Comparison of INTERGROWTH-21 and Fenton growth standards to assess size at birth and extrauterine growth in very preterm infants

• Published in: The journal of maternal-fetal & neonatal medicine 2018-09, Vol.31 (17), p.2252-2257
• Main Authors: Tuzun, Funda, Yucesoy, Ebru, Baysal, Bora, Kumral, Abdullah, Duman, Nuray, Ozkan, Hasan
• Format: Article
• Language: English
• Subjects: Birth Weight; Female; Fetal Growth Retardation - diagnosis; Fetal Growth Retardation - epidemiology; Fetal Growth Retardation - physiopathology; Gestational Age; Growth Charts; Humans; Incidence; Infant, Newborn; Infant, Premature - growth & development; Infant, Very Low Birth Weight - growth & development; Male; Pregnancy; Prognosis; Reference Standards; Retrospective Studies; Ultrasonography, Prenatal - methods; Ultrasonography, Prenatal - standards
• ISSN: 1476-7058; 1476-4954
• DOI: 10.1080/14767058.2017.1339270

This study aimed to compare the recently published prescriptive INTERGROWTH-21st standards with commonly used intrauterine based Fenton growth standards in terms of birth size classification and extrauterine growth restriction (EUGR) incidence in a sample of very preterm infants. The anthropometric measures of preterm infants born before 32 weeks of gestation at the Dokuz Eylul University Hospital during the period from January 2012 to February 2016 were obtained at birth, at the 36th gestational weeks or at the time of discharge. Birth and growth data were presented as percentiles according to the two reference standards. A total of 248 infants with mean gestational age of 29.1 ± 2.1 weeks were included. The small for gestational age (SGA) rate was significantly higher (12 versus 15%, p = .004) and the EUGR rate was significantly lower (40.2 versus 31.5%, p