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Related Experiment Videos

Continuing morbidity in extremely low birthweight infants.

E Bowman1, V Y Yu

  • 1Department of Paediatrics, Monash Medical Centre, Melbourne, Victoria, Australia.

Early Human Development
|December 1, 1988
PubMed
Summary

Children born with extremely low birthweight (500-999g) experienced ongoing health issues, including high rehospitalization rates for respiratory problems and infections. However, those weighing 500-799g showed similar outcomes to 800-999g survivors, except for otitis media.

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Area of Science:

  • Neonatal Medicine
  • Pediatric Health Outcomes

Background:

  • Extremely low birthweight (ELBW) infants face significant health challenges post-discharge.
  • Understanding long-term morbidity patterns is crucial for ELBW survivors.

Purpose of the Study:

  • To assess the continuing morbidity in ELBW survivors up to 2 years of age.
  • To compare health outcomes between ELBW infants weighing 500-799g and 800-999g at birth.

Main Methods:

  • Longitudinal follow-up of ELBW survivors (500-999g) for 2 years post-discharge.
  • Data collection on rehospitalizations, common medical disorders, growth parameters, and neurodevelopmental outcomes.

Main Results:

  • 61% of ELBW survivors were rehospitalized, primarily for respiratory issues and surgical procedures.

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  • Common morbidities included otitis media (55%), wheezing (48%), and lower respiratory tract infections (29%).
  • At 2 years, significant percentages were below the tenth percentile for weight (44%) and height (45%).

    • Conclusions:

    • ELBW survivors require continuous comprehensive medical care and social support.
    • Infants weighing 500-799g had comparable outcomes to those weighing 800-999g, barring higher rates of otitis media.
    • Early and ongoing support is vital for improving long-term health trajectories in ELBW infants.