Abstract
Purpose. The a nalysis of low-birth-weight infants’ physical growth and development indices (weight of body, length of body, head circumference) on standard curves for timely diagnosis and correction of their health changes. Materials and Methods. The retrospective a nalysis of 1389 children's development case histories (form № 112) was carried out. Physical growth and development indices (weight of body, length of body, head circumference) were estimated in 41 children who were born with a body weight between 1500–2499 grams and in 17 healthy children who at birth weighted 2500 and over. Four groups were formed: the I group – 10 premature children (32.9 ± 0.6 weeks of gestation) with body weight of 1500–1999 g (1775 ±48.77 g); the II group – 14 premature children (34.43 ± 0.39 weeks of gestation) with birth weight of 2000–2499 g (2205.71 ±37.71 g); the III group – 17 full-term newborn (38.00 ± 0.23 weeks of gestation) with intrauterine growth retardation with body weight of 2320.59 ±42.99 g; the ІV comparison group – 17 healthy children (39.00 ± 0.27 weeks of gestation) with birth weight of 3347.14 ±84.12 g. For physical development of premature children assessment we used Fenton growth chart for preterm infants. Physical development assessment of full-term infants was carried out according to the World Health Organization recommendations. Results. Children with intrauterine growth retardation made up a risk group for the physical disorders development (weight deficit or overweight). Dynamics of physical development indicators (monthly weight and length of body growth) in premature infants with birth weight of 1500–1999 g is similar to the ones of full-term healthy babies. The physical development of children born with a weight of more than2000 g and children with intrauterine growth retardation was characterized by the same growth rate of body weight and length indicators within the first year of life. Conclusions. In neonatologists, pediatricians and family doctors practice for valid assessment of children physical development born preterm with low birth weight, it is necessary to use the Fenton growth chart for preterm infants up to the age of 40 weeks in some cases up to 50 weeks.
Highlights
Child welfare from birth remains one of the urgent pediatrics problems and the most important element of socio-economic and socio-cultural development of any country [1,2]
Indexes of premature children physical development were evaluated according to the Fenton growth chart for preterm infants [6]
We made an assessment of children physical growth using the World Health Organization (WHO) recommendations for medical supervision of a healthy child under the age of 3 years (Weight at Age, Girls and Weight at Age, Boys) [7]
Summary
Child welfare from birth remains one of the urgent pediatrics problems and the most important element of socio-economic and socio-cultural development of any country [1,2]. About 10 % of children are born with body weight below 2500 grams, and 50 % of these children were born prematurely, in other words a childbirth happens earlier than 37 weeks and 28.7 % is with intrauterine growth retardation or with low weight in relation to gestational age [4]. This category of children morbidity exceeds 3 times the morbi dity of newborns with body weight at birth more than 2500 grams. Fenton growth chart for premature infants are used to evaluate the physical development of premature babies
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