Original scientific paper
ANTHROPOMETRIC AND BIOCHEMICAL ASSESSMENT OF INTRAUTERINE GROWTH RESTRICTION IN TERM NEWBORNS
Robert Krajina
; Department of Gynaecology and Obstetrics, Clinical Hospital Center, Rijeka, Croatia
Abstract
Objective. To assess difference between anthropometric and biochemical markers of adequacy of intrauterine growth. Methods. Prospective clinical study is performed which included two cohorts of newborns according to their birth weight (AGA, SGA). The biochemical markers as well as data important to actual fetal growth from medical history in relation to each pregnancy were gathered. All newborns were subject to anthropometric measurement and cord blood biochemical analysis. Results. We underline significant difference for ponderal index (PI) and mid-arm/head circumference (MA/HC) ratio. Comparing biochemical markers between both groups, in cord blood significantly lower values of glucose and of prealbumine, whereas the higher mean values of essential amino acids cysteine, histidine, glycine, threonine, tryptophane, valine, phenylalanine, leucine and isoleucine were found. Conclusions. Contrary to our expectations, higher concentrations of certain amino acids in SGA group of newborns were found. Ponderal index and mid arm/head circumference ratio are indirect indices independent of constructed growth charts, herewith they represent true growth disturbance.
Keywords
hypotrophic neonate; cord blood; anthropometric indices; biochemical indices
Hrčak ID:
23411
URI
Publication date:
1.6.2007.
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