scholarly journals 386 A Count of three Neonatal Morbidities may Substitute for Long-Term Neurodevelopmental follow-up in very Low Birth Weight (VLBW) Infants

2012 ◽  
Vol 97 (Suppl 2) ◽  
pp. A113-A114
Author(s):  
B. Schmidt ◽  
R. Roberts ◽  
P. Davis ◽  
L. Doyle ◽  
E. Asztalos ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Vlbw Infants

scholarly journals Influence of the level of maternal education on the long-term neurodevelopmental outcome of Saudi infants with birth weight of 1000-1500 grams at the age of 21-24 months

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Badr Hasan Sobaih
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Maternal Education ◽  
Very Low Birth Weight ◽  
Neurodevelopmental Outcome ◽  
University Hospital ◽  
Vlbw Infants

Background: Advancements in perinatal-neonatal care in the last decades has led to improved survival rates of very-low birth weight (VLBW) infants. An association between the level of maternal education and neurodevelopmental outcome has been demonstrated in many European studies. This study evaluates the influence of maternal education level and socio-demographic status on the long-term development of Saudi VLBW infants with birth weight of 1000-1500 grams at a corrected gestational age of 21-24 months. Method: This retrospective cohort study examined prospectively collected data from the period of 2005 to 2016 from the Neonatal Follow-up Program (NFP) at King Khalid University Hospital in Riyadh, Saudi Arabia. Results: A total of 122 VLBW infants with a mean gestational age of 29.57 weeks and mean birth weight 1265 grams were enrolled. There was no statistically significant association between the level of maternal education and neurodevelopmental screening outcome at the age of 21-24 months according to the Bayley Infant Neurodevelopmental Screener (BINS) (p=0.149). Bronchopulmonary dysplasia (BPD) was highly associated with cerebral palsy (p=0.001) and an abnormal BINS score (p=0.010). Conclusion: There was no significant influence of the level of maternal education on the neurodevelopmental screening outcome of VLBW infants at the corrected age of 21-24 months. BPD was the strongest predictor of adverse neurodevelopmental outcome. Keywords: Bayley Infant Neurodevelopmental Screener (BINS), Neurodevelopmental Outcome, Maternal educational level, Neonatal follow-up program (NFP), Very Low Birth Weight (VLBW) infant.

Rural Residence and Factors Associated with Attendance at the Second High-Risk Infant Follow-up Clinic Visit for Very Low Birth Weight Infants in California

2021 ◽  
Author(s):  
Martha G. Fuller ◽  
Tianyao Lu ◽  
Erika E. Gray ◽  
Maria A. L. Jocson ◽  
Mary K. Barger ◽  
...  
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Rural Residence ◽  
High Risk Infant ◽  
Vlbw Infants ◽  
Factors Associated ◽  
The Impact

Objective This study was aimed to determine factors associated with attendance at the second high-risk infant follow-up (HRIF) visit (V2) by 20 months of corrected age after a successful first visit (V1), and the impact of rural residence on attendance rates in a statewide population of very low birth weight (VLBW; <1,500 g) infants. Study Design Data linked from the California Perinatal Quality of Care Collaborative (CPQCC) Neonatal Intensive Care Unit (NICU) database and CPQCC-California Children's Services (CCS) HRIF database. Multivariable logistic regression evaluated independent associations of sociodemographic, maternal, family, neonatal clinical, and individual HRIF program differences (factors) with successful V2 in VLBW infants born in 2010 to 2012. Results Of 7,295 eligible VLBW infants, 75% (5,475) attended V2. Sociodemographic factors independently associated with nonattendance included maternal race of Black (adjusted odds ratio [aOR] = 0.61; 95% confidence interval [CI]: 0.5–0.75), public insurance (aOR = 0.79; 95% CI: 0.69–0.91), and rural residence (aOR = 0.74; 95% CI: 0.61–0.9). Factors identified at V1that were associated with V2 attendance included attending V1 within the recommended window (aOR = 2.34; 95% CI: 1.99–2.75) and early intervention enrollment (aOR = 1.39; 95% CI: 1.12–1.61). Neonatal factors associated with attendance included birth weight ≤750 g (aOR = 1.83; 95% CI: 1.48–2.5). There were significant program differences with risk-adjusted rates ranging from 43.7 to 99.7%. Conclusion Sociodemographic disparities and HRIF program factors are associated with decreased attendance at V2 among VLBW infants. These findings highlight opportunities for quality and process improvement interventions starting in the NICU and continuing through transition to home and community to assure participation in HRIF. Key Points

scholarly journals 482: “The next generation”: long term reproductive outcome of very low birth weight (VLBW) infants

2017 ◽  
Vol 216 (1) ◽  
pp. S284-S285
Author(s):  
Lior Drukker ◽  
Ziona Haklai ◽  
Ethel S. Gordon ◽  
Arnon Samueloff ◽  
Michael S. Schimmel ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Reproductive Outcome ◽  
Next Generation ◽  
Vlbw Infants

scholarly journals 366 Follow-Up 25OHD Levels in Preterm Very Low Birth Weight (VLBW) Infants

2010 ◽  
Vol 68 ◽  
pp. 189-189
Author(s):  
R A McCarthy ◽  
M M McKenna ◽  
J F Murphy ◽  
A Twomey ◽  
J Brady ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Vlbw Infants

Letter To The Editor

PEDIATRICS ◽  
1996 ◽  
Vol 98 (4) ◽  
pp. 799-800
Author(s):  
Manuel Durand ◽  
Smeeta Sardesai ◽  
Cindy McEvoy
Keyword(s):  
Birth Weight ◽  
Side Effects ◽  
Low Birth Weight ◽  
Steroid Therapy ◽  
Chronic Lung Disease ◽  
Very Low Birth Weight ◽  
Vlbw Infants ◽  
Cardiac Side Effects ◽  
Dexamethasone Therapy

We thank Dr Zecca and associates for their interest in our paper.1 Their concerns regarding possible cardiac side effects during steroid therapy in very low birth weight (VLBW) infants are quite appropriate and, we feel, further emphasize the benefits of an "early" (mean postnatal age, 9 to 10 days) and "short" (7 days) course of dexamethasone therapy for this group of infants at risk for long-term pulmonary morbidities. The prior studies they have referenced2-5 and another recent study6 applied longer courses of steroid therapy (up to 42 days) to infants with well-established chronic lung disease (CLD).

Long-term neuropsychological outcomes of very low birth weight: Associations with early risks for periventricular brain insults

2004 ◽  
Vol 10 (7) ◽  
pp. 987-1004 ◽  
Author(s):  
H. GERRY TAYLOR ◽  
NORI MINICH ◽  
BARBARA BANGERT ◽  
PAULINE A. FILIPEK ◽  
MAUREEN HACK
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Motor Skills ◽  
Cognitive Skills ◽  
Very Low Birth Weight ◽  
Neuropsychological Sequelae ◽  
Visual Motor ◽  
Brain Insults

Few follow-up studies of children with very low birth weight (VLBW, <1,500 g) have examined neuropsychological sequelae at later ages or neonatal risks as predictors of these outcomes. The present study assessed cognitive skills at mean age 16 years in 48 participants with <750 g birth weight, 47 with 750–1,499 g birth weight, and 52 term-born controls. Our major objectives were to delineate the long-term cognitive consequences of VLBW, and to determine if risks for periventricular brain insults accounted for variations in outcomes. Analysis revealed poorer outcomes for the <750 g group than for term-born controls on nearly all measures, with specific impairments in visual–motor skills, spatial memory, and executive function. Predictors of outcome for participants with VLBW included lower birth weight, lower weight for gestational age, and a longer period of oxygen requirement for chronic lung disease. The longer-term consequences of VLBW are consistent with expectations based on early brain pathology and suggest limitations to functional plasticity. (JINS, 2004,10, 987–1004.)

scholarly journals Impact of Donor Milk on Short- and Long-Term Growth of Very Low Birth Weight Infants

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 241 ◽  
Author(s):  
Rebecca Hoban ◽  
Michael Schoeny ◽  
Anita Esquerra-Zwiers ◽  
Tanyaporn Kaenkumchorn ◽  
Gina Casini ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Short Term ◽  
Post Discharge ◽  
Vlbw Infants ◽  
Preterm Formula ◽  
Z Scores ◽  
Short And Long Term

Mother’s own milk (MOM) reduces the risk of morbidities in very low birth weight (VLBW) infants. When MOM is unavailable, donor breastmilk (DM) is used, with unclear impact on short- and long-term growth. This retrospective analysis compared anthropometric data at six time points from birth to 20–24 months corrected age in VLBW infants who received MOM supplements of preterm formula (n = 160) versus fortified DM (n = 161) during neonatal intensive care unit (NICU) hospitalization. The cohort was 46% female; mean birth weight and gestational age (GA) were 998 g and 27.3 weeks. Multilevel linear growth models assessed changes in growth z-scores short-term (to NICU discharge) and long-term (post-discharge), controlling for amount of DM or formula received in first 28 days of life, NICU length of stay (LOS), birth GA, and sex. Z-scores for weight and length decreased during hospitalization but increased for all parameters including head circumference post-discharge. Short-term growth was positively associated with LOS and birth GA. A higher preterm formula proportion, but not DM proportion, was associated with slower rates of decline in short-term growth trajectories, but feeding type was unrelated to long-term growth. In conclusion, controlling for total human milk fed, DM did not affect short- or long-term growth.

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