The Effect of Obstetric Management on Neonatal Mortality and Morbidity for Infants Weighing 700-1000 Grams
ABSTRACT The obstetric and neonatal factors influencing survival and neurologic outcome are examined in 79 infants with birthweights of 700-1000 gm. The overall survival was 57%, with a normal neurologic examination at 1 year present in 73%. Factors that were significantly related to outcome were Ap...
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Veröffentlicht in: | American journal of perinatology 1986-07, Vol.3 (3), p.255-261 |
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container_title | American journal of perinatology |
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creator | Hutson, J. Milton Driscoll, John M. Fox, Harold E. Driscoll, Yvonne T. Steir, Mary E. |
description | ABSTRACT
The obstetric and neonatal factors influencing survival and neurologic outcome are examined in 79 infants with birthweights of 700-1000 gm. The overall survival was 57%, with a normal neurologic examination at 1 year present in 73%. Factors that were significantly related to outcome were Apgar score at 5 minutes, birthweight, prenatal steroid administration, and lack of respiratory distress syndrome. Delivery by cesarean section did not improve survival or neurologic outcome. The implications of these results on the attitude toward management of the very-low-birthweight infant is discussed. |
doi_str_mv | 10.1055/s-2007-999878 |
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The obstetric and neonatal factors influencing survival and neurologic outcome are examined in 79 infants with birthweights of 700-1000 gm. The overall survival was 57%, with a normal neurologic examination at 1 year present in 73%. Factors that were significantly related to outcome were Apgar score at 5 minutes, birthweight, prenatal steroid administration, and lack of respiratory distress syndrome. Delivery by cesarean section did not improve survival or neurologic outcome. The implications of these results on the attitude toward management of the very-low-birthweight infant is discussed.</description><identifier>ISSN: 0735-1631</identifier><identifier>EISSN: 1098-8785</identifier><identifier>DOI: 10.1055/s-2007-999878</identifier><identifier>PMID: 3755046</identifier><identifier>CODEN: AJPEEK</identifier><language>eng</language><publisher>New York, NY: Thieme</publisher><subject>Adrenal Cortex Hormones - therapeutic use ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Apgar Score ; Biological and medical sciences ; Critical Care ; Delivery, Obstetric ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Female ; Fetal Organ Maturity - drug effects ; Gestational Age ; Humans ; Infant Mortality ; Infant, Low Birth Weight ; Infant, Newborn ; Intensive care medicine ; Lung - embryology ; Medical sciences ; Neurologic Examination ; ORIGINAL ARTICLE ; Pregnancy ; Prenatal Care ; Prognosis ; Respiratory Distress Syndrome, Newborn - complications</subject><ispartof>American journal of perinatology, 1986-07, Vol.3 (3), p.255-261</ispartof><rights>1986 by Thieme Medical Publishers, Inc.</rights><rights>1987 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-4c478c081660687282dca9b4d03576b282b242497f5ab4c5ed2b230b967f49d23</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2007-999878.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.1055/s-2007-999878$$EHTML$$P50$$Gthieme$$H</linktohtml><link.rule.ids>314,780,784,3017,3018,27924,27925,54559,54560</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=8151271$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3755046$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hutson, J. Milton</creatorcontrib><creatorcontrib>Driscoll, John M.</creatorcontrib><creatorcontrib>Fox, Harold E.</creatorcontrib><creatorcontrib>Driscoll, Yvonne T.</creatorcontrib><creatorcontrib>Steir, Mary E.</creatorcontrib><title>The Effect of Obstetric Management on Neonatal Mortality and Morbidity for Infants Weighing 700-1000 Grams</title><title>American journal of perinatology</title><addtitle>Amer J Perinatol</addtitle><description>ABSTRACT
The obstetric and neonatal factors influencing survival and neurologic outcome are examined in 79 infants with birthweights of 700-1000 gm. The overall survival was 57%, with a normal neurologic examination at 1 year present in 73%. Factors that were significantly related to outcome were Apgar score at 5 minutes, birthweight, prenatal steroid administration, and lack of respiratory distress syndrome. Delivery by cesarean section did not improve survival or neurologic outcome. The implications of these results on the attitude toward management of the very-low-birthweight infant is discussed.</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Apgar Score</subject><subject>Biological and medical sciences</subject><subject>Critical Care</subject><subject>Delivery, Obstetric</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Female</subject><subject>Fetal Organ Maturity - drug effects</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Lung - embryology</subject><subject>Medical sciences</subject><subject>Neurologic Examination</subject><subject>ORIGINAL ARTICLE</subject><subject>Pregnancy</subject><subject>Prenatal Care</subject><subject>Prognosis</subject><subject>Respiratory Distress Syndrome, Newborn - complications</subject><issn>0735-1631</issn><issn>1098-8785</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1vHCEQhpGVyLk4KV1GoohchWRYYIEysvwl2XHjKCViWbjjtMs6wBX-9-Z0J3euZt6ZRzPSg9A5hZ8UhPhVSAcgidZaSXWCVhS0Iq0VH9AKJBOE9ox-Qp9L2QLQToE6RadMCgG8X6Ht08bjqxC8q3gJ-HEo1dccHX6wya797FObJ_zHL8lWO-GHJbcS6wu2adynIY77FJaM71KwqRb8z8f1JqY1lgCEAgC-yXYuX9DHYKfivx7rGfp7ffV0eUvuH2_uLn_fE8cEr4Q7LpUDRfseeiU71Y3O6oGPwITsh5aHjndcyyDswJ3wYxswGHQvA9djx87QxeHuc17-73ypZo7F-WmyyS-7YmSvNBNMNZAcQJeXUrIP5jnH2eYXQ8Hs3Zpi9m7NwW3jvx0P74bZj2_0UWbbfz_ubXF2CtkmF8sbpqignaQN-3HA6iY2wWa77HJqQt75-gp694yu</recordid><startdate>19860701</startdate><enddate>19860701</enddate><creator>Hutson, J. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Apgar Score</topic><topic>Biological and medical sciences</topic><topic>Critical Care</topic><topic>Delivery, Obstetric</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Female</topic><topic>Fetal Organ Maturity - drug effects</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Lung - embryology</topic><topic>Medical sciences</topic><topic>Neurologic Examination</topic><topic>ORIGINAL ARTICLE</topic><topic>Pregnancy</topic><topic>Prenatal Care</topic><topic>Prognosis</topic><topic>Respiratory Distress Syndrome, Newborn - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hutson, J. Milton</creatorcontrib><creatorcontrib>Driscoll, John M.</creatorcontrib><creatorcontrib>Fox, Harold E.</creatorcontrib><creatorcontrib>Driscoll, Yvonne T.</creatorcontrib><creatorcontrib>Steir, Mary E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hutson, J. Milton</au><au>Driscoll, John M.</au><au>Fox, Harold E.</au><au>Driscoll, Yvonne T.</au><au>Steir, Mary E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Obstetric Management on Neonatal Mortality and Morbidity for Infants Weighing 700-1000 Grams</atitle><jtitle>American journal of perinatology</jtitle><addtitle>Amer J Perinatol</addtitle><date>1986-07-01</date><risdate>1986</risdate><volume>3</volume><issue>3</issue><spage>255</spage><epage>261</epage><pages>255-261</pages><issn>0735-1631</issn><eissn>1098-8785</eissn><coden>AJPEEK</coden><abstract>ABSTRACT
The obstetric and neonatal factors influencing survival and neurologic outcome are examined in 79 infants with birthweights of 700-1000 gm. The overall survival was 57%, with a normal neurologic examination at 1 year present in 73%. Factors that were significantly related to outcome were Apgar score at 5 minutes, birthweight, prenatal steroid administration, and lack of respiratory distress syndrome. Delivery by cesarean section did not improve survival or neurologic outcome. The implications of these results on the attitude toward management of the very-low-birthweight infant is discussed.</abstract><cop>New York, NY</cop><pub>Thieme</pub><pmid>3755046</pmid><doi>10.1055/s-2007-999878</doi><tpages>7</tpages></addata></record> |
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subjects | Adrenal Cortex Hormones - therapeutic use Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Apgar Score Biological and medical sciences Critical Care Delivery, Obstetric Emergency and intensive care: neonates and children. Prematurity. Sudden death Female Fetal Organ Maturity - drug effects Gestational Age Humans Infant Mortality Infant, Low Birth Weight Infant, Newborn Intensive care medicine Lung - embryology Medical sciences Neurologic Examination ORIGINAL ARTICLE Pregnancy Prenatal Care Prognosis Respiratory Distress Syndrome, Newborn - complications |
title | The Effect of Obstetric Management on Neonatal Mortality and Morbidity for Infants Weighing 700-1000 Grams |
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