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Obstetric determinants of neonatal survival: influence of willingness to perform cesarean delivery on survival of extremely low-birth-weight infants

Article Abstract:

Willingness to perform cesarean section for fetal distress even if fetuses would be very premature or have extremely low-birth-weights may dramatically increase the likelihood of infant survival. Researchers evaluated the obstetric management and outcome of 713 single-infant births of infants born weighing 1000 grams or less. Doctors who were willing to perform cesarean section saw more survivors without long-term compromise than those who were unwilling. Stillbirth rates dropped to almost zero. Willingness to deliver by cesarean infants of 23 to 25 weeks gestation was linked with increased survival but also with serious complications.

Author: Hauth, J.C., Moawad, A.H., Iams, J.D., Miodovnik, M., Caritis, S.N., Thurnau, G.R., Mercer, B.M., Roberts, J.M., McNellis, D., Bottoms, S.F., Paul, R.H., Thom, E.A., Van Dorsten, J.P., Meis, P.M.
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
Health aspects, Surgery, Fetal distress, Cesarean section

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Obstetric determinants of neonatal survival: antenatal predictors of neonatal survival and morbidity in extremely low birth weight infants

Article Abstract:

The length of the fetus's thigh bone and its estimated gestational age are the best predictors of survival in extremely low birth weight babies. This was the conclusion of a study of 713 extremely-low-birth-weight babies, all of whom weighed 1,000 grams or less.

Author: Hauth, J.C., Moawad, A.H., Iams, J.D., Miodovnik, M., Caritis, S.N., Thurnau, G.R., Mercer, B.M., Roberts, J.M., McNellis, D., Bottoms, S.F., Paul, R.H., Van Dorsten, J.P., Meis, P.M., MacPherson, C.A.
Publisher: Elsevier B.V.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1999
Patient outcomes, Mortality, Measurement, Prognosis, Infants (Premature), Birth weight, Low, Premature infants, Low birth weight, Infant mortality, Femur

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