Document Detail


The obstetric management in very-low-birth weight infants.
MedLine Citation:
PMID:  2099729     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Y C Yang; T J Jou; C H Wu; K G Wang; C C Lan; E Y Shen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asia-Oceania journal of obstetrics and gynaecology / AOFOG     Volume:  16     ISSN:  0389-2328     ISO Abbreviation:  Asia Oceania J Obstet Gynaecol     Publication Date:  1990 Dec 
Date Detail:
Created Date:  1991-08-02     Completed Date:  1991-08-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8102781     Medline TA:  Asia Oceania J Obstet Gynaecol     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  329-35     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
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MeSH Terms
Descriptor/Qualifier:
Apgar Score
Cerebral Hemorrhage / etiology,  mortality,  ultrasonography
Cesarean Section
Delivery, Obstetric*
Female
Fetal Monitoring
Humans
Infant, Low Birth Weight*
Infant, Newborn
Labor Presentation
Pregnancy
Respiratory Distress Syndrome, Newborn / etiology
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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