The obstetric management in very-low-birth weight infants

Asia-Oceania Journal of Obstetrics and Gynaecology
Y C YangE Y Shen

Abstract

Eighty-three very-low-birth weight (VLBW) infants weighing between 500 g and 1,500 g were studied. The neonatal morbidity and mortality were 86.7% and 18.1%, respectively. Sixty-six point seven percent (8/12) of the infants weighing under 1,000 g suffered from a periventricular-intraventricular or intracranial hemorrhage (PVH/IVH) and their mortality rate was 50%. The incidence of PVH/IVH was 52.1%, and the mortality rate was 12.7% when the birth weight was between 1,000 g and 1,500 g. Forty-nine percent of the PVH/IVH took place on the first day of neonatal life, and 93% developed within 5 days after delivery. Cesarean section neither reduced the incidence of PVH/IVH nor increased the survival rate whether in cephalic or breech presentation. The incidence of PVH/IVH was not affected by type of presentation or the interval between the rupture of membranes and the delivery. Respiratory distress syndrome (RDS) and the requiring of a ventilator for ventilation significantly increased the incidence of PVH/IVH, while a low Apgar score (less than 3) at 5 minutes did not.

References

May 15, 1979·American Journal of Obstetrics and Gynecology·H C Haesslein, R C Goodlin
Sep 1, 1976·Archives of Disease in Childhood·G Hambleton, J S Wigglesworth
Feb 1, 1986·American Journal of Obstetrics and Gynecology·B BodmerR H Usher
Jan 1, 1984·Archives of Disease in Childhood·W Szymonowicz, V Y Yu
Jan 1, 1984·Acta Obstetricia Et Gynecologica Scandinavica·T F Nielsen, K H Hökegård
Dec 1, 1982·The Journal of Pediatrics·B L KoopsF C Battaglia

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Citations

Jan 6, 2006·Obstetrics and Gynecology·Henry Chong Lee, Jeffrey B Gould

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