Print Email Facebook Twitter Influence of obstetric management on outcome of extremely preterm growth retarded infants Title Influence of obstetric management on outcome of extremely preterm growth retarded infants Author Schaap, A.H.P. Wolf, H. Bruinse, H.W. den Ouden, A.L. Smolders-de Haas, H. van Ertbruggen, I. Treffers, P.E. TNO Preventie en Gezondheid Publication year 1997 Abstract Aim - To describe the long term outcome of extremely preterm growth retarded infants in relation to obstetric management and various perinatal events. Methods - A cohort study was undertaken in two tertiary care centres with different obstetric management. All infants with fetal growth retardation due to placental insufficiency and resulting in fetal distress at 26 to 32 weeks of gestation, were included for the years 1984-89. Main outcome measures were impairment, disability, or handicap at 2 years corrected age and at school age (4 1/4 to 10 1/4 years). Results - One hundred and twenty five (98%) were followed up until 2 years corrected age in the outpatient department; 114 (90%) were assessed at school age. Impairments were found in 37% and disabilities or handicaps in 9% of the assessed infants, with no difference between centres. All disabled or handicapped children had already been identified by 2 years corrected age. Conclusions - Disability or handicap were related to neonatal complications (intracerebral haemorrhage or bronchopulmonary dysplasia) and not to obstetric variables, thus making antenatal prediction impossible. The incidence of disability or handicap in these growth retarded infants was comparable with that of other preterm infants. Subject HealthDisabilityGrowth retardationHandicapObstetric variablesBronchopulmonary DysplasiaCerebral HemorrhageCesarean SectionChild, PreschoolDevelopmental DisabilitiesFemaleFetal Growth RetardationFollow-Up StudiesHumansInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightPregnancyProspective StudiesTreatment Outcome To reference this document use: http://resolver.tudelft.nl/uuid:d22c66c0-1ce5-46be-8f0a-c7cd7e85803f TNO identifier 234185 ISSN 0003-9888 Source Archives of Disease in Childhood: Fetal and Neonatal Edition, 77 (2) Document type article Files To receive the publication files, please send an e-mail request to TNO Library.