Growth Monitoring of VLBW Babies in NICU


Authors : Dr. Venugopal Reddy I; Dr. Sravan Kumar Reddy. M

Volume/Issue : Volume 8 - 2023, Issue 3 - March

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://bit.ly/3Kt3SqA

DOI : https://doi.org/10.5281/zenodo.7793023

Abstract : A child that was born with a veritably low birth weight (VLBW) is more likely to have stunted growth as a result of particular intrauterine circumstances, exposure to unfavourable extrauterine environments, and unmet nutritional needs. Despite advancements in newborn care, extrauterine growth slows down in VLBW kids due to early immaturity and a growth stop during the neonatal period.( EUGR). Numerous studies have demonstrated catchup growth during these periods, but others have established little or no catchup growth. As there are numerous concerns regarding the particular nutritional conditions of these newborns and evidence of variances amongst NICUs in terms of nutritive operation of these babies, there is continuous discussion in connection to defining suitable nutritive input for these infants. The stark disparities in how NICUs are set up among them provide evidence for the connection of nutrient supply and growth. According to the predominant idea, preterm infants in the NICU receive inadequate nourishment, which causes slow growth in the first few weeks of life. This study aims to characterize, validate, and analyse any differences, if any, between those born small for gestational age or otherwise between VLBW infants while they are in the NICU.( AGA or SGA). SGA newborns exhibited significantly lower mean Z scores at delivery for weight, length, and head circumference compared to AGA babies, indicating a significant intrauterine growth retardation. Premature birth increases the risk of SGA babies by twofold, as does slow growth in the early postnatal period. This study examined the goods of parenteral nutrition and trophic feeds on the weight gain of VLBW babies from day 1 of life. All babies entered an average calorie input of 132 kcal/ kg/ day and endured a quotidian weight gain of19.3 g/ kg/d. Average weight gain per day is lower in SGA babies(18.14 ±1.11) compared to AGA(21.021.52) babies, but this is statistically not significant( p = 0.178). KMC babies gained farther weight per day by discharge than controls and had a larger head circumference at 6 months corrected age than controls. For every 250 g order on Ehrenkranz's charts, postnatal growth fell within reference lines, with the exception of individuals with birth weights below 1000 g. This study shows the growth patterns of very low birth weight (VLBW) infants in an environment with a high frequency of low birth weight and growth restriction. It made it possible for early trophic feeding, a shorter duration of parenteral nutrition, successful abstinence from nutritive enteral feeds, a shorter stay in the hospital, and better weight growth in the first few days of life. However, there was a noticeable growth stop during the NICU stay, and HC and length grew disproportionately slowly. babies withco- morbidities like NEC and feed sectarianism showed a significant decline in growth haste. ELBW babies swerved significantly from the reference growth charts due to advanced morbidity.

Keywords : SGA Infants, Weight Gain, Post Natal Growth, Gutbrod, Birth Weight, VLBW Infants, Sanket

A child that was born with a veritably low birth weight (VLBW) is more likely to have stunted growth as a result of particular intrauterine circumstances, exposure to unfavourable extrauterine environments, and unmet nutritional needs. Despite advancements in newborn care, extrauterine growth slows down in VLBW kids due to early immaturity and a growth stop during the neonatal period.( EUGR). Numerous studies have demonstrated catchup growth during these periods, but others have established little or no catchup growth. As there are numerous concerns regarding the particular nutritional conditions of these newborns and evidence of variances amongst NICUs in terms of nutritive operation of these babies, there is continuous discussion in connection to defining suitable nutritive input for these infants. The stark disparities in how NICUs are set up among them provide evidence for the connection of nutrient supply and growth. According to the predominant idea, preterm infants in the NICU receive inadequate nourishment, which causes slow growth in the first few weeks of life. This study aims to characterize, validate, and analyse any differences, if any, between those born small for gestational age or otherwise between VLBW infants while they are in the NICU.( AGA or SGA). SGA newborns exhibited significantly lower mean Z scores at delivery for weight, length, and head circumference compared to AGA babies, indicating a significant intrauterine growth retardation. Premature birth increases the risk of SGA babies by twofold, as does slow growth in the early postnatal period. This study examined the goods of parenteral nutrition and trophic feeds on the weight gain of VLBW babies from day 1 of life. All babies entered an average calorie input of 132 kcal/ kg/ day and endured a quotidian weight gain of19.3 g/ kg/d. Average weight gain per day is lower in SGA babies(18.14 ±1.11) compared to AGA(21.021.52) babies, but this is statistically not significant( p = 0.178). KMC babies gained farther weight per day by discharge than controls and had a larger head circumference at 6 months corrected age than controls. For every 250 g order on Ehrenkranz's charts, postnatal growth fell within reference lines, with the exception of individuals with birth weights below 1000 g. This study shows the growth patterns of very low birth weight (VLBW) infants in an environment with a high frequency of low birth weight and growth restriction. It made it possible for early trophic feeding, a shorter duration of parenteral nutrition, successful abstinence from nutritive enteral feeds, a shorter stay in the hospital, and better weight growth in the first few days of life. However, there was a noticeable growth stop during the NICU stay, and HC and length grew disproportionately slowly. babies withco- morbidities like NEC and feed sectarianism showed a significant decline in growth haste. ELBW babies swerved significantly from the reference growth charts due to advanced morbidity.

Keywords : SGA Infants, Weight Gain, Post Natal Growth, Gutbrod, Birth Weight, VLBW Infants, Sanket

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe