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


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 


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  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

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