Proactive management promotes outcome in extremely preterm infants: a population-based comparison of two perinatal management strategies

Pediatrics
Stellan HåkanssonU Högberg

Abstract

There is a need for evidence-based knowledge regarding perinatal management in extreme prematurity. The benefit of a proactive attitude versus a more selective one is controversial. The objective of the present study was to analyze perinatal practices and infant outcome in extreme prematurity in relation to different management policies in the North (proactive) and South of Sweden. A population-based, retrospective, cohort study design was used. Data in the Swedish Medical Birth Register (MBR) from 1985 to 1999 were analyzed according to region of birth and gestational age (22 weeks + 0 days to 27 weeks + 6 days). A total of 3 602 live-born infants were included (North = 1040, South = 2562). Survival was defined as being alive at 1 year. Morbidity in survivors, based on discharge diagnoses of major morbidity during the first year of life, was described by linking the MBR to the Hospital Discharge Register. In infants with a gestational age of 22 to 25 weeks, the proactive policy was significantly associated with 1) increased incidence of live births, 2) higher degree of centralized management, 3) higher frequency of caesarean section, 4) fewer infants with low Apgar score (<4) at 1 and 5 minutes, 5) fewer infants dead within 24...Continue Reading

References

Jun 1, 1990·Scandinavian Journal of Social Medicine·S CnattingiusB Källén
Jun 3, 1998·American Journal of Obstetrics and Gynecology·D G BattonT L Swails
Oct 8, 1998·British Journal of Obstetrics and Gynaecology·J Gardosi, R T Geirsson
Jun 22, 2000·Seminars in Neonatology : SN·M Hack, A A Fanaroff
Oct 7, 2000·American Journal of Perinatology·V Y Yu
Nov 4, 2000·The Journal of Pediatrics·R De LeeuwUNKNOWN EURONIC study group
Nov 4, 2000·The Journal of Pediatrics·D El-MetwallyR Tucker
Nov 15, 2001·Seminars in Perinatology·J M Lorenz
Oct 22, 2002·American Journal of Obstetrics and Gynecology·Mark E Redman, Bernard Gonik
Mar 8, 2003·JAMA : the Journal of the American Medical Association·Barbara SchmidtUNKNOWN Trial of Indomethacin Prophylaxis in Preterms (TIPP) Investigators
Apr 30, 2003·Archives of Disease in Childhood. Fetal and Neonatal Edition·P I MacfarlaneJ Bennett

❮ Previous
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Citations

Jun 1, 2010·Neuropsychology Review·Ida Sue Baron, Celiane Rey-Casserly
Dec 24, 2013·The Journal of Laryngology and Otology·Jake Jervis-BardyA S Carney
Apr 25, 2007·The Clinical Neuropsychologist·Ida Sue BaronJennifer C Gidley Larson
Jun 4, 2008·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Per Cayé-ThomasenMirko Tos
Apr 25, 2006·Archives of Disease in Childhood. Fetal and Neonatal Edition·J L Watts, S Saigal
Nov 24, 2011·PloS One·Ashna D MohangooUNKNOWN Euro-Peristat Scientific Committee
Feb 9, 2008·Journal of Perinatal Medicine·Eva LandmannLudwig Gortner
Jul 14, 2009·Journal of Perinatal Medicine·Carlo DaniGiovanna Bertini
Jul 1, 2009·Pediatrics·Regina A GargusKenneth Poole
Dec 29, 2010·Pediatrics·Susan R HintzUNKNOWN NICHD Neonatal Research Network
Feb 22, 2011·Journal of Medical Internet Research·Andrea M KetchumKwonho Jeong
Jul 28, 2012·Middle East African Journal of Ophthalmology·Mehrdad AfaridBagher Abtahi
Dec 3, 2013·Seminars in Fetal & Neonatal Medicine·Lucy K SmithDavid Field
Jan 28, 2014·Early Human Development·Seishi FurukawaTsuyomu Ikenoue
Feb 17, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·A JanvierK J Barrington
Dec 11, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Susanne Herber-JonatHarald Bode
Jan 29, 2014·Seminars in Perinatology·Cody Arnold, Jon E Tyson
Sep 6, 2011·Clinics in Perinatology·Marlyse F HawardDeborah E Campbell
Mar 13, 2010·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·G MorietteUNKNOWN Groupe de réflexion sur les aspects éthiques de la périnatologie
Jan 20, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Jennifer ZeitlinUNKNOWN MOSAIC Research group
May 16, 2009·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·L GarzónM Vento
May 26, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Antonella VimercatiLuigi E Selvaggi
Oct 3, 2008·Early Human Development·Gunda PristauzUwe Lang
Dec 10, 2015·Journal of the International Neuropsychological Society : JINS·Ida Sue BaronRajiv Baveja
Jun 14, 2008·Seminars in Fetal & Neonatal Medicine·Steven ByrneJohn Kattwinkel
May 6, 2008·Clinics in Perinatology·Michael H Malloy, Snehal Doshi
Jun 26, 2007·Seminars in Fetal & Neonatal Medicine·Elizabeth S Draper, David J Field
Jul 9, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·L A A KolléeUNKNOWN MOSAIC Research group
Aug 14, 2009·Acta Paediatrica·R A KhanE M Dempsey
Jan 13, 2009·Acta Paediatrica·Pia LundqvistLena Hellström Westas
Apr 9, 2008·Acta Paediatrica·Kristina ForsbladLena Hellström-Westas
Apr 13, 2007·Acta Paediatrica·Kristina ForsbladLena Hellström-Westas
Dec 14, 2011·Acta Paediatrica·Liis ToomeHeili Varendi

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