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Updated: Aug 20, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Behavior of full term infants small for gestational age in the first three months of life]
Bernadete Balanin A Mello1, Vanda M Gimenes Gonçalves, Elisabete Abib P Souza
1Centro de Estudos e Pesquisas em Reabilitação Prof. Dr. Gabriel Porto, Faculdade de Ciências Médicas, Campinas, SP, Brazil. berna@unicamp.br
Insights
Full-term infants small-for-gestational age (SGA) exhibit distinct behavioral patterns compared to appropriate-for-gestational age (AGA) infants. SGA infants showed lower scores in motor control and attention during their second month of life.
Area of Science:
- Neonatal Development
- Developmental Pediatrics
- Behavioral Science
Background:
- Infant behavior is crucial for assessing neurodevelopmental trajectories.
- Small-for-gestational age (SGA) infants may experience unique developmental challenges.
- Understanding behavioral differences in early infancy is vital for timely interventions.
Purpose of the Study:
- To compare the behavioral development of full-term small-for-gestational age (SGA) infants with full-term appropriate-for-gestational age (AGA) infants.
- To identify specific behavioral differences in the first three months of life.
- To analyze motor quality and attention/arousal factors in SGA versus AGA infants.
Main Methods:
- Utilized the Bayley Scales of Infant Development-II, focusing on the Behavior Rate Scale (BRS).
- Compared 20 full-term SGA infants with 20 full-term AGA infants.
- Evaluated infant behavior across the first, second, and third months of life.
Main Results:
- SGA infants demonstrated significantly lower average scores on the Behavior Rate Scale in the second month.
- The Motor Quality Factor showed lower average values in SGA infants, particularly in gross-motor control and hypertonicity.
- The Attention/Arousal Factor revealed lower average values in SGA infants concerning object exploration and examiner orientation.
Conclusions:
- Full-term SGA infants exhibit specific behavioral differences in early infancy compared to AGA infants.
- Motor control and attention/arousal are key areas where SGA infants show developmental lags.
- These findings highlight the importance of early behavioral assessments for SGA infants.
Abstract:
The objective was to compare the behavior of full-term infants small-for-gestational age (SGA) with full-term appropriate-for-gestational age (AGA). The sample considered 20 infants in the 1st, 2nd and in the 3rd months of life. The Bayley Scales of Infant Development-II were used, with attention to items related to Behavior Rate Scale (BRS). It was found that SGA infants showed lower average values in the BRS in the 2nd month. The Motor Quality Factor displayed significantly lower average values in SGA group, in the items Gross-motor Movement Required by Tasks, Control of Movements and Hypertonicity. The Attention/Arousal Factor in the items Exploration of Objects/Surroundings and Orientation to Examiner displayed significantly lower average values in the SGA group.
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