GROWTH OF VERY LOW BIRTH WEIGHT PRETERM UNTIL 12 MONTHS OF CORRECTED AGE

Autores

  • Milene de Moraes Sedrez Rover Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
  • Cláudia Silveira Viera Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
  • Beatriz Rosana G. de Oliveira Toso Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
  • Sabrina Grassiolli Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
  • Bruna Maria Bugs Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE

DOI:

https://doi.org/10.7322/jhgd.90228

Palavras-chave:

Growth, infant, premature, extra uterine growth retardation, low birth weight.

Resumo

Introduction: facing the progressive increase in the survival of premature ta infants, a concern for health professionals would be related to the possible consequences arising from prematurity, among them the growth changes. Objectives: to describe the anthropometric variables of newborns Premature Very Low Birth Weight in the follow-up monitoring. Methods: observational, longitudinal and retrospective study, involving 71 children who left Neonatal Intensive Care Unit (NICU), with a weight lower than 1500 g who were treated between 2006 and 2013. They should have at least three outpatient visits within twelve months of corrected age after NCAU discharge, in the following periods: period I up to 3 months of corrected age; period II between 4-6 months of corrected age and period III between 7-12 months of corrected age. Results: the mean Gestational Age (GA) was 29.4 weeks, 51% male, birth weight 1073.2 g, 70% with appropriate GA. The hospitalization stay was 68.73 days. Weight Z score at birth -0.95; at discharge -3.05; in period I -2.4; period II -1.8; period III -1.2. Height at birth -1.21, at discharge -2.23; -2.5; -1.8 and -1.1 for the periods I, II and III , respectively. Regarding the PT Z score at birth -0.71; at discharge -1.5; and monitoring -1.1; - 0.8 and -0.5 respectively in the periods I, II and III. Conclusions: despite of the great Z score reduction in NICU, there was a progressive improvement during follow-up in the Z score in the three anthropometric variables.

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Biografia do Autor

  • Milene de Moraes Sedrez Rover, Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
    Mestranda do Programa de Pós-graduação em Biociências e Saúde
  • Cláudia Silveira Viera, Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
    Doutora em Enfermagem em Saúde Pública pela EERP-USP, docente do Programa de Pós graduação em Biociências e Saúde
  • Beatriz Rosana G. de Oliveira Toso, Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
    Doutora em Ciências da Saúde pela EERP-USP, docente do Programa de Pós graduação em Biociências e Saúde
  • Sabrina Grassiolli, Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
    Doutora em Ciências Biológicas e Biologia Celular pela UEM e docente do Programa de Pós graduação em Biociências e Saúde
  • Bruna Maria Bugs, Programa de Pós Graduação em Biociências e Saúde - Universidade Estadual do Oeste do Paraná - UNIOESTE
    Mestranda do Programa de Pós graduação em Biociências e Saúde

Referências

World Health Organization (WHO). Born too Soon: the global action report on preterm birth. World Health Organization. Geneva: 2012; p.1-31.

Maranhão AGK, Vasconcelos AMN, Porto DL, França E. Mortalidade infantil no Brasil: tendências, componentes e causas de morte no período de 2000 a 2010. Brasília: Ministério da Saúde; 2012; p.165-82.

Silveira RC, Procianoy RS. Crescimento nos primeiros anos de vida de recém-nascidos de muito baixo peso. In: Procianoy RS, Leone CR, editores. Programa de Atualização em neonatologia. Artmed. Porto Alegre: Artmed; 2010; p.49-86.

Cooke RWI, Foulder-Hughes L. Growth impairment in the very preterm and cognitive and motor performance at 7 years. Arch Dis Child. 2003;88(6):482-7. DOI: http://dx.doi.org/10.1136/adc.88.6.482.

Lapillonne A, Griffin IJ. Feeding preterm infants today for later metabolic and cardiovascular outcomes. J Pediatr. 2013;162(3 Suppl):S7-16. DOI: http://dx.doi.org/10.1016/j.jpeds.2012.11.048.

Rugolo LMSS. Crescimento e desenvolvimento a longo prazo do prematuro extremo. J Pediatr (Rio J). 2005; 81(Suppl 1): s101-10.

Cardoso-Demartini AA, Bagatin AC, Silva RPGVC, Boguszewski MCS. Crescimento de crianças nascidas prematuras. Arq Bras Endocrinol Metab. 2011;55(8): 534-40. DOI: http://dx.doi.org/10.1590/S0004-27302011000800006.

Uhing MR, Das UG. Optimizing growth in the preterm infant. Clin Perinatol. 2009;36(1):165-76. DOI: http://dx.doi.org/10.1016/j.clp.2008.09.010

Shan HM, Cai W, Cao Y, Fang BH, Feng Y. Extrauterine growth retardation in premature infants in Shangai: a multicenter retrospective review. Eur J Pediatr. 2009; 168(9): 1055-9. DOI: http://dx.doi.org/10.1007/s00431-008-0885-9.

Ehrenkranz RA. Extrauterine growth restriction: is it preventable? J Pediatr (Rio J). 2014; 90(1): 1-3. DOI: http://dx.doi.org/10.1016/j.jped.2013.10.003.

Fenton TR, Kim JH. A systematic review and meta-analysis to revise the Fenton growth chart for preterm infants. BMC Pediatr. 2013;13:59. DOI: http://dx.doi.org/10.1186/1471-2431-13-59.

Ministério da Saúde. Secretaria de Atenção à Saúde . Atenção à saúde do recém-nascido: guia para os profissionais de saúde. Cuidados gerais. Brasília: Ministério da Saúde; 2011.

World Health Organization (WHO). Softaware WHO anthro for personal computers manual. Software for assessing growth and development of the world’s children. Geneva: WHO; 2011.

Lima PAT, Carvalho M, Costa ACC, Moreira MEL. Variables associated with extra uterine growth restriction in very low birth weight infants. J Pediatr (Rio J). 2014;90(1):22-7. DOI: http://dx.doi.org/10.1016/j.jped.2013.05.007.

Westerberg AC, Henriksen C, Ellingvag A, Veierod MB, Júlíusson PB, Nakstad B, et al. First year growth among very low birth weigth infants. Acta Paediatr. 2010;99(4):556-62. DOI: http://dx.doi.org/10.1111/j.1651-2227.2009.01667.x

Lima PAT, Carvalho M, Costa ACC, Moreira MEL. Author’s reply: Z-score: Fenton 2013. Tem-year update. J Peditr (Rio J). 2014;90(4):427-8. DOI: http://dx.doi.org/10.1016/j.jped.2014.04.004

Mukhopadhyay K, Mahajan R, Louis D, Narang A. Longitudinal growth of very low birth weight neonates during first year of life and risk factors for malnutrition in a developing country. Acta Paediatr. 2013;102(3): 278-81. DOI: http://dx.doi.org/10.1111/apa.12113.

Oliveira AG, Siqueira PP, Abreu LC. Cuidados nutricionais no recém-nascidos de muito baixo peso. Rev Bras Crescimento Desenvolv Hum. 2008; 18(2): 148-54.

Goulart AL, Morais MB, Kopelman BI. Impacto dos fatores perinatais nos déficits de crescimento de prematuros. Rev Assoc Médica Bras. 2011;57(3): 272-9. DOI: http://dx.doi.org/10.1590/S0104-42302011000300008.

Oliveira MG, Silveira RC, Procianoy RS. Growth of very low birth weigth infants at 12 months corrected age in southern Brazil. J Trop Pediatr. 2008; 54(1):36-42. DOI: http://dx.doi.org/10.1093/tropej/fmm103.

Pampanini V, Boiani A, De Marchis C, Giacomozzi C, Navas R, Agostino R, et al. Preterm infants with severe extrauterine growth retardation (EUGR) are at high risk of growth impairment during childhood. Eur J Pediatr. 2015;174(1):33-41. DOI: http://dx.doi.org/10.1007/s00431-014-2361-z.

Roberts G, Cheong J, Opie G, Carse E, Davis N, Duff J, et al. Growth of extremely preterm survivors from birth to 18 years of age cmpared with term controls. Pediatrics. 2013;131(2):e439. DOI: http://dx.doi.org/10.1542/peds.2012-1135.

Claas MJ, Vries LS, Koopman C, Uniken Venema MMA, Eijsermans MJC, Bruinse HW, et al. Postnatal growth of preterm born children d”750 g at birth. Early Hum Dev. 2011; 87(7):495-507. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2011.04.009.

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Publicado

2015-10-25

Edição

v. 25 n. 3 (2015)

Seção

Pesquisa Original

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