GROWTH OF MACROSOMIC NEWBORNS DURING THE FIRST YEAR OF LIFE

Autori:

IRENA BRALIĆ, DUBRAVKA MATANIĆ

Sažetak
Učestalost fetalne makrosomije (rodna te‘ina 4000 i vi{e grama) u Trogiru je 17%, a njezini prediktori su: težina, indeks tjelesne mase majke na početku trudnoće, veći porast težine majke tijekom trudnoće, dob majke, gestacijska dob i muški spol novorođenčeta. Antropometrijska obilježja očeva nisu značajno utjecala na rođenje makrosomnog novorođenčeta. Makrosomni dječaci i djevojčice imaju i dalje tijekom prve godine života veće težine, duljine i opseg glave u odnosu na vršnjake iz poredbene skupine (rodne težine od 2500 do 3999 grama). Međutim, relativni prirast težine tijekom prve godine u poredbenoj skupini dječaka je 203% (u makrosomnih 177%), a djevojčica 196% (u makrosomnih 159%). Na porodu su makrosomni dječaci bili 26%, a djevojčice 23% te‘e od dječaka iz poredbene skupine, dok su s 12 mjeseci makrosomni dječaci te‘i tek 14%, a djevojčice 8%. Promatrane skupine ispitanika nisu se razlikovale po prirastu duljine i opsega glave. Uočena tendencija smanjivanja razlika u antropometrijskim obilježjima tijekom prve godine života između makrosomne i poredbene skupine novorođenčadi obaju spolova vjerojatno se može objasniti slabljenjem djelovanja prenatalnih čimbenika koji su doveli do makrosomije i jačanja utjecaja postnatalnih (socijalno-ekonomskih) čimbenika po kojima se promatrane skupine nisu značajno razlikovale.
Summary

Summary. Growth of macrosomic newborns (birth weight 4000 grams and more) and control group newborns (birth weight from 2500 to 3999 grams) in the course of their first year of life has been compared. Although the absolute growth in weight and length is higher in macrosomic boys and girls, the relativity in their growth in the course of the first year of their life is higher among the control group infants. Boys from the control group have increased their birth weight for 203%, while macrosomic infants for 177% (control group girls 196% against macrosomic 159%). The relative difference in weight between the groups of macrosomic and control group boys decreased from 26% (at delivery) to 14% in the course of their first year of life, and in girls from 23% to 8%. Control group boys have increased their birth length for 53%, while macrosomic for 49% (girls: control group 52% against macrosomic 47%). The observed tendency to decrease the difference in antropometric characteristics between the macrosomic and control groups of newborn children of both sexes, probably may be explained by the weakening of the influence of prenatal factors which have resulted in macrosomy and strengthening of the influences of postnatal factors (socio-economic) by which the groups didn’t differ significantly.

Volumen: 11-12, 2003

Liječ Vjesn 2003;125:305–311

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