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Published on: December 31, 2015
Assessment of neonatal growth in prematurely born infants
Reese H Clark1, Irene E Olsen2, Alan R Spitzer1
1The Center for Research, Education, and Quality, MEDNAX Services/Pediatrix Medical Group/American Anesthesiology, 1301 Concord Terrace, Sunrise, FL 33323-2825, USA.
Insights
Assessing nutrition and growth in premature infants is crucial but debated. This review proposes a standardized method for evaluating growth from birth through hospitalization.
Area of Science:
- Neonatalogy
- Pediatric Nutrition
- Growth Monitoring
Background:
- Adequate nutritional status and normal growth are recognized as vital for infant development.
- Current methods for assessing nutritional adequacy and defining appropriate growth in premature infants lack standardization.
- This ambiguity complicates clinical practice and research.
Purpose of the Study:
- To review current practices for assessing infant growth at birth and during hospitalization.
- To identify challenges and debates in evaluating nutritional status and growth in premature neonates.
- To propose a standardized approach for growth assessment in this population.
Main Methods:
- Literature review of studies on growth assessment in premature infants.
- Analysis of existing guidelines and methodologies for nutritional and growth evaluation.
- Synthesis of findings to develop a unified, standardized framework.
Main Results:
- Identified variability in current growth assessment protocols for premature infants.
- Highlighted key parameters and time points critical for monitoring growth.
- Established the need for a consistent, evidence-based approach.
Conclusions:
- A standardized method for assessing growth in premature infants is essential.
- Implementing a unified approach will improve clinical care and research consistency.
- Further validation of the proposed standardized approach is recommended.
Abstract:
The concept that adequate nutritional status and normal growth are important is well-accepted. How to assess the adequacy of nutrition and how to define appropriate growth remains an area of active debate. Our goal is to review how growth is assessed at birth and during the hospital stay of prematurely born infants, and to offer a standardized approach.

