU at the sixth month were significantly more increased than group NCU. Length and head circumference of the sixth month and body length of the twelfth month were significantly more increased than the NCU group at the sixth month. Other infections and usage of vitamin D in the group NCU in the twelfth month were significantly more increased than the group CU. Length and head circumference at the twelfth month in group CU were significantly more increased than group NCU.

Conclusion: For infants with born SGA, it is very important to follow up postnatal growth patterns and growth velocity. Body length, head circumference, and APGAR scores can be a positive predictor for the postnatal growth catch up for healthy term SGA infants. The usage of vitamin D and other infections can also be negative predictors. Infants that catch up growth first few months may anticipate that will be continued growth velocity for six months.

Anahtar Kelimeler

• SGA infant
• growth catch up
• perinatal predictors
• Small for Gestational Age

Kaynakça

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