ObjectiveTo explore the perinatal clinical characteristics of Small for Gestational Age (SGA) and to compare the predictive value of two growth curves for adverse neonatal outcomes. Methods131 Neonates diagnosed with SGA in the Peking University First Hospital from January to June 2021 were enrolled. According to the percentile of birth weight (BW), they were divided into two groups: 105 cases in the mild SGA group (BW between the 3rd and 10th centile) and 26 cases in the severe SGA group (BW lower than the 3rd centile). The general data and clinical information of mothers and neonates were collected to compare the differences of maternal complications and neonatal outcomes in different groups of SGAs. Results(1)The incidence of preeclampsia and preterm delivery in severe SGA group was significantly higher than that in mild SGA group. The incidence of neonatal hypoglycemia and neonatal anemia in severe SGA group was significantly higher than that in mild SGA group. (2)The maternal Body weight and Body Mass Index (BMI) of mild SGA group were lower than those of severe SGA group. (3)In addition, compared with the 2015 birth weight curve, the 2020 birth weight curve has better sensitivity,specificity,positive predictive value and negative predictive value in predicting adverse neonatal outcome (ANO) . ConclusionThe risk of neonatal complications is significantly increasing in the severe SGA group. Perinatal monitoring of SGA patients should be strengthened. Mild SGA was associated with lower maternal BMI. The 2020 neonatal curve is more valuable for ANO prediction.
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