Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight Infants
Objective: We aimed to compare the incidence of small for gestational age (SGA) and postnatal growth failure (PGF) of very low birth weight (VLBW) infants according to Fenton-13 and Intergrowth-21 curves. Methods: The records of babies with a birth weight of <1500 g were reviewed retrospecti...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2023-07-01
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| Series: | Forbes Tıp Dergisi |
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| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-02411 |
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| author | Buse ÖZER BEKMEZ Mehmet BÜYÜKTİRYAKİ |
| author_facet | Buse ÖZER BEKMEZ Mehmet BÜYÜKTİRYAKİ |
| author_sort | Buse ÖZER BEKMEZ |
| collection | DOAJ |
| description | Objective: We aimed to compare the incidence of small for gestational age (SGA) and postnatal growth failure (PGF) of very low birth weight (VLBW) infants according to Fenton-13 and Intergrowth-21 curves.
Methods: The records of babies with a birth weight of <1500 g were reviewed retrospectively. The percentile and z-scores for the babies' body weight and head circumference at birth and discharge were calculated using the web-based calculators developed by the Fenton-13 and Intergrowth-21 consortium. While SGA was defined as birth weight below the 10th percentile, body weight of <10th percentile for adjusted postmenstrual age at discharge was named as PGF. Infants who died, had major chromosomal/ congenital anomalies, and were diagnosed with perinatal asphyxia were excluded from the study.
Results: Data of 651 babies with VLBW were analyzed. The incidence of SGA was found to be significantly higher according to Intergrowth-21 than Fenton-13 (9.8% vs 4.3%, p<0.001). However, the frequency of PGF was noted as similar in those charts (60.5-60.7%, p>0.05). However, body weight z-score/percentile and head circumference z score/percentile at discharge were significantly lower in Fenton-13 compared to Intergrowth-21 charts.
Conclusion: In our study, while the incidence of SGA was higher based on the Intergrowth-21 charts, no difference was found between the two methods in terms of PGF. Accurate detection of intrauterine and postnatal growth restriction in VLBW infants enables the precise determination of the risk of short- and long-term adverse outcomes in this vulnerable population. |
| first_indexed | 2024-03-12T20:41:24Z |
| format | Article |
| id | doaj.art-a5f32ebf8f5c441c8079e76d514076d9 |
| institution | Directory Open Access Journal |
| issn | 2757-5241 |
| language | English |
| last_indexed | 2024-03-12T20:41:24Z |
| publishDate | 2023-07-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Forbes Tıp Dergisi |
| spelling | doaj.art-a5f32ebf8f5c441c8079e76d514076d92023-08-01T10:46:03ZengGalenos YayineviForbes Tıp Dergisi2757-52412023-07-014220521010.4274/forbes.galenos.2023.02411FJM-02411Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight InfantsBuse ÖZER BEKMEZ0Mehmet BÜYÜKTİRYAKİ1Hamidiye Etfal Education and Research Hospital, Division of Neonatology, IstanbulIstanbul Medipol University, Division of Neonatology, IstanbulObjective: We aimed to compare the incidence of small for gestational age (SGA) and postnatal growth failure (PGF) of very low birth weight (VLBW) infants according to Fenton-13 and Intergrowth-21 curves. Methods: The records of babies with a birth weight of <1500 g were reviewed retrospectively. The percentile and z-scores for the babies' body weight and head circumference at birth and discharge were calculated using the web-based calculators developed by the Fenton-13 and Intergrowth-21 consortium. While SGA was defined as birth weight below the 10th percentile, body weight of <10th percentile for adjusted postmenstrual age at discharge was named as PGF. Infants who died, had major chromosomal/ congenital anomalies, and were diagnosed with perinatal asphyxia were excluded from the study. Results: Data of 651 babies with VLBW were analyzed. The incidence of SGA was found to be significantly higher according to Intergrowth-21 than Fenton-13 (9.8% vs 4.3%, p<0.001). However, the frequency of PGF was noted as similar in those charts (60.5-60.7%, p>0.05). However, body weight z-score/percentile and head circumference z score/percentile at discharge were significantly lower in Fenton-13 compared to Intergrowth-21 charts. Conclusion: In our study, while the incidence of SGA was higher based on the Intergrowth-21 charts, no difference was found between the two methods in terms of PGF. Accurate detection of intrauterine and postnatal growth restriction in VLBW infants enables the precise determination of the risk of short- and long-term adverse outcomes in this vulnerable population.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-02411prematuritygrowth assessmentfenton-13intergrowth-21postnatal growth failure |
| spellingShingle | Buse ÖZER BEKMEZ Mehmet BÜYÜKTİRYAKİ Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight Infants Forbes Tıp Dergisi prematurity growth assessment fenton-13 intergrowth-21 postnatal growth failure |
| title | Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight Infants |
| title_full | Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight Infants |
| title_fullStr | Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight Infants |
| title_full_unstemmed | Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight Infants |
| title_short | Fenton-13 vs. Intergrowth-21 Standards for the Assessment of Intrauterine and Postnatal Growth Restriction in Very Low Birth Weight Infants |
| title_sort | fenton 13 vs intergrowth 21 standards for the assessment of intrauterine and postnatal growth restriction in very low birth weight infants |
| topic | prematurity growth assessment fenton-13 intergrowth-21 postnatal growth failure |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-02411 |
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