Perinatal care regionalization and mortality among low birth weight infants in Alaska

2000 ◽  
Author(s):  
Brad Gessner
PEDIATRICS ◽  
1994 ◽  
Vol 93 (1) ◽  
pp. A72-A72

. . .cerebral palsy rates in infants with birth weights under 1500 g increased from 12.1 to 64.9 [per 1000 births]. These results, which are similar to those found in other developed countries, suggest that improved perinatal care, including increased use of interventions to prevent perinatal asphyxia, has improved neonatal survival but not the rate of cerebral palsy. In low-birth-weight infants the rising cerebral palsy rate has paralleled the improvement in survival; one explanation for this finding is that low birth weight and cerebral palsy both result from an insult that occurs well before birth.


Neonatology ◽  
2017 ◽  
Vol 112 (1) ◽  
pp. 30-39 ◽  
Author(s):  
Fermín García-Muñoz Rodrigo ◽  
Antonio Losada Martínez ◽  
María Dolores Elorza Fernández ◽  
Julio Moreno Hernando ◽  
Josep Figueras Aloy ◽  
...  

PEDIATRICS ◽  
1984 ◽  
Vol 74 (2) ◽  
pp. 288-289
Author(s):  
PIETER J. J. SAUER ◽  
HENK K. A. VISSER

Recently, guidelines for perinatal care were published by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists.1 In a chapter on thermoregulation of newborn infants, recommendations for the neutral temperature of newborn infants are given. These recommendations are based on studies done more than 15 years ago.2,3 Although most of the recommendations are still valid, the values given for very low-birth-weight infants during the first week of life might need reconsideration based on more recent studies. In the original studies, infants were grouped by birth weight and not by gestational age. The group called the "smaller prematures" had a mean birth weight of 1,276 g; all weighed less than 1,500 g.


PEDIATRICS ◽  
1988 ◽  
Vol 81 (3) ◽  
pp. 404-411
Author(s):  
S. Pauline Verloove-Vanhorick ◽  
Robert A. Verwey ◽  
Marij C. A. Ebeling ◽  
Ronald Brand ◽  
Jan H. Ruys

As part of a collaborative project in the Netherlands in 1983, for which data were collected on 1,338 newborn infants (<32 weeks' gestation and/or <1,500 g birth weight), all infants were assigned to one of three levels of care according to hospital of birth. Considerable centralization was achieved by antenatal and neonatal transport. Although the uncorrected mortality rates were similar, the mortality odds (adjusted for four and 22 potential confounding perinatal factors, respectively) were significantly higher in level 1 and level 2 hospitals compared with level 3 hospitals (tertiary perinatal care centers). By extending the facilities for full perinatal intensive care in level 3 centers and thus providing optimal care for all such infants, the overall mortality rate is expected to decrease further.


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