LARGE-FOR-GESTATIONAL-AGE NEWBORNS: CAUSES AND CONSEQUENCES
Large-for-gestational-age newborns are defined as having a birth weight and/or birth length above the 90th percentile for gestational age and sex. Through epigenetic mechanisms, the suboptimal intrauterine environment influences the phenotypic changes in the metabolic and endocrine pathways of the f...
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| Main Authors: | , |
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| Format: | Book |
| Published: |
The Society for Children with Metabolic Disorders,
2020-09-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | Large-for-gestational-age newborns are defined as having a birth weight and/or birth length above the 90th percentile for gestational age and sex. Through epigenetic mechanisms, the suboptimal intrauterine environment influences the phenotypic changes in the metabolic and endocrine pathways of the foetus. Excessive foetal growth leads to prenatal and postnatal complications, such as preterm birth, perinatal hypoxia, injuries, transient metabolic disorders, polycythaemia, and jaundice. In the long term, excessive foetal growth increases the risk of developing metabolic and cardiovascular diseases and disorders of the central nervous system. Aetiologically, the most important cause of macrosomia is gestational diabetes, which may remain unrecognised when it occurs after the 28th week of pregnancy since an active search for diabetes in pregnant women is performed before that time. |
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| Item Description: | 1318-4423 2712-3960 10.38031/slovpediatr-2020-3-04 |