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Prenatal and postnatal factors affecting short-term survival of very low birth weight infants

✍ Scribed by M. Bonati

Publisher: Springer
Year: 1988
Tongue: English
Weight: 477 KB
Volume: 147
Category: Article
ISSN: 0340-6997
DOI: 10.1007/bf00441968

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✦ Synopsis

Factors affecting the survival of 175 preterm infants born with body weight < 1500 g were examined. The still-birth and perinatal mortality rates were 143 and 446 per 1000 births respectively; neonatal death rate was 447 per 1000 live births. Survival improved progressively with increasing gestational age, and survival was better for infants born after 27 weeks of gestation. Neither maternal nor labour and delivery variables significantly affected survival. Male infants had half the survival rate of females. Birth asphyxia, hypercapnia and respiratory distress syndrome were the most common forms of morbidity, occurring in > 20% of the population. Infants with such pathology had significantly lower survival rates.

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One of the main points of clinical care is the catch-up growth of VLBW infants especially those of small gestational age (SGA). The required high amounts of protein are often not tolerated [I]. Metabolic imbalances due to immaturities of protein metabolism are described [2, 31 also in infants SGA fe