IHDP Growth Percentiles: VLBW Premature Boys'* Name Rosy (€1500g BW, 37 wk GA) Record # PEDIATRICS 18 18 “ a7 | tren co 16 16 | ——* ata ge 1s 35 | (car 4 " vk b 13 | Adiwstment for ematty R 12 | Gowk-Gar Bu n te Zw 10 fos 9 8 8 7 7 ‘ 6 : 14 16 1620 22 24 26 25 30 32 34 36.38 ome] mime | gee | mem] te 3 2 1 ° 202468 012 Gestation-Adjusted Age (mo) 108 : 108 100 100 92 88 76 n Length (cm) 60 | [14 16 18 20 22 24 26 28 30 32 34 36 38 Tea ine ge wei i 202468 wn Gostation-Adjusted Age (mo)IHDP Growth Percentiles: VLBW Premature Boys’? 54 52 50 48, 46 4 2 40 38 Head Circumference (cm) 36 34 32 30 2024 6 8 10 12 14 16 18 20 2 24 26 28 30 32 31 36 38 Gestation-Adjusted Age (mo) Growth of very-low-birth-weight (VLBW, < 1500 g) and low-birth-weight (LBW, 1501 to 2500 g) premature (€ 37 weeks, GA) infants differs from that of normal-birth- weight term infants during infancy and early childhood. Because these infants may not catch up to term infants in growth during the early years, their growth should be compared to that of premature infants of similar birth weight, ho growth percentiles prseied hare re bad on large sample of infants enrolled in the Infant Health and Development Program (IHDP).1? Some infants most likely to experiance growth problems from biologie or environmental causes, premature infants with birth weight greater than 2500 g, and small-for-gestational-age term infants were excluded | Study infants, however, are probably typical of premature infants who receive modern neonatal intensive care. References Mugu nvenme nr Pea Seo area id roe dans ngioael oberon sos yes {haa ree bre Nase nd Cad ts part cae ‘ean Sens Tas gate mee pera SS Canam Arete! mp ee {pkey flo pap Ove capo a ae mesg dont tne tb fos Foti Dion fan Laberaares reeuageust tae Instructions for Use 1. Measure and record weight, length, and head circumference. 2. Calculate gestetion-adjusted age by subtracting, ‘Adjustment for Prematurity in weeks from postna- tal age in weeks, Adjustment for Prematurity equals: 40 weeks minus GA. For example, at 12 wk postna- tal age, an infant born at30 wk GA would be2 wk (5 mo) gestation-adjusted age. 3. Plot data at the gestation-adjusted age on the appropriate graph. 4, When possible, plot serial data on the same graph to permit detection of change in growth percentiles with age. Interpretation ‘These graphs permit comparison of a VLBW prema- ture boy’s growth relative to current reference data Further investigation may be indicated when the plotted measurements are markedly different from the 50th percentile, or growth percentile changes rapidly. Provided as a service of SIMILAC* NeoCare” Prema nr Feria eh hon