Volume 96, Issue 12 pp. 1738-1742

Growth and neurodevelopment outcome of very low birth weight infants delivered by preeclamptic mothers

Rita C Silveira

Rita C Silveira

Department of Pediatrics, Newborn Section, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil

Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil

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Renato S Procianoy

Renato S Procianoy

Department of Pediatrics, Newborn Section, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil

Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil

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Maike S Koch

Maike S Koch

Department of Pediatrics, Newborn Section, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil

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Ana Cláudia W Benjamin

Ana Cláudia W Benjamin

Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil

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Carolina F Schlindwein

Carolina F Schlindwein

Department of Pediatrics, Newborn Section, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil

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First published: 12 November 2007
Citations: 39
Correspondence
Renato S. Procianoy, Rua Tobias da Silva 99 conj 302, Porto Alegre, RS 90570-020, Brazil. Tel: +55-51-33315726 | Fax: +55-51-33312738 | Email: [email protected]

Abstract

Aim: To investigate growth and neurodevelopment outcome of very low birth weight (VLBW) infants delivered by preeclamptic mothers.

Methods: A cohort including all VLBW infants delivered between December 2003 and May 2005 was followed up to 12 and 18 months corrected age (CA). Exclusion criteria: death before 1 year corrected age, major malformations, deafness and blindness. Weight, length and head circumference were plotted on NCHS curves. Bayley Scales were performed at 12 and 18 months CA.

Results: 40 infants in preeclamptic and 46 in control groups were studied. Birth weight and gestational age were 1148 g ± 236 and 1195 g ± 240, and 31.3 weeks ± 1 and 30.6 weeks ± 2 for preeclamptic and control groups, respectively. At 12 and 18 months, CA, weight for age (Z score) was significantly higher in control than in preeclamptic. PDI scores were higher in preeclamptic than in controls at 18 months CA.

Conclusions: Catch-up of body weight did not occur in the first 18 months CA in preeclamptic infants. Neurodevelopment outcome was better in infants delivered by preeclamptic mothers than in controls at 18 months CA.

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