当前位置： SCI文献检索 > AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY期刊下所有文献 > Changing trends of neonatal and postneonatal deaths in very-low-birth-weight infants.

Changing trends of neonatal and postneonatal deaths in very-low-birth-weight infants.

Abstract：

:Advances in perinatal care have resulted in a decline in mortality of very-low-birth-weight infants (< 1.5 kilograms) and also in an extension of the mortality period. To determine the current relevance of neonatal mortality results as indicators of outcome, all deaths among 427 very-low-birth-weight infants admitted during 1975-1977 were documented. A total of 145 infants died; 90 of the deaths (62%) occurred during the early neonatal period (0 to 6 days), 35 (24%) in the late neonatal period (7 to 27 days), and 20 (14%) in the postneonatal period. Death in 17 of the 20 postneonatal losses was due to neonatal complications of prematurity, and 16 of the 20 deaths occurred during the initial hospitalization. The postponement of these deaths to the postneonatal period has important epidemiologic implications and indicates a need for a reconsideration of accepted reporting mechanisms for infants of very low birth weight. :Advances in perinatal care have resulted in a decline in mortality of very low birthweight infants ( 1.5 kg) and also in an extension of the mortality period. To determine the current relevance of neonatal mortality results as indicators of outcome, all deaths among 427 low birthweight infants admitted for a time between 1975-1977 were documented. A total of 145 infants died; 90 of the deaths (62%) occurred during the early neonatal period (0-6 days); 35 (24%) in the late neonatal period (7-27 days); and 20 (14%) in the postneonatal period. Death in 17 of the 20 postneonatal losses was due to neonatal complications of prematurity such as bronchopulmonary dysplasia, infection, necrotizing enterocolitis, malformations, and other causes, and 16 of the 20 deaths occurred during the initial hospitalization. The postponement of infant death to the postneonatal period has important epidemiologic implications and indicates a need for a reconsideration of accepted reporting mechanisms for infants of very low birthweight infants. The authors propose that the parameters of the neonatal period change to accommodate discharge from the hospital, since most neonatal deaths occur during the initial neonatal period of hospitalization.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Hack M,Merkatz IR,Jones PK,Fanaroff AA

doi

10.1016/0002-9378(80)90888-1

subject

Has Abstract

pub_date

1980-08-01 00:00:00

pages

797-800

issue

eissn

0002-9378

issn

1097-6868

pii

0002-9378(80)90888-1

journal_volume

137

pub_type

杂志文章

在线工具

Changing trends of neonatal and postneonatal deaths in very-low-birth-weight infants.