Impact of Being Born as a Small for Gestational Age on Neonatal Outcomes - Can it be Generalised 1 MedDocs Publishers *Corresponding Author(s): Supreet Khurana DM Neonatology, Assistant Professor, Department of Neonatology, Government medical college and hospital, Chandigarh, India. Tel: +91-7087612359; Email: supreetkhurana85@gmail.com Cite this artcle: Jain S, Chawla D, Khurana S. Impact of Being Born as a Small for Gestatonal Age on Neonatal Out- comes - Can it be Generalised. Ann Pediatr. 2021; 4(1): 1071. Annals of Pediatrics Open Access | Short Commentary ISSN: 2637-9627 Received: May 18, 2021 Accepted: Jun 16, 2021 Published Online: Jun 18, 2021 Journal: Annals of Pediatrics Publisher: MedDocs Publishers LLC Online editon: htp://meddocsonline.org/ Copyright: © Khurana S (2021). This Artcle is distributed under the terms of Creatve Commons Atributon 4.0 Internatonal License Suksham Jain; Deepak Chawla; Supreet Khurana* Department of Neonatology, Government medical college and hospital, Chandigarh, India. Abstract Small for Gestatonal Age (SGA) is a term used as a proxy for poor intrauterine fetal growth and is associated with higher perinatal mortality and morbidity. A retrospectve cohort study was carried out analysing outcomes amongst SGA neonates born over 2 years in a tertary-care referral teaching hospital. Out of 21086 neonates born during the study period, 3229 (15.3%) were Small for Gestatonal Age (SGA); defned as birth weight between 3 rd -10 th centle and 2289 (10.9%) had severe SGA; with birth weight below 3 rd centle as per Fenton’s intrauterine growth charts. The need for hospitalisaton beyond inital 72 hours was needed in 31.1% (1005/3229) of SGA and 42.5% (973/2289) of severe SGA. It was observed that the Odds of developing morbidi- tes such as symptomatc hypoglycaemia, meconium aspi- raton syndrome, pulmonary haemorrhage, transient feed intolerance, polycythaemia and death before hospital dis- charge were at least twice more likely in SGA neonates. Ne- onates who were severe SGA had odds of mortality further two tmes higher than the moderate SGA group. In additon, severe SGA were also noted to be at a higher risk of early and late onset neonatal sepsis, acute kidney injury, hypoxic ischemic encephalopathy, seizures, patent ductus arterio- sus and necrotzing enterocolits. This study emphasises the need to identfy separately the neonates born as severe SGA. This distnct high - risk group from amongst the vulner- able set of SGA populaton needs more cautous monitoring and intensive management for improving chances of their overall intact survival. Keywords: Neonates; Small for gestatonal age; Morbidites.