Open Access

Unfavorable influence of prematurity on the neonatal prognostic of small for gestational age fetuses

  • Authors:
    • Natalia Turcan
    • Roxana Elena Bohiltea
    • Florentina Ionita‑Radu
    • Florentina Furtunescu
    • Dan Navolan
    • Costin Berceanu
    • Dragos Nemescu
    • Monica Mihaela Cirstoiu
  • View Affiliations

  • Published online on: May 13, 2020     https://doi.org/10.3892/etm.2020.8744
  • Pages: 2415-2422
  • Copyright: © Turcan et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Vascular stress at the level of the uterus‑placental unit, with chronic placental ischemia, results in intrauterine growth restriction. Expectation management can be used, when the situation allows, in cases of compensated intrauterine growth restriction. The aim of the present study was to evaluate the neonatal prognosis of preterm births with and without growth restriction and term births with growth restriction in order to improve decisional accuracy regarding the termination of pregnancy. The frequency of term birth infants with low birth weight for gestational age was ~2%. The male sex, predominated only in the group of premature infants with normal weight for the gestational age. The highest frequency of neonatal complications studied occurred in the group of preterm neonates small for gestational age (SGA) with statistical significance obtained for cardiovascular arrest acute respiratory failure, ulcer‑necrotic enterocolitis, respiratory distress, cerebral edema, intraventricular hemorrhage, cerebral hemorrhage, pulmonary hemorrhage, neonatal infection, hypoglycemia, retinopathy, anemia, hemorrhagic disease, disseminated intravascular coagulation, disease of hyaline membranes, neonatal sepsis, need for intensive neonatal therapy and death. In conclusion, immediate neonatal adaptation of SGA preterm neonates is more deficient than for preterm neonates with appropriate weight for gestational age; the adaptation of preterm neonates, in turn, is more deficient than term newborns with intrauterine growth restriction. The term newborns with intrauterine growth restriction have a neonatal adaptation comparable to that of the term newborns with weight corresponding to the gestational age.

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September-2020
Volume 20 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Turcan N, Bohiltea RE, Ionita‑Radu F, Furtunescu F, Navolan D, Berceanu C, Nemescu D and Cirstoiu MM: Unfavorable influence of prematurity on the neonatal prognostic of small for gestational age fetuses. Exp Ther Med 20: 2415-2422, 2020
APA
Turcan, N., Bohiltea, R.E., Ionita‑Radu, F., Furtunescu, F., Navolan, D., Berceanu, C. ... Cirstoiu, M.M. (2020). Unfavorable influence of prematurity on the neonatal prognostic of small for gestational age fetuses. Experimental and Therapeutic Medicine, 20, 2415-2422. https://doi.org/10.3892/etm.2020.8744
MLA
Turcan, N., Bohiltea, R. E., Ionita‑Radu, F., Furtunescu, F., Navolan, D., Berceanu, C., Nemescu, D., Cirstoiu, M. M."Unfavorable influence of prematurity on the neonatal prognostic of small for gestational age fetuses". Experimental and Therapeutic Medicine 20.3 (2020): 2415-2422.
Chicago
Turcan, N., Bohiltea, R. E., Ionita‑Radu, F., Furtunescu, F., Navolan, D., Berceanu, C., Nemescu, D., Cirstoiu, M. M."Unfavorable influence of prematurity on the neonatal prognostic of small for gestational age fetuses". Experimental and Therapeutic Medicine 20, no. 3 (2020): 2415-2422. https://doi.org/10.3892/etm.2020.8744