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Evaluation of Health Status and Growth and Developmental Outcome of Intrauterine Growth-Retarded Infants

Journal of the Korean Pediatric Society 2001;44(6):635-641.
Published online June 15, 2001.
Evaluation of Health Status and Growth and Developmental Outcome of Intrauterine Growth-Retarded Infants
Il Tae Hwang, Eun Ae Park, Ho Seong Kim, Gyoung Hee Kim
Department of Pediatrics, College of Medicine, Ewha Womans University, Seoul, Korea
자궁내 발육 지연아에서 건강상태 및 성장과 발달에 대한 평가
황일태, 박은애, 김호성, 김경희
이화여자대학교 의과대학 소아과학교실
Correspondence: 
Eun Ae Park, Email: pea8639@mm.ewha.ac.kr
Abstract
Purpose
: Although many children born with intrauterine growth retardation demonstrate significant catch-up growth in early childhood, substantial weight and height deficits remain in others. In addition, children with IUGR may demonstrate developmental deficits. The aims of this study are to evaluate the health status, growth and deveolpmental outcome of intrauterine growth retarded infants.
Methods
: Sixty five intrauterine growth retarded survivors born between 1993 and 1997 and fifty five reference children were matched for age, sex, and socioeconomic status. Anthropometric parameters were measured at birth and at the time of evaluation. Developmental status was evaluated by DDST and health status evaluation was performed using modified multiattribute health status (MAHS).
Results
: There was significant difference in birth weight and length between the two groups. At evaluation, there was no significant difference in growth parameters and DDST between two groups. Seventy two point three % of IUGR subjects had no functional limitations, but 23.1% of them had reduced function for one or two limitations. The correspoding figures for the reference group were 76.9% and 23.0%, respectively. The proportion of IUGR and reference children with three or more attributes affected was 4.6%(three) for IUGR versus 0% for reference group. Among three children, attributed number is seven, five, three among eight attributes.
Conclusion
: The MAHS classification approach is a useful instrument to evaluate health status in pediatric subjects.
Key Words: IUGR, Health status, Growth, Development


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