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Saturday, September 15, 2007

Classify a Premature Infant

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A premature infant may be classifed based on weight and gestational age at birth.

1. Absolute birthweight
2. Weeks gestation
3. Percent birthweight for gestational age

Birth Weight in Grams ---------------- Term

less than 1,000 grams -------------- Extremely low birth weight
1,000 - 1,499 ---------------------- Very low birth weight
1,500 - 2,499 ---------------------- Low birth weight

Weeks Gestation ---------------------- Term

less than 38 weeks ---------------------- Preterm
38 - 42 weeks --------------------------- Term
greater than 42 weeks ------------------- Post-term

Percent Birth Weight for Gestational Age --------------- Term

less than 10% ------------------- Small for gestational age (SGA)
10 - 90% ------------------------ Appropriate for gestationl age (AGA)
greater than 90% ---------------- Large for gestational age (LGA)

A.S.P.E.N. Board of Directors and the Clinical Guidelines Task Force. Guidelines for the use of parenteral and enteral nutrition in adult and pediatric patients. JPEN (J Parenteral Enteral Nutrition). 2002; 26 Supplement: 46SA (Table 1).
Conry JA. Chapter 26: Normal labor. pages 385-413. IN: Niswander KR, Evans AT. Manual of Obstetrics, Fifth Edition. Little, Brown and Company. 1996.

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