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