Neonatal outcome of preterm delivery
Neonatal outcome of preterm delivery
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DOI：
10.1111/j.1749-6632.2010.05657.x
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发表时间：
2010-01-01
期刊：
影响因子：
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通讯作者：
Syggellou, Angeliki
中科院分区：
文献类型：
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作者：
Iacovidou, Nicoletta;Varsami, Marianna;Syggellou, Angeliki
在过去30年中，围产期和新生儿护理的进步有助于提高极低出生体重（ELBW）婴儿的存活率。由于新生儿发病率保持稳定，参与这些婴儿护理的父母和卫生保健专业人员经常提出有关不良神经发育结果的患病率的问题。文献中的现有数据是异质的，报告的残疾患病率比存活率变化更大。一个关键的问题，以更好的临床管理的ELBW婴儿是在这一群体的婴儿死亡和残疾的性质的知识。来自各个中心的研究报告了ELBW婴儿的结果，并证明了婴儿治疗方法的一些局限性。就这些婴儿的照料问题向父母提出的建议和作出的决定应基于从地理上确定的人群中提取的可靠、公正和具有代表性的数据。最近才有了这类数据。本报告概述了关于这个问题的现有文献。
Advances in perinatal and neonatal care over the last 30 years have contributed to improved survival among extremely low birth weight (ELBW) infants. As the rate of neonatal morbidity has remained stable, parents and health care professionals involved in the care of these infants often raise questions regarding the prevalence of adverse neurodevelopmental outcomes. Existing data in the literature is heterogeneous and the reported prevalence of disability varies more than survival rates do. One of the key issues toward a better clinical management of ELBW infants is the knowledge of the nature of mortality and disability in this population of infants. Studies from individual centers report outcomes of ELBW infants and demonstrate several limitations as to the ways babies were treated. Advice to parents and decisions to be made regarding the care of these infants should be based on reliable, unbiased, and representative data drawn from geographically defined populations. Such data have recently become available. This report gives an overview of existing literature on this issue.