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小于胎龄新生儿发育和生长中的挑战。

Challenges in the development and growth of small for gestational age newborns.

作者信息

Iughetti Lorenzo, Lucaccioni Laura, Ferrari Fabrizio

机构信息

a Post-graduate School of Paediatrics, Department of Medical and Surgical Sciences of the Mother, Children and Adults , University of Modena and Reggio Emilia , Modena , Italy.

b Neonatal Intensive Care Unit, Department of Medical and Surgical Sciences of the Mother, Children and Adults , University of Modena and Reggio Emilia , Modena , Italy.

出版信息

Expert Rev Endocrinol Metab. 2017 Jul;12(4):253-260. doi: 10.1080/17446651.2017.1338137. Epub 2017 Jun 12.

Abstract

Being born with low birth weight (less than 2.500 gr) is considered a public health problem, with an overall world rate of about 14%. Low birth weight may result from a premature birth (< 37 weeks of gestation), from several causes of intra-uterine growth restriction or from a combination of both. Areas covered: We described how, if weight and/or length at birth are not adequate for gestational age, the newborn is considered 'small for gestational age' and may present several growth, hormonal and developmental peculiarities, possibly due to the growth restriction developed during pregnancy. Expert commentary: We provide a description of the possible mid-term consequences of being born small for gestational age and how to follow and provide care for these babies from a multidisciplinary point of view.

摘要

出生时低体重(低于2500克)被视为一个公共卫生问题,全球总体发生率约为14%。低体重可能源于早产(妊娠<37周)、多种宫内生长受限原因或两者的结合。涵盖领域:我们描述了如果出生时体重和/或身长与孕周不相符,新生儿如何被视为“小于胎龄儿”,以及可能由于孕期发生的生长受限而出现的一些生长、激素和发育方面的特殊情况。专家评论:我们描述了小于胎龄儿出生可能产生的中期后果,以及如何从多学科角度对这些婴儿进行随访和护理。

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