Lee, Chernausek, Hokken-Koelega, and Czernichow, for the International SGA Advisory Board, have presented a complete guide for management of short children born small for gestational age (SGA). This project received research support from Pharmacia Corporation (Peapack, NJ). This suggested clinical pathway addresses those infants born SGA as defined by birth weight and/or length at least 2 standard deviations (SD) below the mean for gestational age (less than or equal to −2 SD), who remain short at 2 to 3 years of age.

The authors point out that –2 SD is equivalent to the 2.3 percentile, allowing one to calculate that in the United States ∼91 000 infants were born SGA in 1999, the most recent year for which adult birth data are available from the National Center for Health Statistics. Furthermore, it is estimated that 10% of children born SGA will remain less than or equal to −2...

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