The Effect of Obstetric Management on Neonatal Mortality and Morbidity for Infants Weighing 700-1000 Grams

J. Milton Hutson; John M. Driscoll; Harold E. Fox; Yvonne T. Driscoll; Mary E. Steir

doi:10.1055/s-2007-999878

American Journal of Perinatology, Inhaltsverzeichnis

Am J Perinatol 1986; 3(3): 255-261
DOI: 10.1055/s-2007-999878

ORIGINAL ARTICLE

The Effect of Obstetric Management on Neonatal Mortality and Morbidity for Infants Weighing 700-1000 Grams

J. Milton Hutson, John M. Driscoll, Harold E. Fox, Yvonne T. Driscoll, Mary E. Steir

Departments of Obstetrics and Gynecology and Pediatrics, College of Physicians and Surgeons of Columbia University, The Sloane Hospital for Women and Babies Hospital, New York, New York

Abstract

ABSTRACT

The obstetric and neonatal factors influencing survival and neurologic outcome are examined in 79 infants with birthweights of 700-1000 gm. The overall survival was 57%, with a normal neurologic examination at 1 year present in 73%. Factors that were significantly related to outcome were Apgar score at 5 minutes, birthweight, prenatal steroid administration, and lack of respiratory distress syndrome. Delivery by cesarean section did not improve survival or neurologic outcome. The implications of these results on the attitude toward management of the very-low-birthweight infant is discussed.

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