The somatic growth pattern of preterm infants until term age
Keywords:
preterm infants, somatic growth, breast-feeding, kangaroo method
Abstract
Background Pre term infants contribute substantially to neonatalmorbidity 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 BWÂ 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
(SDÂ 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.
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Pendidikan Kedokteran Berkelanjutan Ilmu Kesehatan
Anak FK UI XLV. Jakarta: Balai Penerbit FK UI, 2002; p.
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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 8May2024];49(1):39-7. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/454
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Received 2016-09-05
Accepted 2016-09-05
Published 2009-03-01
Accepted 2016-09-05
Published 2009-03-01
