The Outcomes of Extremely Low Birth Weight Infants in Chaopraya Yomraj Hospital - ผลของการรักษาทารกน้ำหนักน้อยมากในโรงพยาบาลเจ้าพระยายมราช

Abstract

         Extremely low birth weight infants (<1,000 grams) had high mortality rate, survivors may have complications leading to chronic diseases and disabilities. The objective of this retrospective analytic study was to determine the survival rate, neonatal outcomes when discharged from hospital, and perinatal risks of death among extremely low birth weight infants in Chaopayayomraj Hospital. Data was collected from medical records of all neonates with birth weight less than 1,000 grams who were born in Chaopraya Yomraj Hospital, were referred from surrounding hospital and were born before admission during the 5 years period between October 1, 2003 and September 30, 2008. Antenatal history, perinatal data, and neonatal outcomes until hospital discharge were analyzed.

          This study consisted of 71 cases of extremely low birth weight, 40 cases were born in Chaopraya Yomraj Hospital accounting for 4.6 case per 1,000 live births. Survival rate was 28.2 percent of survived infants at hospital discharge. Respiratory distress syndrome (RDS) was the major cause of death. Gestational age of > 28 weeks and SGA status were leading to survival among extremely low birth weight infants, (p < 0.05). In conclusion, the overall survival rates and the outcomes in this study is relatively acceptable. Efforts should be made to prolong pregnancy up to or beyond 28 weeks for even better outcomes. Long term study about growth and development of survives should be carried out.

Key words: ELBW, outcomes, perinatal risk