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Re: Emerence - Explaining SGA

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SGA in and of itself is not a form of dwarfism. It is an assignment

made upon a child's birth based on their birth or their length being

2 or more standard deviations below the mean (roughly below 5lb 5 oz

or 17.5 inches, corrected for gestational age).

IUGR is where there is ALSO at least two ultrasounds indicating that

a child is growing slower than expected (either slower than siblings

or from aveage).

Roughly 93% of children born small for gestational age catchup in

weight and length by age 2 (about 85%+/- catch up by age 1).

But it is the 7% of SGA-born children who do not catch-up that are

called short SGA or idiopathic SGA.

This group of children has really been studied in the last 5-8 years

primarily. And the gut dysmotility of these children studied very

little.

I think as genetics/science develops in the next 10 years, you will

find out that they are all intrinsically linked, and maybe a " name "

will be given to these children.

Salem

> Hi,

>

> Emerence (SGA) just had her 18 mo checkup and gained 10 oz since

the

> convention! She now weighs 18 lb 1 oz and supposedly 29 " (though

> length is hard and she was 28.5 at the conference so I doubt

really

> 29 " ). Her pediatrician is SO good - she basically said, " I am

going

> to read everything, watch the dvd, etc but right now you are the

> expert on RSS/SGA and know more than I. Whatever you want, just

tell

> me, I'll make it happen. And, if you think there is something I

> should be watching for, just let me know! " I LOVE her!

>

> Okay, now a question, if RSS is a form of dwarfism what is SGA?

(it

> is not on the LPA website).

>

> , mom to 4.5 and Emerence 18 months 18.1 and 29(ish)

> inches!!!!!!!

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Dear ,

You mean some other name than: Small, skinny, but normal kid. :) I

had wondered about the gut motility issues with SGA. , I

suppose, does not technically fit that diagnosis since he weighed

5lbs 6oz at birth, however, it seems to me that in every other way,

he fits. I also figured out from your post why he was never

diagnosed IUGR. He didn't have two ultrasounds. This comes from

being born at the county hospital, I suppose. has certainly

never had any catch-up growth. He is now 29 months old, 22 lbs and

33.5 inches tall. I have wondered if SGA kids are supposed to be

checked for gastric emptying times like RSS kids. Do you know?

Conny, Great-aunt to

> > Hi,

> >

> > Emerence (SGA) just had her 18 mo checkup and gained 10 oz since

> the

> > convention! She now weighs 18 lb 1 oz and supposedly 29 " (though

> > length is hard and she was 28.5 at the conference so I doubt

> really

> > 29 " ). Her pediatrician is SO good - she basically said, " I am

> going

> > to read everything, watch the dvd, etc but right now you are the

> > expert on RSS/SGA and know more than I. Whatever you want, just

> tell

> > me, I'll make it happen. And, if you think there is something I

> > should be watching for, just let me know! " I LOVE her!

> >

> > Okay, now a question, if RSS is a form of dwarfism what is SGA?

> (it

> > is not on the LPA website).

> >

> > , mom to 4.5 and Emerence 18 months 18.1 and 29(ish)

> > inches!!!!!!!

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