Analysis on risk factors of extrauterine growth retardation for late preterm infants appropriate for gestational age
10.3969/j.issn.1671-8348.2024.19.013
- VernacularTitle:晚期早产适于胎龄儿宫外生长迟缓的危险因素分析
- Author:
Yongming WANG
1
;
Mei XU
;
Haijia MA
;
Hong LI
;
Lujiang WU
;
Xueqin ZHU
;
Liyong MA
;
Mengsi WU
;
Sanxiang XUE
;
Jingxia LUO
Author Information
1. 银川市妇幼保健院新生儿科,银川 750000
- Keywords:
newborn;
late premature infants;
infants appropriate for gestational age;
extrauterine growth retardation;
risk factor
- From:
Chongqing Medicine
2024;53(19):2954-2959
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors for extrauterine growth retardation(EUGR)in late preterm infants appropriate for gestational age.Methods The clinical data in 1 402 preterm infants appropri-ate for gestational age delivered and hospitalized in this hospital from January 2016 to June 2022 were analyzed retrospectively.They were divided into the EUGR group(n=244)and the non-EUGR group(n=1 158)ac-cording to whether or not the body weight at discharge was below the 10th percentile of the growth curve for the same gestational age at the same period based on the Fenton's preterm growth curve.The clinical data of preterm infants and mothers of the two groups were collected.The risk factors for EUGR occurrence in pre-mature infants were analyzed.Results Among 1 402 preterm infants appropriate for gestational age,EUGR occurred in 244 cases with the EUGR incidence rate of 17.4％.The EUGR incidence rate had no statistical difference among the different fetal ages of premature infants(P＞0.05).The EUGR incidence rate had sta-tistical difference among different birth weights of premature infants(P＜0.05).The logistic regression anal-ysis showed that male(OR=1.694,95％CI:1.144-2.507),low birth weight(OR=0.989,95％CI:0.988-0.991),feeding intolerance(OR=2.719,95％CI:1.234-5.990),short gestational weeks(OR=0.146,95％CI:0.103-0.207)and hospitalization duration extension(OR=1.073,95％CI:1.031-1.117)were the risk factors for EUGR occurrence in late premature infants appropriate for gestational age in discharge.The sub-group analysis showed that male,low birth weight,feeding intolerance and hospitalization duration extension were the risk factors for EUGR occurrence in the preterm infants with gestational ages of 34-＜36 weeks(P＜0.05).Low birth weight and feeding intolerance only affected the preterm infants≥36 weeks of gesta-tional age(P＜0.05).Conclusion Strengthening the pregnant duration health care and active nutritional sup-port after birth may reduce the risk of EUGR occurrence in late premature infants.
