Title
Changes in perinatal care and survival in very preterm and extremely preterm infants in the Netherlands between 1983 and 1995
Author
Anthony, S.
Ouden, L.D.
Brand, R.
Verloove-Vanhorick, P.
Gravenhorst, J.B.
Publication year
2004
Abstract
Objective: To evaluate changes in obstetrical and neonatal care for very preterm and extremely preterm infants between 1983 and 1995 in The Netherlands and to evaluate the effect of those changes. Study design: Data on all very preterm or VLBW infants from the linked national obstetrical and neonatal databases of 1995 (N=2066) were compared to data on similar infants from a nation-wide study of very preterm infants born in 1983 (N=1338). Results: Obstetrical and neonatal management changed over time, with an increased number of deliveries in tertiary centres (35.7-60.7%), an increase in C-sections (43.7-56.8%) and prolonged artificial ventilation (3.4-9.5%). Survival until discharge increased from 75 to 90% and neonatal morbidity decreased in relative terms. Conclusions: The short-term outcome for these very preterm and extremely preterm infants has improved. Long-term follow-up through to school age and adulthood of preterm infants is needed to investigate the changes in the sequelae of intensive obstetrical and neonatal care. © 2003 Elsevier Ireland Ltd. All rights reserved.
Subject
Health
Implications
Obstetrical and neonatal management
Survival
Adulthood
Age
Artificial ventilation
Cesarean section
Controlled study
Data base
Delivery
Disease severity
Follow up
Major clinical study
Newborn
Newborn morbidity
Newborn mortality
Obstetric care
Perinatal care
Prematurity
Very low birth weight
Apgar Score
Cause of Death
Female
Humans
Incidence
Infant Mortality
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Logistic Models
Male
Multivariate Analysis
Netherlands
Perinatal Care
Pregnancy
Probability
Registries
Retrospective Studies
Risk Assessment
Survival Analysis
To reference this document use:
http://resolver.tudelft.nl/uuid:8e4da547-74fd-4736-a3ea-f64b0ee83ae2
DOI
https://doi.org/10.1016/s0301-2115(03)00328-2
TNO identifier
237618
ISSN
0301-2115
Source
European Journal of Obstetrics Gynecology and Reproductive Biology, 112 (2), 170-177
Document type
article