Term small-for-gestational-age infants from low risk women are at significantly greater risk of adverse neonatal outcomes
American Journal of Obstetrics and Gynecology Feb 22, 2018
Madden JV, et al. - Researchers conducted this study to determine whether there is a difference of obstetric and perinatal outcomes for small-for-gestational age (SGA) infants, subdivided into 5th - <10th centile and <5th centile cohorts compared to an appropriate-for-gestational age (AGA) (birthweight 10th - 90th centile) group at term. When compared to AGA infants, SGA infants from term, low risk pregnancies showed a significantly increased risk of mortality and morbidity. This risk was highest at early term gestation although it was increased at all gestational ages in infants <5th centile for birthweight. The findings thereby highlighted that early term birth does not necessarily improve outcomes and emphasized the importance of identifying this cohort of infants.
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