Cnattingius S, Axelsson O, Hammarlund K
Early Hum Dev. 1987 Mar;15(2):95-101. doi: 10.1016/0378-3782(87)90042-9.
From an unselected area-based population, where a screening programme for detection of small-for-gestational-age (SGA) infants was in use, the obstetrical and neonatal management of all SGA infants (birth wt. less than or equal to -2 S.D. of the normal mean) was studied. During 1980, there were 3038 singletons born at the University Hospital in Uppsala. The perinatal mortality was 0.6% (17 infants). Three stillborn infants were assessed as SGA, even when gestational age was estimated from the last occasion when fetal heart sounds were registered. Out of a total of 27 live-born SGA infants (0.9%), 19 were suspected and supervised antenatally. All SGA infants were admitted to the neonatal ward. One infant suffered from the fetal alcohol syndrome and one preterm infant died after 11 days due to septicaemia after abdominal surgery. The remaining 25 SGA infants escaped severe neonatal problems and were discharged from the hospital around the time of expected delivery. It is concluded that once an SGA pregnancy is identified and supervised, the risk of intrauterine death is minimized and that the neonatal period generally is uncomplicated for the normally shaped and adequately cared-for SGA infant.
在一个基于区域的未选择人群中，该地区使用了一项用于检测小于胎龄儿（SGA）的筛查计划，对所有小于胎龄儿（出生体重小于或等于正常均值减2个标准差）的产科和新生儿管理进行了研究。1980年期间，乌普萨拉大学医院共出生3038例单胎婴儿。围产儿死亡率为0.6%（17例婴儿）。3例死产婴儿被评估为小于胎龄儿，即使根据最后一次记录胎心音的时间来估计胎龄。在总共27例活产小于胎龄儿（0.9%）中，19例在产前被怀疑并受到监测。所有小于胎龄儿均入住新生儿病房。1例婴儿患有胎儿酒精综合征，1例早产儿在腹部手术后11天因败血症死亡。其余25例小于胎龄儿未出现严重的新生儿问题，并在预期分娩时间左右出院。得出的结论是，一旦识别并监测到小于胎龄儿妊娠，宫内死亡风险可降至最低，并且对于形态正常且得到充分护理的小于胎龄儿，新生儿期通常并不复杂。
