Advertisement

The Indian Journal of Pediatrics

, Volume 52, Issue 2, pp 133–137 | Cite as

Ponderal index as a predictor of neonatal morbidity in small for gestational age infants

  • Jai Kishan
  • A. Y. Elzouki
  • N. A. Mir
  • A. M. Faquih
Original Articles

Abstract

Seventy four consecutively born small for gestational age infants (birth weight<10th centile) were classified into two groups based on the nutritional status at birth as determined by the ponderal index (weight gm/length cm3×100). All the infants had a ponderal index below the 50th centile. The disproportionately grown infants (52·7%) (PI<3rd centile) were more frequently affected by birth asphyxia, polycythemia and hypothermia than their more proportionately grown (47·3%) (PI>10th centile) counterparts. Thus the identification of disproportionately grown small-for-gestational age infants, which constitute a high risk group among the small-for-gestational age infants, is important at birth.

Key words

Neonate small for gestational age ponderal index 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Record JJ, Ramaekers LHJ: Quantification of intrauterine malnutrition.Biol Neonate 33: 273, 1978CrossRefGoogle Scholar
  2. 2.
    Woods DL, Malan AF, dev Heese H: Patterns of retarded fetal growth.Early Human Develop 3: 257, 1979CrossRefGoogle Scholar
  3. 3.
    Gruenwald P:Pathology of the deprived fetus and its supply line. Size at birth, Elliot K and Knight J (eds); Ciba foundation symposium 27, Amsterdam, Elsevier, 1974 p 3Google Scholar
  4. 4.
    Davies DP, Platts P, Pritchard JM, Wilkinson PW: Nutritional status of light for date infants at birth and its influence of early postnatal growth.Arch Dis Child 54: 703, 1979PubMedCrossRefGoogle Scholar
  5. 5.
    Walther FJ, Ramaekers LHJ: Neonatal morbidity of SGA infants in relation to their nutritional status at birth.Acta Pediatr Scand 71: 437, 1982Google Scholar
  6. 6.
    Dubowitz LMS, Dubowitz V, Goldberg CL: Clinical assessment of gestational age in the newborn infant.J Pediatr 77: 1, 1970PubMedCrossRefGoogle Scholar
  7. 7.
    Miller HC, Hassanein K: Diagnosis of impaired growth in newborn infants.Pediatrics 48: 511, 1971PubMedGoogle Scholar
  8. 8.
    Jarai I, Mestyan J, Schultz K, Lazar A, Halasz M, Krassy I: Body size and neonatal hypoglycemia in intrauterine growth retardation.Early Hum Develop 1: 25, 1977CrossRefGoogle Scholar
  9. 9.
    Compbell S: Physical methods of assessing size at birth.In Size at birth. Elliot KM and Knight J (eds); Ciba Foundation Symposium 27, Amsterdam, Elsevier, 1974 p 275Google Scholar
  10. 10.
    Low J, Boston R, Pancham S: Fetal asphyxia during the intrapartum period in intrauterine growth retarded infants.Am J Obstet Gynecol 113: 351, 1972PubMedGoogle Scholar
  11. 11.
    Wirth FH, Goldberg KE, Lubchenco LO: Neonatal hyperviscosity. I. Incidence.Pediatrics 63: 833, 1979PubMedGoogle Scholar
  12. 12.
    Linderkamp O, Versmold HT, Messon-zahn K, Muller-holve W, Riegel KP, Betke K: The effect of intrapartum and intrauterine asphyxia on placental transfusion in premature and full term infants.Eur J Pediatr 127: 91, 1978PubMedCrossRefGoogle Scholar
  13. 13.
    Oh W, Omori K, Emmanouilides GC, Dale L, Phelps DL: Placenta to lamb fetus transfusion in utero during acute hypoxia.Am J Obstet Gynecol 122: 316, 1975Google Scholar
  14. 14.
    Finne PH: Erythropoietin levels in cord blood as an indicator of intrauterine hypoxia.Acta Pediatr Scand 55: 478, 1966Google Scholar
  15. 15.
    User R: Clinical and therapeutic aspects of fetal malnutrition.Pediatr Clin North Am 17: 169, 1970Google Scholar
  16. 16.
    Lubchenco LO, Bard H: Incidence of hypoglycemia in newborn infants classified by birth weight and gestational age.Pediatrics 47: 831, 1971PubMedGoogle Scholar
  17. 17.
    Rabor I, Oh W, Wu Pet al: Effects of early feeding of intrauterine fetally malnourished (IUM) infants.Pediatrics 42: 261, 1968PubMedGoogle Scholar
  18. 18.
    Burckhard V, Stockhausen H, Struve M: Investigation of accelerated metabolic function in small for gestational infants.Eur J Pediatr 132: 169, 1979CrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1985

Authors and Affiliations

  • Jai Kishan
    • 1
  • A. Y. Elzouki
    • 1
  • N. A. Mir
    • 1
  • A. M. Faquih
    • 1
  1. 1.Department of Pediatrics, Faculty of MedicineGaryounis UniversityBenghaziLibya

Personalised recommendations