JNSS 2016, 7(3-4):141-148 | DOI: 10.32725/jnss.2016.014

Has the increased survival rate of premature new-borns brought about the increase in long-term morbidity?

Klaudia Demová*, Gabriela Magyarová, František Bauer
University Hospital with Polyclinic Nové Zámky, Department of Neonatology, Nové Zámky, Slovak Republic

Advances in perinatal and neonatal care are closely linked with the improvement in the survival rate of extremely low birth weight infants (ELBWI). Increased survival rate is the result of major changes in obstetrics and neonatal strategies and therapeutic procedures. The question is whether these changes in perinatal care have also brought about short-term and long-term positive results in morbidity in the child population. Despite the decrease in the neonatal morbidity rate, it appears that neonatal mortality remains stable. Frequently asked questions by parents aimed at medical professionals who are involved in the care of their child include questions on the incidence of adverse neurodevelopmental outcomes. In literature, there is a wide range of different data that interpret the incidence of disorders. We present a review of death rates and short and long-term morbidity in extremely premature infants.

Keywords: morbidity; death rate; survival rate; ELBWI

Received: August 16, 2016; Accepted: October 26, 2016; Published: September 1, 2016  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Demová K, Magyarová G, Bauer F. Has the increased survival rate of premature new-borns brought about the increase in long-term morbidity? Journal of Nursing, Social Studies, Public Health and Rehabilitation. 2016;7(3-4):141-148. doi: 10.32725/jnss.2016.014.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. AAP (2012). Mortality and Morbidity Data for Infants with Extremely Low Birthweights (ELBW). American Academy of Pediatric. [online] [cit. 2016-09-20]. Available from: http://www2.aap.org/nrp/science_ELBW.html
    2. Barfield WD (2016). Late preterm infants. UpToDate. [online] [cit. 2016-10-09]. Available from: http://www.uptodate.com/contents/late-preterm-infants
    3. Battisti O (2011). Premature brain. UpToDate. [online] [cit. 2016-10-11]. Available from: https://orbi.ulg.ac.be/bitstream/2268/114039/2/battisti_prematurity_brain_lungs.pdf
    4. Blencowe H, Cousens S, Chou D, Oestergaard M, Say L, Moller A-B et al. (2013). Born too soon: The global epidemiology of 15 million preterm births. Reprod Health. 10(Suppl 1): S2. Go to original source... Go to PubMed...
    5. Costeloe K, Hennessy E, Gibson AT, Marlow N, Wilkinson AR (2000). The EPICure study: outcomes to discharge from hospital for infants born at the threshold of viability. Pediatrics. 106: 659-671. Go to original source... Go to PubMed...
    6. Costeloe KL, Hennessy EM, Haider S, Stacey F, Marlow N, Draper ES (2012). Short term outcomes after extreme preterm birth in England: comparison of two birth cohorts in 1995 and 2006 (the EPICure studies). BMJ. 345: e7976. Doi: 10.1136/bmj.e7976. Go to original source... Go to PubMed...
    7. Finer N, Horbar JD, Carpenter JH (1999). Cardiopulmonary resuscitation in the very low birthweight infant. The Vermont Oxford experience. Pediatrics. 104: 428-434. Go to original source... Go to PubMed...
    8. Glass HC, Costarino AT, Stayer SA, Brett CM, Cladis F, Davis PJ (2015). Outcomes for Extremely Premature Infants. Anesth Analg. 120(6): 1337-1351. Go to original source... Go to PubMed...
    9. Gomella TL (2013). Gestational age and birth weight classification. In. Neonatology: Management, procedures, on-call problems, diseases and drugs. 7th ed. McGraw-Hill Education, 1136 p.
    10. Hack M, Costello DW (2007). Decrease in frequency of cerebral palsy in preterm infants. Lancet. 369(9555): 7-8. Go to original source... Go to PubMed...
    11. Lemons J, Bauer C, Oh W, Korones SB, Papile LA, Stoll BJ et al. (2001). Very low birth weight outcomes of the National Institute of Child Health and Human Development Neonatal Research Network, January 1995 through December 1996. Pediatrics. 107: e1-e8. Go to original source... Go to PubMed...
    12. Magyarová G, Bauer F, Hrdlíková A, Demová K (2014). Neonatálna mortalita a vybraná morbidita v SR do roku 2014 [Neonatal mortality and selected morbidity in the SR in 2014]. [online] [cit. 2016-10-25]. Available from: http://www.nspnz.sk/neonatal/priority2014a.pdf (Slovak).
    13. Markestad T, Kaaresen PI, Rønnestad A, Reigstad H, Lossius K, Medbø S et al. (2005). Early death, morbidity and need of treatment among extremely premature infants. Pediatrics. 115: 1289-1298. Go to original source... Go to PubMed...
    14. Moore T, Hennessy EM, Myles J, Johnson SJ, Draper ES, Costeloe KL, Marlow N (2012). Neurological and developmental outcome in extremely preterm children born in England in 1995 and 2006: the EPICure studies. BMJ. 345: e7961. Doi: 10.1136/bmj.e7961. Go to original source... Go to PubMed...
    15. National Center for Health Statistics, (2001). [online] [cit. 2016-11-08]. Available from: http://www.cdc.gov/nchs/data/dvs/LINK01WK46.pdf
    16. Patel RM (2016). Short- and Long-Term Outcomes for Extremely Preterm Infants. American Journal of Perinatology. 3(3). Doi: 10.1055/s-0035-1571202. Go to original source... Go to PubMed...
    17. Plavka R et al. (2015). Neonatální mortalita a morbidita - Česká republika 2014 [Neonatal mortality and morbidity - Czech Republic 2014]. [online] [cit. 2016-09-12]. Available from: http://www.neonatology.cz/vysledky-pece-v-cr (Czech).
    18. Serenius F, Källén K, Blennow M, Ewald U, Fellman V, Holmström G et al. (2013). Neurodevelopmental outcome in extremely preterm infants at 2.5 years after active perinatal care in Sweden. JAMA. 309(17): 1810-1820. Doi: 10.1001/jama.2013.3786. Go to original source... Go to PubMed...
    19. Schmidt B, Asztalos EV, Roberts RS, Robertson CM, Sauve RS, Whitfield MF et al. (2003). Impact of Bronchopulmonary Dysplasia, Brain Injury, and Severe Retinopathy on the Outcome of Extremely Low-Birth-Weight Infants at 18 Months: Results From the Trial of Indomethacin Prophylaxis in Preterms. JAMA. 289(9): 1124-1129. Go to original source... Go to PubMed...
    20. Stoll BJ, Hansen NI, Bell EF, Walsh MC, Carlo WA, Shankaran S et al. (2015). Trends in Care Practices, Morbidity, and Mortality of Extremely Preterm Neonates, 1993-2012. JAMA. 314(10): 1039-1051. Go to original source... Go to PubMed...
    21. Tyson JE, Parikh NA, Langer J, Green C, Higgins RD, National Institute of Child Health and Human Development Neonatal Research Network (2008). Intensive care for extreme prematurity - Moving beyond gestational age. N Engl J Med. 358: 1672-1681. Go to original source... Go to PubMed...
    22. Zlatohlávková B (2011). Viabilita plodu a novorozence [The viability of the fetus and new-born]. Actual Gyn. 3: 47-51 (Czech).
    23. Zoban P et al. (2015). Jak dále zlepšit dlouhodobý vývoj nedonošených dětí? [How to further improve the long-term development of preterm infants] [online] [cit. 2016-08-12]. Available from: http://www.neonatology.cz/upload/www.neonatology.cz/morbidita/pm-2012.pdf (Czech).

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content