Perinatal factors associated with moderate to severe neurological injury at two years of age following periviable delivery

نویسندگان

  • Yair Blumenfeld
  • Anna Girsen
  • Elena Bryce
  • Yasser El-Sayed
  • Tracy A. Manuck
  • Scott Watkins
  • M. Sean Esplin
  • Samuel Parry
  • Heping Zhang
  • Hao Huang
  • Joseph R. Biggio
  • Radek Bukowski
  • George Saade
  • William Andrews
  • Don Baldwin
  • Yoel Sadovsky
  • Uma Reddy
  • John Ilekis
  • Michael W. Varner
  • Lynn B. Jorde
  • Mark Yandell
چکیده

distribution of gestational age and 64 percent to decreases in gestational age-specific mortality (Table). Patterns were not explained by births and deaths missing gestational age data. CONCLUSION: Both improvement in the preterm birth rates and survival at preterm gestation resulted in the recent declines in the US infant mortality rate. Possible explanations include improvements in antenatal care such as appropriate use of progestins to prolong gestation, antenatal corticosteroids to enhance pulmonary maturation, maternal-fetal transfer to appropriate levels of care and general improvements in neonatal care.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

عوامل مرتبط با پارگی درجه چهارم در زایمان واژینال

Background: To identify the risk factors of fourth-degree laceration during vaginal delivery. Methods: This is a retrospective, case control study. We reviewed 131802 records of vaginal deliveries within 14 years period from 1990 to 2004 in two obstetric center. Cases were 93 vaginal deliveries with fourth-degree laceration and 7 cases were delivered at home, control subjects were 200 vaginal...

متن کامل

Perinatal Mortality and Its Associated Risk Factors: A Study in the North-East of Iran

Background: Perinatal mortality rate is an important indicator of community health status. This study aimed to evaluate perinatal mortality and its determinants in Mobini Hospital of Sabzevar, Iran. Methods: This descriptive, cross-sectional study was performed within a two-year (2011-2012) period at Mobini Hospital of Sabzevar. Our study population included all the cases of stillbirth and liv...

متن کامل

Liver impairment among neonates with moderate to severe asphyxia

Background and Objectives: Perinatal asphyxia may cause severe damages in different organs such as kidneys, lungs, liver and most importantly CNS. The current study aimed to evaluate and compare the prevalence of liver impairment among asphyxiated and normal neonates. Methods: A retrospective case-control study was carried out in a referral pediatrics Hospital (Iran- from 2013 to 2015). Term an...

متن کامل

The EPICure study: associations and antecedents of neurological and developmental disability at 30 months of age following extremely preterm birth.

AIMS To describe perinatal factors associated with later morbidity among extremely preterm children at 30 months of age corrected for prematurity. POPULATION Of 308 surviving children born at <or=25 weeks gestation in the United Kingdom and Ireland from March to December 1995, 283 (92%) were evaluated at 30 months of age corrected for prematurity. METHODS Cerebral palsy, severe motor disabi...

متن کامل

Perinatal neuroprotection update

Antepartum, intrapartum, and neonatal events can result in a spectrum of long-term neurological sequelae, including cerebral palsy, cognitive delay, schizophrenia, and autism spectrum disorders [1]. Advances in obstetrical and neonatal care have led to survival at earlier gestational ages and consequently increasing numbers of periviable infants who are at significant risk for long-term neurolo...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2015