Keywords
Neonatology Zika
Congenital Zika Virus
Head Circumference
Zika virus exposure
Puerto Rico.
Congenital Zika Virus
Head Circumference
Zika virus exposure
Puerto Rico.
How to Cite
Fuentes-Rodriguez, R., García-Fragoso, L., Reyes-Bou, Z., De la Vega, A., García-Rivera, E. J., & García-García, I. (2024). Impact of Postnatal Head Circumference Growth in Normocephalic Infants Prenatally exposed to Zika Virus in Puerto Rico. Puerto Rico Health Sciences Journal, 43(4), 200–206. Retrieved from https://prhsj.rcm.upr.edu/index.php/prhsj/article/view/3197
Abstract
Objective: We aimed to describe the head circumference (HC) growth trends for non-microcephalic infants exposed to the Zika virus (ZIKV) in utero. Methods: This was a medical record review of non-microcephalic neonates exposed to ZIKV whose mothers received prenatal care at the fetal evaluation unit (2015–2017). The mean HC values of babies from prenatal age to 1 year old were compared with the standardized values on HC growth charts. Results: Sixty-three mother–infant pairs were included, and 56 infants (boys, 30%; girls, 70%) were evaluated. The mothers tested positive for ZIKV; their babies had a mean gestational age of 38 weeks (32–42) and a mean birth weight of 3,150 grams (1,190–4,220). The mean HC growth of the fetuses (19–34 weeks gestational age) placed them in the 25th percentile, increasing to the 50th percentile (according to the World Health Organization [WHO]). Compared with other growth charts (INTERGROWTH- 21st [International Fetal and Newborn Growth Consortium for the 21st Century] and Puerto Rico reference values), the mean HC grew in the 50th percentile at 18 to 30 weeks of gestational age, indicating normal growth in children from Zika-positive women. According to the WHO chart, the postnatal HCs of both the girls and boys reached the 75th and 50th percentiles, respectively. Conclusions: Postnatal HC growth was normal. Results from this study suggest that infants exposed to ZIKV in utero can be normocephalic at birth. Therefore, the neurodevelopmental outcomes of such infants should be followed throughout childhood and adolescence, regardless of their HCs at birth.
Authors who publish with this journal agree to the following terms:
a. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
b. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
c. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).