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Decrease placental blood flow frequently contribute to the small size. The relativly large surface area of an SGA infant decrease evaporative and radint heat loss, whereas limited brown fat and subcutaneud tissue contribute to a decreasr ability to produce and conserve body heatSGA infant have a higher metabolism rate compared with infant at similar weight who are appropriate for gestarional age. This is belive to be caused by the larger brain suze relative to body weight
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