Term SGA (small for gestational age) infantlarda büyümenin izlemi ve büyümeyi etkileyen faktörler

Aim: Infants born small for gestational age (SGA) confront many problems in adulthood. Most of them catch up with their peer as growth in the first six months. In this study, we investigated the perinatal predictive factors that influence postnatal catch-up growth in the term SGA infants.Material and Method: The study included seventy-three term, healthy infants. Prenatal, natal, and postnatal information forms were filled for each infant. Infants were examined in 0, 1, 6, and 12th months. The information form was recorded. At the examination time parameters concerning growth like weight, length, and head circumference were recorded. Postnatal growth catch-up was defined as above the 10th centile according to the reference population growth curves. By the SPSS 10,0 version for windows prenatal, natal and postnatal factors that influence postnatal catch-up growth were investigated.Results: Infants in the Catch up (CU) group at the first month were significantly taller than the non-catch-up (NCU) group. APGAR scores of the group CU at the sixth month were significantly more increased than group NCU. Length and head circumference of the sixth month and body length of the twelfth month were significantly more increased than the NCU group at the sixth month. Other infections and usage of vitamin D in the group NCU in the twelfth month were significantly more increased than the group CU. Length and head circumference at the twelfth month in group CU were significantly more increased than group NCU.Conclusion: For infants with born SGA, it is very important to follow up postnatal growth patterns and growth velocity. Body length, head circumference, and APGAR scores can be a positive predictor for the postnatal growth catch up for healthy term SGA infants. The usage of vitamin D and other infections can also be negative predictors. Infants that catch up growth first few months may anticipate that will be continued growth velocity for six months