The somatic growth pattern of preterm infants until term age

  • Ida Bagus Andhita
  • Soetjianingsih Soetjianingsih
  • I. Wayan Retayasa
Keywords: preterm infants, somatic growth, breast-feeding, kangaroo method

Abstract

Background  Pre term infants contribute substantially to neonatal
morbidity  and  mortality rates. Somatic growth  is  considered
to be  an  important indicator  of  an  infant's health status.  The
measurement parameters include body weight (BW), body length
(BL), head circumference (HC), and ponderal index (PI). Specific
data  on  the somatic growth pattern  of  preterm infants in Indonesia
are unavailable.
Objectives  To  identify the somatic  pattern  of  preterm infants
until term age  and  the influence  of  gender, nutrition, and nursing
method  on  BW,  BL,  HC,  and  PI growth during the first week  of
life.
Methods  We  recruited premature infants born in Sanglah Hopsital,
Denpasar, Bali,  and  collected data  on  BW,  BL,  HC,  and  PI>
All  data  were presented  as  mean (SD)  and  plotted in curves.
The  relationships among several factors and the somatic growth
parameters were analyzed with  ANOV  A.  The  level  of  significance
was set  at  P  <  0.05.
Results  Among  100  infants, significant differences were detected
in  the  mean  ofBW,  BL,  HC, and PI, particularly in early preterm
infants. Breastfed infants had the highest values with BW  2199
grams (SD  198),  HC  31.4  em  (SD  1.71),  and PI  2.48  grams/cm 3
(SD  0.36).  Infants nursed with the kangaroo method had the
highest values  of  BW  [2450  grams (SD  259)]  and  BL  [48  em
(SD  2.34)].
Conclusion  A significant difference was  detected  in somatic
growth according to some parameters, particularly in the early
preterm infants group. Thus, breast feeding and the kangaroo
method contribute to better somatic growth, and specifically BW.

Author Biographies

Ida Bagus Andhita
Department of Child Health, Medical School, Udayana
University, Sanglah Hospital, Bali, Indonesia.
Soetjianingsih Soetjianingsih
Department of Child Health, Medical School, Udayana
University, Sanglah Hospital, Bali, Indonesia.
I. Wayan Retayasa
Department of Child Health, Medical School, Udayana
University, Sanglah Hospital, Bali, Indonesia.

References

1. Gunardi H. Pemantauan bayi prematur. In: Trihono P,
Purnamawati S, Syarif DR, editors. Naskah lengkap
Pendidikan Kedokteran Berkelanjutan Ilmu Kesehatan
Anak FK UI XLV. Jakarta: Balai Penerbit FK UI, 2002; p.
12-13.
2. Wibowo N. Risiko dan pencegahan kelahiran prematur.
In: Suradi R, Monintja HE, Amalia P, Kusumowardhani
D, editors. Naskah lengkap Pendidikan Kedokteran
Berkelanjutan Ilmu Kesehatan Anak FK UI XXXVIII.
Jakarta: Balai Penerbit FK UI, 1997; p. 7-8.
3. Linkages. Melahirkan, memulai pemberian ASI dan tujuh
hari pertama setelah melahirkan. 2005 [cited 2006 Sept 20].
Available from: URL: http: //www. linkagesproject . org.
4. Carter SL. Developmental follow-up of preterm infants at
high risk for delays. 2004 [cited 2006 Sept 20]. Available
from: URL: http: //www.comunity.com.
5. Hendarto SK. Follow up bayi risiko tinggi. Presented at:
Kongres Nasional Ilmu Kesehatan Anak VI (The 6th
National Congress of Pediatrics). Denpasar, 1984; p. 6-19.
6. Gutbrod T, Wolke D, Soehne B, Ohrt B. Effects of gestation
and birth weight on the growth and development of very
low birth weight small for gestational age infants: a matched
group comparison. Arch Dis Child. 2000;82:208-14.
7. Pittard WB. Klasifikasi bayi berat lahir rendah. In: Endang
DL, Amalia D, editors. Penatalaksanaan neonatus risiko
tinggi. Jakarta: EGC, 1998; p. 100-31.
8. Anna AL, Gray RH, Herman AA, Becker S. Maternal
cigarette smoking during pregnancy and infant ponderal
index at birth in Swedish Medical Birth Register, 1991-1992.
Am J of Public Health. 2000;90:4 20-23.
9. Ehrenkranz RA, Younes N, Lemons JA. Longitudinal
Growth of Hospitalized VLBW Infants. Pediatr. 1999;
104:280-89.
10. Miller JD, Wright NM, Esparza A, Jansons R. Spontaneous
pulsatile growth hormone release in male and female
premature infants. JCEM. 1992;75: 1508-13.
11. Agostini C, Grandi F, Gianni ML, Torcoletti M. Growth
patterns of breast fed and formula fed infants in the
first 12 months of life: an Italian study. Arch Dis Child.
1999;81:395-99.
12. Victoria C, Morris SS, Barros FC, Omnis M. The NCHS
reference and the growth of breast and bottle fed infants. J
Nutr. 1998;128:1134-38.
13. 0' Connor DL, Hall R, Adamkins D, Auestad N. Growth
and development in preterm infants fed long chain
polyunsaturated fatty acids: A prospective, randomized
controlled trial. Pediatrics. 2001; 108: 359-71.
14. CockerilJ, Uthaya S, Dore CJ, Modi N. Accelerated postnatal
head growth follows pre term birth. 2004 [cited 2006 Sept 24].
Available from: URL: http //[email protected].
15. Feldman R, Eidelman AI, Sirota L. Comparison of skin-to-
skin (kangaroo) and traditional care: parenting outcomes and
pre term infant development. Pediatrics. 2002; 110:16-25.
16. Cattaneo A, Davanzo R, Uxa F, Tamburlini G. Recommen-
dation for the implementation of kangaroo mother care for
low birthweight infants. Acta Paediatr. 1998;87:440-5.
17. Meyer PM, Payton MJ, Salmon A, Hutchinson C. A
clinical comparison of radiant warmer and incubator care
for pre term infants form birth to 1800 g. Pediatrics. 2001;
108:395-401.
18. Suradi R, Chair I, Thaha RM. Acceptance of the Kangaroo
Care Method by mothers in rural area. Pediatr lndones. 1998;
39:215-23.
Published
2009-03-01
How to Cite
1.
Andhita I, Soetjianingsih S, Retayasa I. The somatic growth pattern of preterm infants until term age. PI [Internet]. 1Mar.2009 [cited 22Nov.2024];49(1):39-7. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/454
Section
Articles
Received 2016-09-05
Accepted 2016-09-05
Published 2009-03-01