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Changes in the body weight of term infants, born in the tropics, during the first seven days of life

机译:在出生后的前7天,在热带地区出生的足月婴儿的体重变化

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Background Identifying unwell neonates, particularly in the first week of life, is often subjective. If normal values are known, calculating the weight lost or gained from birth weight can be a useful adjunct in the evaluation of the health of a neonate. Methods Serial body weights of well, term, breast fed infants who were attending for routine follow up, were recorded at the Shoklo Malaria Research Unit clinic in Maela Camp for displaced persons on the Thailand Myanmar border. Newborn examination was routine. Weight loss, expressed as percent weight lost from birth weight, and weight gain, expressed as a velocity (g/kg/day), was calculated for the first seven days of life. The results from normal birth weight infants, low birth weight infants ( Results In the first week of life there were no significant differences in weight gained or lost across the three study groups. The maximum weight lost was 4.4% (95% CI 4.1 – 4.6%), which occurred on day three. Weight gain ranged from 13?g/kg/day [95% CI 10 – 16] on day four to 18?g/kg/day [95% CI 15 – 20] on days six and seven. Conclusions Use of these normal values for weight gain and loss, allows infants falling outside of the expected range (95% CI) to be easily identified and subsequently highlighted as needing further medical review.
机译:背景识别不适的新生儿,尤其是在生命的第一周,通常是主观的。如果知道正常值,则计算出生体重减轻或减轻的体重可能是评估新生儿健康的有用辅助方法。方法在泰国缅甸边境Maela营的流离失所者的Shoklo疟疾研究室诊所记录了定期进行定期随访的足,足,母乳喂养婴儿的系列体重。新生儿检查是常规的。在出生后的头7天计算体重减轻,以体重减去出生体重的百分比表示,体重增加以速度(g / kg /天)表示。正常出生体重婴儿,低出生体重婴儿的结果(结果在生命的第一周,三个研究组的体重增加或减少没有显着差异。最大体重减轻为4.4%(95%CI 4.1 – 4.6 %),发生在第三天。体重增加范围从第四天的13微克/千克/天[95%CI 10 – 16]到第六天的体重增加18微克/千克/天[95%CI 15-20]。七,结论使用这些正常值进行体重增加和减少,可以轻松识别出超出预期范围(95%CI)的婴儿,并随后强调需要进一步的医学检查。

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