Neonatal outcome of extremely small low birthweight liveborn infants below 901 g in a Swedish population.
作者： N. W. SVENNINGSEN , K. STJERNQVIST , S. STAVENOW , L. HELLSTRÖM-WESTAS
DOI: 10.1111/J.1651-2227.1989.TB11054.X
关键词: Retinopathy of prematurity 、 Gestation 、 Pediatrics 、 Medicine 、 Population 、 Gestational age 、 Neonatal intensive care unit 、 Bronchopulmonary dysplasia 、 Artificial ventilation 、 Survival rate
摘要: In a regional population of 32,120 liveborn newborn infants 65 (0.2%) had birthweight less than or equal to 900 g (extremely small low = ESLBW) with mean gestational age 26.4 (range 22-31) completed weeks gestation. The total 0-1 year survival rate was 48%. For the 42 treated in Level III neonatal intensive care unit (NICU) 55% versus 34% for 23 not transferred unit. ESLBW NICU major complications were respiratory disorders requiring artificial ventilation (73%), bronchopulmonary dysplasia (26%), intracranial haemorrhages (40%), symptomatic persistent ductus arteriosus (36%) and sepsis (14%), retinopathy prematurity (8%). Duration treatment 51 days 10-95) survivors. Mode delivery perinatal did differ between survivors non-survivors. Previous legal abortion occurred 24%, fertility problems 29% 21% mothers immigrants. Otherwise no significant abnormalities found maternal socioeconomic conditions. Factors deciding outcome tiniest babies seem be combination prenatal circumstances minute fine procedures.
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