Behavior of macrosomic and appropriate-for-gestational-age newborns.

J. L. Pressler, J. T. Hepworth

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

OBJECTIVE: To compare the behavior of macrosomic newborns who were vaginally delivered of healthy mothers without diabetes with that of non-macrosomic, appropriate-for-gestational-age (AGA) newborns. DESIGN/SETTING: Newborns were recruited conveniently from a tertiary hospital. Newborns were examined at 12-24 and 36-48 hours of age, using the Brazelton Neonatal Behavioral Assessment Scale (NBAS). PARTICIPANTS: Thirty macrosomic newborns who were delivered vaginally were matched with AGA newborns for ethnicity, maternal education, parity, and obstetric medications. MAIN OUTCOME MEASURES: Dimensions scores derived from the individual NBAS items measured reflex functioning, response decrement, orientation, motor processes, range of state, autonomic stability, and regulation of state. RESULTS: Macrosomic newborns performed weaker than AGA newborns on the reflex and motor dimensions. Both groups displayed improved motor scores on Day 2, but regulation of state scores were weaker. For orientation, AGA newborns scored higher on Day 1, and macrosomic newborns scored higher on Day 2. CONCLUSIONS: Increased head, limb, and body mass of macrosomic newborns, compared with adjacent and overall muscle strength, might have interfered with the execution of coordinated movements. Nurses can inform mothers of changes they can expect in their newborns' behavior.

Original languageEnglish (US)
Pages (from-to)198-205
Number of pages8
JournalJournal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG
Volume26
Issue number2
DOIs
StatePublished - Jan 1 1997

Fingerprint

Gestational Age
Newborn Infant
Mothers
Reflex
Muscle Strength
Parity
Tertiary Care Centers
Obstetrics
Extremities
Nurses
Head
Education

ASJC Scopus subject areas

  • Pediatrics
  • Critical Care
  • Maternity and Midwifery

Cite this

Behavior of macrosomic and appropriate-for-gestational-age newborns. / Pressler, J. L.; Hepworth, J. T.

In: Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG, Vol. 26, No. 2, 01.01.1997, p. 198-205.

Research output: Contribution to journalArticle

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