Growth curves: How to best measure growth of the preterm infant

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Birth weight is one of the most important anthropometric measures in the evaluation of an infant. For the full-term infant, birth weight is compared with reference or standard growth curves that are constructed by plotting weight, length, and head circumference against postnatal age. Following a similar approach for preterm infants is less effective for a variety of reasons. Birth weight and other anthropometric measures used to evaluate an infant at birth are influenced by various maternal characteristics, the intrauterine milieu, and duration of gestation. Second, the causes of premature birth and their impact on birth weight are largely unknown. Third, gestational age is difficult to determine with full certainty. One approach that has been used to circumvent these issues is to use intrauterine growth reference curves. However, these curves do not really reflect "normal" growth because they were constructed using cross-sectional data from infants born prematurely and, as such, do not reflect the normal condition. Thus, there is a need to develop normative growth curves derived from "healthy" preterm infants that can be applied to neonates born prematurely. These should be updated periodically to reflect secular trends in maternal body weight, height, and overall health.

Original languageEnglish (US)
JournalJournal of Pediatrics
Volume162
Issue number3 SUPPL.
DOIs
StatePublished - Jan 1 2013

Fingerprint

Birth Weight
Premature Infants
Growth
Mothers
Growth Charts
Body Height
Premature Birth
Gestational Age
Head
Body Weight
Parturition
Newborn Infant
Weights and Measures
Pregnancy
Health

Keywords

  • EFW
  • Estimated fetal weight
  • WHO
  • World Health Organization

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Growth curves : How to best measure growth of the preterm infant. / Bhatia, Jatinder J.

In: Journal of Pediatrics, Vol. 162, No. 3 SUPPL., 01.01.2013.

Research output: Contribution to journalArticle

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