Introduction: Newborns weighing less than 1500 grams present extrauterine growth restriction (EUGR) at hospital discharge in 40% to 90% and this is associated with increased morbidity. Objective: To describe the prevalence of EUGR and associated risk factors in newborns weighing less than 1500 grams at birth. Methods: Cross-sectional study with analytical component, which included neonates weighing less than 1500 grams, born in the institution between December 2015 and June 2020. Results: 128 patients with birth weight of 1,216 ± 207.8 grams and gestational age of 30 ± 2.3 weeks were identified. At hospital discharge 44.5% had EUGR, 56.1% of which were born with low weight for gestational age; 27/57 were classified as EUGR in severe category; 22.7% required pulmonary surfactant at birth and 84.2% presented bronchopulmonary dysplasia. Conclusions: The prevalence of EUGR at discharge in our unit is high and higher in low birth weight neonates who were 10 times more at risk. The use of surfactant was a protective factor.
restricción del crecimiento extrauterino, retardo del crecimiento post natal, muy bajo peso al nacer.
2. Yu VYH. Extrauterine growth restriction in preterm infants: Importance of optimizing nutrition in neonatal intensive care units. Croat Med J. 2005;46(5):737–43.
3. Yapicioglu Yildizdas H, Simsek H, Ece U, Ozlu F, Sertdemir Y, Narli N, et al. Effect of short-term morbidities, risk factors and rate of growth failure in very low birth weight preterms at discharge. J Trop Pediatr. 2019;66(1):95–102.
4. Vargas GR, Penagos LT, Castro MU. Restricción del crecimiento extrauterino en recién nacidos pretérmino menores de 1500 gramos y menores de 36 semanas atendidos en la unidad de recién nacidos. repository.unimilitar.edu.co [Internet]. [cited 2021 Nov 25]; Available from: https://repository.unimilitar.edu.co/handle/10654/7377
5. Ehrenkranz RA, Dusick AM, Vohr BR, Wright LL, Wrage LA, Poole WK. Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants. Pediatrics [Internet]. 2006 [cited 2021 Nov 25];117(4):1253–61. Available from: https://pubmed.ncbi.nlm.nih.gov/16585322/
6. Warrington NM, Beaumont RN, Horikoshi M, Day FR, Helgeland Ø, Laurin C, et al. Maternal and fetal genetic effects on birth weight and their relevance to cardio-metabolic risk factors. Nat Genet [Internet]. 2019 May 1 [cited 2021 Nov 25];51(5):804–14. Available from: https://pubmed.ncbi.nlm.nih.gov/31043758/
7. Ray S. NICE guideline review: Neonatal parenteral nutrition (NG154). Arch Dis Child - Educ Pract [Internet]. 2021 Oct 1 [cited 2021 Nov 25];106(5):292–5. Available from: https://ep.bmj.com/content/106/5/292
8. Boullata JI, Carrera AL, Harvey L, Escuro AA, Hudson L, Mays A, et al. ASPEN Safe Practices for Enteral Nutrition Therapy [Formula: see text]. JPEN J Parenter Enteral Nutr [Internet]. 2017 Jan 1 [cited 2021 Nov 25];41(1):15–103. Available from: https://pubmed.ncbi.nlm.nih.gov/27815525/
9. Peila C, Spada E, Giuliani F, Maiocco G, Raia M, Cresi F, et al. Extrauterine Growth Restriction: Definitions and Predictability of Outcomes in a Cohort of Very Low Birth Weight Infants or Preterm Neonates. Nutrients [Internet]. 2020 May 1 [cited 2021 Nov 25];12(5). Available from: https://pubmed.ncbi.nlm.nih.gov/32357530/
10. Ministerio salud de. Resolucion 3280 [Internet]. colombia; 2018 p. 263–84. Available from: https://www.minsalud.gov.co
11. Radmacher PG, Looney SW, Rafail ST, Adamkin DH. Prediction of extrauterine growth retardation (EUGR) in VVLBW infants. J Perinatol [Internet]. 2003 Aug [cited 2021 Nov 25];23(5):392–5. Available from: https://pubmed.ncbi.nlm.nih.gov/12847535/
12. Bonnar K, Fraser D. Extrauterine Growth Restriction in Low Birth Weight Infants. Neonatal Netw [Internet]. 2019 Jan 1 [cited 2021 Nov 25];38(1):27–33. Available from: https://pubmed.ncbi.nlm.nih.gov/30679253/
13. Zhao T, Feng HM, Caicike B, Zhu YP. Investigation Into the Current Situation and Analysis of the Factors Influencing Extrauterine Growth Retardation in Preterm Infants. Front Pediatr [Internet]. 2021 Apr 30 [cited 2021 Nov 25];9. Available from: https://pubmed.ncbi.nlm.nih.gov/33996689/
14. Ong KK, Kennedy K, Castañeda-Gutiérrez E, Forsyth S, Godfrey KM, Koletzko B, et al. Postnatal growth in preterm infants and later health outcomes: a systematic review. Acta Paediatr [Internet]. 2015 Oct 1 [cited 2021 Nov 25];104(10):974–86. Available from: https://pubmed.ncbi.nlm.nih.gov/26179961/
15. Sacchi C, Marino C, Nosarti C, Vieno A, Visentin S, Simonelli A. Association of Intrauterine Growth Restriction and Small for Gestational Age Status With Childhood Cognitive Outcomes: A Systematic Review and Meta-analysis. JAMA Pediatr [Internet]. 2020 Aug 1 [cited 2021 Nov 25];174(8):772–81. Available from: https://pubmed.ncbi.nlm.nih.gov/32453414/
16. Tyrrell J, Richmond RC, Palmer TM, Feenstra B, Rangarajan J, Metrustry S, et al. Genetic evidence for causal relationships between maternal obesity-related traits and birth weight. JAMA - J Am Med Assoc. 2016 Mar 15;315(11):1129–40.
17. Miller M, Vaidya R, Rastogi D, Bhutada A, Rastogi S. From parenteral to enteral nutrition: a nutrition-based approach for evaluating postnatal growth failure in preterm infants. JPEN J Parenter Enteral Nutr [Internet]. 2014 [cited 2021 Nov 25];38(4):489–97. Available from: https://pubmed.ncbi.nlm.nih.gov/23674574/
18. Mihatsch WA, Braegger C, Bronsky J, Cai W, Campoy C, Carnielli V, et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition. Clin Nutr [Internet]. 2018 Dec 1 [cited 2021 Nov 25];37(6 Pt B):2303–5. Available from: https://pubmed.ncbi.nlm.nih.gov/30471662/
19. Miliku K, Moraes TJ, Becker AB, Mandhane PJ, Sears MR, Turvey SE, et al. Breastfeeding in the First Days of Life Is Associated With Lower Blood Pressure at 3 Years of Age. J Am Heart Assoc [Internet]. 2021 Aug 3 [cited 2021 Nov 25];10(15). Available from: https://pubmed.ncbi.nlm.nih.gov/34284597/
20. Taylor SN. Solely human milk diets for preterm infants. Semin Perinatol [Internet]. 2019 Nov 1 [cited 2021 Nov 25];43(7). Available from: https://pubmed.ncbi.nlm.nih.gov/31301819/
21. Tan JBC, Boskovic DS, Angeles DM. The Energy Costs of Prematurity and the Neonatal Intensive Care Unit (NICU) Experience. Antioxidants (Basel, Switzerland) [Internet]. 2018 Mar 1 [cited 2021 Nov 25];7(3). Available from: https://pubmed.ncbi.nlm.nih.gov/29498645/
22. Sharma R, Hudak ML. A clinical perspective of necrotizing enterocolitis: past, present, and future. Clin Perinatol [Internet]. 2013 Mar [cited 2021 Nov 25];40(1):27–51. Available from: https://pubmed.ncbi.nlm.nih.gov/23415262/
23. Flannery DD, Jensen EA, Tomlinson LA, Yu Y, Ying GS, Binenbaum G. Poor postnatal weight growth is a late finding after sepsis in very preterm infants. Arch Dis Child Fetal Neonatal Ed [Internet]. 2021 May 1 [cited 2021 Nov 25];106(3):F298–305. Available from: https://pubmed.ncbi.nlm.nih.gov/33148685/
24. Chien HC, Chen CH, Wang TM, Hsu YC, Lin MC. Neurodevelopmental outcomes of infants with very low birth weights are associated with the severity of their extra-uterine growth retardation. Pediatr Neonatol [Internet]. 2018 Apr 1 [cited 2021 Nov 25];59(2):168–75. Available from: https://pubmed.ncbi.nlm.nih.gov/28866004/
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.