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Survival pattern among extreme preterm infants.

S Manzar1

  • 1Division of Neonatology, Department of Child Health, Sultan Qaboos University Hospital, Al-Khoud, Muscat, PO Box 38, Postal Code 123, Sultanate of Oman. shabihman@hotmail.com.

Saudi Medical Journal
|September 5, 2001
PubMed
Summary

Omani preterm infants born between 23-26 weeks gestation had a significantly lower survival rate (41%) compared to Western countries. This highlights a critical need for improved neonatal intensive care for extremely premature infants in Oman.

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Area of Science:

  • Neonatalogy
  • Perinatal Medicine
  • Public Health

Background:

  • Extreme preterm infants (23-26 weeks gestation) represent a vulnerable population with significant survival challenges.
  • International comparisons of survival rates are crucial for identifying disparities in neonatal care.

Purpose of the Study:

  • To evaluate the survival patterns of extremely preterm Omani infants (23-26 weeks gestation).
  • To compare the survival rates of Omani preterm infants with those reported in Western countries.

Main Methods:

  • Retrospective review of 32 extremely preterm Omani infants admitted to Sultan Qaboos University Hospital's Neonatal Intensive Care Unit (November 1991 - February 1998).
  • Data collected included gestational age, birth weight, sex, and survival outcomes.
  • Infants were stratified by gestational age for survival rate analysis.

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Main Results:

  • The overall survival rate for the Omani cohort was 41% (13 out of 32 infants).
  • Omani infants at 26 weeks gestation had a 44% survival rate compared to an average of 61% in Western countries.
  • Lower survival trends were observed for Omani infants at 23-24 weeks gestation.

Conclusions:

  • Omani extremely preterm infants exhibit a significantly lower survival rate compared to international benchmarks.
  • There is an urgent need to enhance management protocols and care quality for extremely preterm infants in Oman.
  • Further research and targeted interventions are essential to improve outcomes for this high-risk group.