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Neonatal outcome of extremely small low birthweight liveborn infants below 901 g in a Swedish population

Svenningsen, N W ; Stjernqvist, Karin LU ; Stavenow, S and Hellström-Westas, Lena LU (1989) In Acta Paediatrica Scandinavica 78(2). p.180-188
Abstract
In a regional population of 32,120 liveborn newborn infants 65 (0.2%) had a birthweight less than or equal to 900 g (extremely small low birthweight = ESLBW) with mean gestational age 26.4 (range 22-31) completed weeks of gestation. The total 0-1 year survival rate was 48%. For the 42 infants treated in the Level III regional neonatal intensive care unit (NICU) the 0-1 year survival rate was 55% versus 34% for 23 infants not transferred to the Level III unit. In the ESLBW infants treated in the regional NICU the major complications were respiratory disorders requiring artificial ventilation (73%), bronchopulmonary dysplasia (26%), intracranial haemorrhages (40%), symptomatic persistent ductus arteriosus (36%) and sepsis (14%), persistent... (More)
In a regional population of 32,120 liveborn newborn infants 65 (0.2%) had a birthweight less than or equal to 900 g (extremely small low birthweight = ESLBW) with mean gestational age 26.4 (range 22-31) completed weeks of gestation. The total 0-1 year survival rate was 48%. For the 42 infants treated in the Level III regional neonatal intensive care unit (NICU) the 0-1 year survival rate was 55% versus 34% for 23 infants not transferred to the Level III unit. In the ESLBW infants treated in the regional NICU the major complications were respiratory disorders requiring artificial ventilation (73%), bronchopulmonary dysplasia (26%), intracranial haemorrhages (40%), symptomatic persistent ductus arteriosus (36%) and sepsis (14%), persistent retinopathy of prematurity (8%). Duration of NICU treatment was 51 days (range 10-95) for survivors. Mode of delivery and rate of perinatal complications did not differ between survivors and non-survivors. Previous legal abortion occurred in 24%, fertility problems in 29% and 21% of the mothers were immigrants. Otherwise no significant abnormalities were found in maternal or socioeconomic conditions. Factors deciding neonatal outcome in the tiniest babies seem to be a combination of prenatal circumstances and neonatal minute fine care procedures. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
preterm, very low birthweight, infants, neonatal intensive care, neonatal outcome
in
Acta Paediatrica Scandinavica
volume
78
issue
2
pages
180 - 188
publisher
Wiley-Blackwell
external identifiers
  • pmid:2929341
  • scopus:0024542022
ISSN
0001-656X
DOI
10.1111/j.1651-2227.1989.tb11054.x
language
English
LU publication?
yes
id
49d77870-2bf8-4284-aecf-cd0930d82937 (old id 1104477)
date added to LUP
2016-04-01 15:30:54
date last changed
2021-01-03 08:11:22
@article{49d77870-2bf8-4284-aecf-cd0930d82937,
  abstract     = {{In a regional population of 32,120 liveborn newborn infants 65 (0.2%) had a birthweight less than or equal to 900 g (extremely small low birthweight = ESLBW) with mean gestational age 26.4 (range 22-31) completed weeks of gestation. The total 0-1 year survival rate was 48%. For the 42 infants treated in the Level III regional neonatal intensive care unit (NICU) the 0-1 year survival rate was 55% versus 34% for 23 infants not transferred to the Level III unit. In the ESLBW infants treated in the regional NICU the major complications were respiratory disorders requiring artificial ventilation (73%), bronchopulmonary dysplasia (26%), intracranial haemorrhages (40%), symptomatic persistent ductus arteriosus (36%) and sepsis (14%), persistent retinopathy of prematurity (8%). Duration of NICU treatment was 51 days (range 10-95) for survivors. Mode of delivery and rate of perinatal complications did not differ between survivors and non-survivors. Previous legal abortion occurred in 24%, fertility problems in 29% and 21% of the mothers were immigrants. Otherwise no significant abnormalities were found in maternal or socioeconomic conditions. Factors deciding neonatal outcome in the tiniest babies seem to be a combination of prenatal circumstances and neonatal minute fine care procedures.}},
  author       = {{Svenningsen, N W and Stjernqvist, Karin and Stavenow, S and Hellström-Westas, Lena}},
  issn         = {{0001-656X}},
  keywords     = {{preterm; very low birthweight; infants; neonatal intensive care; neonatal outcome}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{180--188}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica Scandinavica}},
  title        = {{Neonatal outcome of extremely small low birthweight liveborn infants below 901 g in a Swedish population}},
  url          = {{http://dx.doi.org/10.1111/j.1651-2227.1989.tb11054.x}},
  doi          = {{10.1111/j.1651-2227.1989.tb11054.x}},
  volume       = {{78}},
  year         = {{1989}},
}