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August 1978

Newborn Head Size and Neurological Status: Predictors of Growth and Development of Low Birth Weight Infants

Author Affiliations

From the Department of Pediatrics (Drs Gross, Kosmetatos, and Williams), and the Communication Disorder Unit (Dr Grimes), State University of New York, Upstate Medical Center, Syracuse, NY.

Am J Dis Child. 1978;132(8):753-756. doi:10.1001/archpedi.1978.02120330025005

• One hundred eighteen infants with birth weights of 2,000 g or less were evaluated for growth and development at approximately 5 years of age. Review of neonatal data indicated that head circumference less than the tenth percentile at birth and abnormal neurological examination in the newborn period were important predictors of outcome. Both of these factors were associated with poor growth, later microcephaly, and neurological deficit. In addition, neonatal microcephaly was substantially related to poor intellectual attainment. Other associations were seen between microcephaly at birth and intrauterine growth retardation, low Apgar score, and low socioeconomic status, factors that also correlated with poor outcome.

(Am J Dis Child 132:753-756, 1978)