Sir.—In their article regarding the VATER syndrome, Mapstone and colleagues1 make some interesting observations regarding the postnatal growth of these children. The fact that over half of the children had somatic growth curves below the fifth percentile should come as no surprise. The association of fetal growth retardation with congenital malformations is commonly observed and considered to be a significant one.2 In fact, prenatal and postnatal growth may constitute a continuum.3 Because Mapstone and coworkers1 did not report the birth measurements of all 31 children, it is not possible to determine how many children had displayed fetal growth retardation at birth.
In an analysis of postnatal growth, it is important (1) to rely on accurate birth measurements of weight, length, and head circumference; (2) to plot these data on appropriate growth charts according to gestational age (including full-term infants who may range from 37 to
HOLMES GE. Growth in the VATER Association. Am J Dis Child. 1986;140(12):1214–1215. doi:10.1001/archpedi.1986.02140260016010
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