Postnatal Growth Monitoring Of Preterm Infants Using Intergrowth 21st Project Charts Until 1 Year Of Age
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Postnatal Growth Monitoring Of Preterm Infants Using Intergrowth 21st Project Charts Until 1 Year Of Age. (2024). African Journal of Biomedical Research, 27(4S), 3200-3205. https://doi.org/10.53555/AJBR.v27i4S.4173

Abstract

optimizing care strategies.

Objectives: To monitor the growth of preterm babies across different period of gestations using Intergrowth 21st project charts treated at Ramaiah Hospital NICU and primary focus is on assessing growth trajectories.

Methodology: A prospective observational study. Preterm infants (67 subjects) divided into 5 groups. Weight, Length, and HC were measured, analysed using the INTERGROWTH charts at birth, 6 months and WHO charts at 12 months. The association between POG and growth outcomes in centiles at 6 months and 1 year was statistically analysed.

Statistics: Data compiled in MS excel, analysed using SPSS version 26. Chi-square - examine the relationships between POGs and growth centiles.

Results: Weight centile from birth had significant fall at 6 months across all POG’s while some recovery was seen at 12 months. Length had varied presentation at birth, however by 6 months fall in centiles was noted across POG’s, at 12 months some recovery noted. HC had varied presentation at birth about 13.4% cases <3rd centile, at 6 months around 41% cases had <3rd centile; at 12 months 32.8% of total cases had HC <3rd centile, some recovery was observed across all POG’s however significant fall noted from birth.

Conclusion: The findings of our data analysis, showing different growth trajectories for infants born at different PMAs, support the notion of heterogeneity in preterm infant growth patterns. Infants born at earlier gestations require targeted care strategies to improve growth outcomes.

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