Behavioral intervention and post-natal growth in full-term intrauterine growth retarded (IUGR) infants

The purpose of this study was twofold: (1) to describe the patterns of post-natal growth in full-term infants as a function of IUGR and (2) to assess the impact of an individualized behavioral feeding intervention with the mothers on these patterns of infant growth. Eightyeight (88) full-term infant...

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Bibliographic Details
Published in:Early human development 1996-09, Vol.46 (1), p.105-116
Main Authors: Garcia Coll, Cynthia T., Halpern, Leslie, Seifer, Ronald, Meyer, Elaine C., Kilis, Erny, Lester, Barry M., Vohr, Betty R., Oh, William
Format: Article
Language:English
Subjects:
Behavioral feeding intervention
Body Height - physiology
Body Weight - physiology
Feeding Behavior - psychology
Female
Fetal Growth Retardation - diet therapy
Fetal Growth Retardation - physiopathology
Gestational Age
Humans
Infant, Low Birth Weight - growth & development
Infant, Newborn - growth & development
Intrauterine growth retarded infants (IUGR)
Physical Examination
Post-natal growth
Pregnancy
Risk Factors
Smoking
Time Factors
Videotape Recording
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Summary:The purpose of this study was twofold: (1) to describe the patterns of post-natal growth in full-term infants as a function of IUGR and (2) to assess the impact of an individualized behavioral feeding intervention with the mothers on these patterns of infant growth. Eightyeight (88) full-term infants, including 54 with IUGR, half of whom received behavioral intervention were included. Weight, length, skinfold thickness, head circumference and Ponderal Index were measured at birth and at 1, 4, 8, 12, and 18 months. Results show positive intervention effects between birth and 1 month in weight, length, skinfold thickness, and Ponderal Index. However, there were no intervention effects at subsequent ages. No evidence was found for catch-up growth in full-term IUGR infants in weight, length, and head circumference. We conclude that an individualized behavioral feeding intervention can accelerate early growth in IUGR infants, but the positive effects on growth are only seen while the intervention lasts (between birth and 1 month). On most parameters of physical growth, there is no lasting catch-up growth over the first 18 months in IUGR full-term infants.
ISSN:0378-3782
1872-6232
DOI:10.1016/0378-3782(96)01748-3