Related Experiment Videos
[The problems and outcome with newborns who are extremely low birth weight, appropriate for gestational age and small
Insights
Extremely low birth weight (ELBW) infants appropriate for gestational age (AGA) had lower survival rates and more complications than small for gestational age (SGA) infants. AGA survivors experienced more intraventricular hemorrhage and longer hospital stays.
Area of Science:
- Neonatology
- Perinatal Medicine
- Pediatric Outcomes
Background:
- Extremely low birth weight (ELBW) infants present unique challenges.
- Understanding outcomes for ELBW infants categorized by gestational age appropriateness is crucial for clinical management.
Purpose of the Study:
- To compare the outcomes of ELBW infants who are appropriate for gestational age (AGA) versus small for gestational age (SGA).
Main Methods:
- Retrospective cohort study comparing ELBW AGA (n=47) and ELBW SGA (n=38) infants.
- Exclusion of infants with major congenital anomalies and those with extremely short survival times.
Main Results:
- SGA infants had a higher survival rate (61%) compared to AGA infants (32%).
- AGA survivors exhibited higher rates of severe intraventricular hemorrhage, prolonged ventilatory support, and longer hospitalizations.
- Similar rates of respiratory distress syndrome, chronic lung disease, infections, and neurological complications were observed in survivors of both groups.
Conclusions:
- ELBW infants appropriate for gestational age face poorer survival and increased morbidity compared to their small for gestational age counterparts.
- Clinical management strategies may need to be tailored based on gestational age appropriateness in ELBW infants.
Unlabelled:
The aim of this study is to evaluate the consequences of being extremely low birth weight (ELBW) under 1000 g at birth, small (SGA) or appropriate for gestational age (AGA).
Methodology:
A retrospective comparison of two cohorts of ELBW AGA (n = 47) and SGA (n = 38) infants, admitted to the Intensive Care Unite of State Maternity Hospital "Maĭchin Dom" from 01, 1995 to 06, 1998 is carried out. Infants with major congenital anomalies and those, who died in the first two hours of life, being extremely premature and unviable, are excluded.
Results And Conclusions:
The mean birth weight of the AGA group is 863 g, their mean gestational age is 26.6 weeks of gestation and of the SGA group--795 g and 29.6 weeks respectively. In the Sga C-section is preferred in 85%, vs only 34% in the AGA group. SGA babies are with two times greater survival rate (61%) then AGA (32%). The causes of death are similar. The AGA survivors have a greater rate of stage III-IV intraventricular hemorrhage, more prolonged need for ventilatory support (19 vs 12 days for SGA) and oxygen supplementation (37.5 vs 30.7 for the SGA), more difficulties with enteral feeding and their median hospital stay is somewhat longer (81.9 days), compared with those of the SGA (76.6 days). The two groups show a similar rate of respiratory distress syndrome, chronic lung disease, infections and neurological complications among the survivors.