Factors influencing survival and morbidity with very low birth weight delivery.
Factors influencing survival and morbidity in a group of 214 consecutively delivered very low birth weight infants (500 to 1500 g) are examined. The perinatal mortality was 313 per 1000 births. Of 185 live-born, congenitally normal infants, 133 (72%) were discharged alive. Respiratory distress syndrome was the most common form of significant morbidity, occurring in 114 infants (62%). Intraventricular hemorrhage was diagnosed in 38 (21%) of the infants. Neither survival nor morbidity was influenced by the mode of delivery. The current trend of a liberalized policy of cesarean section for the very low birth weight delivery is questioned.
D001034:Apgar Score; D001724:Birth Weight; D002543:Cerebral Hemorrhage / Q000453:epidemiology / Q000401:mortality; D036861:Delivery, Obstetric; D005260:Female; D005317:Fetal Growth Retardation / Q000401:mortality; D005322:Premature Rupture of Fetal Membranes; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology / Q000401:mortality*; D011247:Pregnancy; D011379:Prognosis; D012127:Respiratory Distress Syndrome, Newborn / Q000453:epidemiology / Q000401:mortality