[The fate of very early premature babies. Mortality, morbidity and 2-year follow-up in a population of 96 very early premature babies].
The neonatal fate, and outcome at 2 years in a population of 96 premature babies born after no more than 28 weeks of amenorrhea is described. Mortality was directly influenced by the gestational age (< 26 WA = 52% vs. > or = 26 WA = 21.1%, p < 0.01) and the birth weight (< 1,000 g = 41.5% vs. > 1,000 g = 20%, p < 0.05). Two other factors with a harmful impact were identified: retarded growth (neonatal mortality doubled) and fetal multiplicity (increased fourfold). Investigation of the neonatal morbidity highlights the importance of respiratory, neurological and digestive problems. Assessment of the longer-term outcome has shown an 11.3 p. cent incidence of handicap. An estimation of the prognosis on the basis of gestational age is proposed.
Lenclen
R
R
Service de Médecine Néonatale, Hôpital Léon Touhladjian, Poissy.
Paupe
A
A
Carbajal
R
R
Blanc
P
P
Hoenn
E
E
Olivier-Martin
M
M
D001034:Apgar Score; D001724:Birth Weight; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D005317:Fetal Growth Retardation / Q000150:complications / Q000453:epidemiology; D005500:Follow-Up Studies; D005602:France / Q000453:epidemiology; D005865:Gestational Age; D017052:Hospital Mortality; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D007234:Infant, Premature; D009017:Morbidity; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011379:Prognosis; D015996:Survival Rate
Devenir des grands prématurés. Mortalité, morbidité et suivi à 2 ans d'une population de 96 grands prématurés.