Abstract
SGA infants are prone to subacute fetal distress which may produce growth retardation and wt loss. They are also subject to acute distress which may lead to prepartum and intrapartum cardiovascular instability, thus, to an acute intracranial bleed. Since periventricular (PVH), intraventricular (IVH) and parenchymal hemorrhage (PH) and ventricular dilatation (VD) can be detected by cranial ultrasound (US) examination, we studied 65 low birth weight (LBW) SGA infants and compared them with 65 weight matched controls. A separate gestation matched control study is in progress. Following table depicts a comparison (Number, X±SEM) between the SGA and the weight matched control groups which is based on first US:
Excess number of VD in control group and excess of PVH, IVH and PH in SGA group persisted in the 2nd and 3rd US (p<0.05). There seems to be an increased incidence of PVH, IVH, PH in SGA infants despite their more mature status as compared to the control infants who were gestationally less mature. Lesser incidence of VD in SGA infants may be related to an accelerated maturity in these infants.
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Cacciabaudo, J., Dincsoy, M., Kim, Y. et al. 1357 DISTRIBUTION OF ACUTE INTRACRANIAL LESIONS IN SMALL FOR GESTATIONAL AGE (SGA) INFANTS DURING NEONATAL PERIOD. Pediatr Res 19, 337 (1985). https://doi.org/10.1203/00006450-198504000-01381
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DOI: https://doi.org/10.1203/00006450-198504000-01381
