PubMed · 11241011
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M W Yencha. 2001. Congenital macrostomia.. https://doi.org/10.1067/mhn.2001.112571
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Newborn macrosomia has been shown to be significantly related to weaker reflex functioning, poorer motor behavior, and decreased state regulation during the first 2 days of life. Macrosomic newborns' behavior patterns suggest that special strategies are indicated in order to decrease the effects that limb and body mass have on the execution of coordinated movements and spontaneous motor patterns. This article highlights techniques that have been found to be effective in handling, arousing, and quieting macrosomic newborns during interactions involving the Brazelton Neonatal Assessment Scale.
Thirty-two large-for-gestational-age (LGA) infants and 46 appropriate-for-gestational-age (AGA) infants used as controls, were investigated. LGA and AGA infants did not differ regarding instrumental deliveries or asphyxia. The infants were examined on the 1st and 5th days after birth with a standardized neurological assessment. The LGA infants showed a significantly delayed neurological adaptation with fewer optimal responses on day one as compared to the AGA infants. These differences were not observed on day five. There were no neurological differences between prenatally and postnatally detected LGA infants. No significant differences were observed regarding parity on maternal complications, neonatal course, and neurological scores of the LGA infants.