[Care of small for gestational age infants: personal caseload]

G Latini1, G Pili, G Simeone

  • 1Unità di Terapia Intensiva Neonatale, Brindisi, Italia.

The Guidelines for Perinatal Care define SGA or IUGR infants those with birthweight < 2500 g and below the tenth percentile for gestational age. In Brindisi's N.I.C.U. in the period from 1/07/1986 to 27/02/1992, 295 newborns were admitted with G.A. = 37.08 +/- 2.87 w (mean +/- s.d.), birthweight = 2013 +/- 505 g, length = 438 +/- 44 mm, head circumference = 307 +/- 31 mm. Among these 80.9% has been discharged in good conditions; 9.4% was discharged with some problems and 9.3% died. In hour Hospital the incidence of SGA at birth has been 1.83% in 1987, 2.13% in 1988, 2.1% in 1990 and 2.3% in 1991, in agreement with the literature's data. In the group of SGA infants, we have had 43.86% with symmetrical IUGR, 39.15% with asymmetrical and 16.98% with intermediate IUGR: In this study, besides, the Authors examine some of the main problems that affected the SGA newborns.

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