The utilization of Intergrowth-21st Growth Curves for Preterm Newborns in a Brazilian Neonatal Intensive Care Unit in southern Brazil
DOI:
https://doi.org/10.33448/rsd-v10i2.12319Keywords:
Intergrowth-21st; Preterm; Newborn.Abstract
Use the postnatal growth curves of the INTERGROWTH-21st project for preterm newborns admitted to the Neonatal Intensive Care Unit of the Teaching Hospital of the Federal University of Pelotas-RS. Seventy newborns were followed up, with a prospective longitudinal design, from birth and / or hospitalization to discharge or death from the neonatal intensive care unit, from October 2018 to April 2019. Age estimated gestational age ranged from 19 to 36 weeks (mean 31 weeks), and 40% of newborns had birth weight less than 1500 g, with 89% weighing less than 2500 g. Sixty preterm newborns were discharged and ten died during hospitalization - neonatal mortality of 143 per 10,000 live births. About 60% of births occurred by cesarean section, and 13% of newborns had an Apgar score below 4 in the first minute of life. It was observed that through anthropometric measurements, both in boys and girls, during hospitalization, they were mostly within the normal limits of growth, and the growth percentiles of children who were born and were followed from birth until two weeks or more of hospitalization had an increase in weight and length, about 37.1% and 51.4%, respectively. It appears that the growth of preterm newborns was satisfactory and that the use of the Intergrowth growth patterns, through their post-natal anthropometric curves, are useful and easy to apply in the daily routine of the unit neonatal intensive care.
References
Alterman, C. S. (2016). Crescimento de recém-nascidos pré-termo de muito baixo peso durante internação em Unidade de Terapia Intensiva neonatal e fatores associados. http://repositorio.ufsm.br/handle/1/11273
Barbosa A. P., & Cunha A. J. A. (2011). Terapia Intensiva neonatal e Pediátrica no estado do Rio de Janeiro, Brasil: uma análise de distribuição de leitos, 1997-2007, Caderno de Saúde Pública, 27. https://doi.org/10.1590/S0104-42302002000400035
Bocca-Tjeertes, I. F., Kerstjens, J. M., Reijneveld, S. A., & De Winter, A. F. et al. (2011). Growth and predictors of growth restraint in moderately preterm children aged 0 to 4 years. Pediatrics, 128(5), 1187-1194. 10.1016/j.jpeds.2012.03.016
Boyle, A. K., Rinaldi, S. F., Norman, J. E., & Stock, S. J. (2017). Preterm birth: Inflammation, fetal injury and treatment strategies. Journal of Reproductive Immunology, 119, 62-66. https://doi.org/10.1016/j.jri.2016.11.008
Brasil. (2012). Ministério da Saúde. Resolução CNS Nº 466. Conselho Nacional de Saúde. Brasília, Distrito Federal, bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html.
Brasil. (2013). Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Atenção humanizada ao recém‑nascido de baixo peso: Método Canguru: manual técnico/Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Ações Programáticas Estratégicas. 2ed., Brasília: Editora do Ministério da Saúde. http://bvsms.saude.gov.br/bvs/publicacoes/atencao_humanizada_recem_nascido_canguru.pdf
Cardoso-Demartini, A. D. A., Bagatin, A. C., Silva, R. P. G. V. C. D., & Boguszewski, M. C. D. S. (2011). Crescimento de crianças nascidas prematuras. Arquivos Brasileiros de Endocrinologia & Metabologia, 55 (8), 534-540. https://doi.org/10.1590/S0004-27302011000800006
Chang, H. H, Larson, J, Blencowe, H, Spong, C. Y, Howson, C. P, & Smith, S. C. et al. (2012). Preventing preterm births: analysis of trends and potential reductions with interventions in 39 countries with very high human development index. Lancet, 381, 223–234. http://dx.doi.org/10.1016/ S0140- 6736(12)61856-X
Da Rosa, N. P., De Oliveira, D. C., Jantsch, L. B., & Neves, E. T. (2020). Agravos agudos de saúde de bebês prematuros moderados e tardios no período neonatal. Research, Society and Development, 9 (7), 251974156-251974156. http://dx.doi.org/10.33448/rsd-v9i7.4156
Damasceno, J. R., SILVA, R. D., Ximenes Neto, F., & Ferreira, A. et al. (2014). Nutrição em recém-nascidos prematuros e de baixo peso: uma revisão integrativa. Rev Soc Bras Enferm Ped, 14 (1), 40-46. https://journal.sobep.org.br/wp-content/uploads/articles_xml/2238-202X-sobep-S1676-3793201400007/2238-202X-sobep-S1676-3793201400007.x65337.pdf
Datasus. (2020). Nascidos vivos - Brasil: Nascimento por ocorrência por região segundo duração gestacional no ano de 2018. http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sinasc/cnv/nvuf.def 2020
Ebserh. Empresa Brasileira de serviços Hospitalares. (2014). Diretoria de Atenção à Saúde e Gestão de Contratos Hospital Escola UFPEL, Brasília, Brasil. Dimensionamento de Serviços Assistenciais e da Gerência de Ensino e Pesquisa. http://www2.ebserh.gov.br›documents› dimensionamento
Epidata. (2021). All materials copyright by EpiData 3.1 Association 2000-2021 unless otherwise stated. Disclaimer and GNU license Revised Sat. https://www.epidata.dk/download.php
Gallardo López, M., Gallardo Cadenasso, E., & Gallardo Cadenasso, L. (2018). Descenso de peso en recién nacidos a término en las primeras 48 horas post natales. Revista chilena de pediatría, 89 (3), 325-331. https://www.revistachilenadepediatria.cl/index.php/rchped/article/view/187
Howson, C. P., Kinney, M. V., Mcdougall L., & Lawn J. E. (2013). Born Too Soon Preterm Birth Action Group. Born too soon: preterm birth matters. Reprod Health., 10 Suppl 1: S1. 10.1186/1742-4755-10-S1-S1
Intergrowth-21ST. (2020). The international fetal and newborn growth consortium for the 21st century. https://intergrowth21.tghn.org/standards-tools
Kang, L., Wang, H. E. C., & Wang, K. et al. (2019). Postnatal growth in preterm infants during the first year of life: A population-based cohort study in China. Plos one, 14 (4). https://doi.org/10.1371/journal.pone.0213762
Lima, P. A. T., Carvalho, M. D., Costa, A. C. C. D., & Moreira, M. E. L. (2014). Fatores associados à restrição de crescimento extrauterino em recém-nascidos pré-termos de muito baixo peso ao nascer. Jornal de Pediatria, 90 (1), 22-27. Disponível em: https://doi.org/10.1016/j.jped.2013.05.007
Meireles, A. V. P., Oliveira, M. R. D. S., Nobre, R. G., & Sousa, V. B. G. D. (2018). Assistência Nutricional em Neonatologia: Protocolo clínico Sistema de Gestão de qualidade 2018. www.ebserh.gov.br›documents› PRO.NTR.005+-+A
Mezzacappa, M. A., & Ferreira, B. G. (2016). Perda de peso excessiva em recém‐nascidos a termo amamentados exclusivamente ao seio materno em um Hospital Amigo da Criança. Revista Paulista de Pediatria, 34 (3), 281-286. http://dx.doi.org/10.1016/j.rppede.2016.03.003
Oliveira, L. L., Gonçalves, A. C., Costa, J. S. D., & Bonilha, A. L. L. (2016). Maternal and neonatal factors related to prematurity. Rev Esc Enferm USP. 50 (3), 382-389.
http://dx.doi.org/10.1590/S0080-623420160000400002
Oliveira, K. A., Araújo, E. M., Oliveira, K. A., Casotti, C. A., Silva, C. A. L., & Santos, D. B. (2018). Associação entre raça/cor da pele e parto prematuro: revisão sistemática com meta-análise. Revista de Saúde Pública, volume 52 (26). https://doi.org/10.11606/s1518-8787.2018052000406
Pereira, A.S. et al. (2018). Metodologia da pesquisa científica. Ed. UAB/NTE/UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Pereira-da-Silva, L., Virella, D., & Fusch, C. (2019). Nutritional Assessment in Preterm Infants: A Practical Approach in the NICU. Nutrients, 11 (9). https://doi.org/10.3390/nu11091999
Rover, M. M., Viera, C. S., Silveira, R. C., & Guimarães, A. T. et al. (2016). Risk factors associated with growth failure in the follow‐up of very low birth weight newborns. Jornal de Pediatria, 92 (3), 307-313. http://dx.doi.org/10.1016/j.jped.2015.09.006
Silveira, R. C., & Procianoy, R. S. (2019). Preterm newborn's postnatal growth patterns: how to evaluate them. Jornal de pediatria, 95 (2), 42-48. 10.1016/j.jpedp.2018.10.004
Sociedade Brasileira Pediatria. (2017). Monitoramento do crescimento de RN pré-termos. Departamento Científico de Neonatologia. www.sbp.com.br › fileadmin › user_upload › 2017/03
Souza, D. M. L, Maia, L. C. S., Zêgo, Z. D. F., Jaeger, G. P., & Maciel, W. S. (2019). Prevalência de prematuridade e fatores associados no estado do Rio Grande do Sul. Brazilian Journal of health Review, Curitiba, 2 (5), 4052-4070. 10.34119/bjhrv2n5-014
Spss. (2020). Statistical Package to Social Sciences for Windows V21.0. https://www.ibm.com/support/pages/spss-statistics-210-available-download
Varaschini, G. B., Molz, P., & Pereira, C. S. (2015). Perfil nutricional de recém-nascidos prematuros internados em uma UTI e UCI neonatal. Cinergis, 16 (1), 05-08. http://dx.doi.org/10.17058/cinergis.v16i1.5137
Villar, J., Giulianni, F., Bhutta, Z. A., Bertino, E., Ohuma, E. O., & Ismail, L. C., et al. (2015). Postnatal growth standards for preterm infants: The Preterm Postnatal Follow-up Study of the Intergrowth-21(st) Project. Lancet Glob Health. 3 (11), 681-691. 10.1016/S2214-109X (15)00163-1
Who. (2018). World Health Organization. Survive and thrive: transforming care for every small and sick newborn. https://www.who.int/maternal_child_adolescent/documents/care-small-sick-newborns-survive-thrive/en/
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Rafael de Oliveira Arrieira; Fernando Celso Lopes Fernandes de Barros; Márcia Kaster Portelinha
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.