Avtor/Urednik		Babnik, Janez; Kornhauser-Cerar, Lilijana
Naslov		Razvoj nedonošenčkov rojenih s 25 in manj tedni nosečnosti
Prevedeni naslov		Short term outcomes of micropremies with gestational age between 22 and 25 week
Tip		članek
Vir		In: Novak-Antolič Ž, editor. Klinično upravljanje strokovnosti v perinatologiji. Zbornik prispevkov 10. Novakovi dnevi z mednarodno udeležbo; 2002 maj 30-jun 1; Bled. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Leto izdaje		2002
Obseg		str. 35-43
Jezik		slo
Abstrakt		Objectives. Our aim was to examine the neurosensory and cognitive development of the micropremies born between 23 to 25 week of gestation in four years (1997 to 2000) and to find significant predictors of adverse outcome outcome. Design. Only babies born in Ljubljana Maternity Hospital and treated in adjacent neonatal intensive care unit were included. Infants were followed up in the outpatient department of the same hospital at mean age of 18 months. Results. Of 76 liveborn infants 32 (42%) survived till discharge. The survived infants had higher birth weight (743 g +-106 vs.612g +- 110) and gestational age (24,5 wk. +-0,6 vs.23,4 wk+-1,1) than deceased infants and had higher Apgar score at 1. and 5. minutes after birth. Survival rate increased with gestational ages: 0% at 22 wk., 17% at 23 wk., 52% at 24 wk. and 66% at 25 week of gestation. The development of the 29 survived infants was studied at mean corrected age of 18 months. At discharge one half of the infants had their weight under 10th centile, however low weight was not predictable for the weight at 18 months corrected age. Head growth and height have reached the mean value of 36th and 43rd centile of the normal distribution at the last visit. Five of 29 infants had abnormal neurosensory development (17%) and 3 more were still at risk for development delay. Infants with abnormal or at risk development were of the same birth weight, gestational age, have the same rate of caesarean section, antenatal steroids, duration of artificial ventilation, incidence of chronic lung disease, but different incidence of bleeding during pregnancy, masculine gender, abnormal US findings (grade 3-4 IVH and periventricular leukomalacia) and postnatal steroid treatment. (Abstract truncated at 2000 characters).
Deskriptorji		INFANT, PREMATURE CHILD DEVELOPMENT GESTATIONAL AGE INTENSIVE CARE UNITS, NEONATAL INFANT CEREBRAL HEMORRHAGE BIRTH WEIGHT APGAR SCORE