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
Health
Disability
Growth retardation
Handicap
Obstetric variables
Bronchopulmonary Dysplasia
Cerebral Hemorrhage
Cesarean Section
Child, Preschool
Developmental Disabilities
Female
Fetal Growth Retardation
Follow-Up Studies
Humans
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Pregnancy
Prospective Studies
Treatment 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