Survival and Outcomes of Very Low Birth Weight Infants in Sing Buri Hospital-การรอดชีวิตและผลการรักษาของทารกน้ำหนักน้อยมากในโรงพยาบาลสระบุรี

Abstract

               Very low birth weight infants (< 1,500 grams) had high mortality rate and consumed substantial resources for treatment. Surviors 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 very low birth weight infants in Sing Buri hospital. Data was collected from medical records of all neonates with birth weight less than 1,500 grams, born in Sing Buri hospital during the 4 year period between October 1, 2003 and September 30, 2007. Antenatal history, perinatal data, and neonatal outcomes
until hospital discharge were analyzed. There were 40 cases of very low birth weight accounting for 7.59 cases per 1,000 live births. Survival rate were 80 percent of survived infants at hospital discharge. Perinatal risks of mortality among very low birth weight infants included no antenatal steroids use (p<0.05), gestational age of ≤ 28 weeks. (p<0.05), body temperature at first measurement at NICU ≤ 35oC (p<0.05), and birth asphyxia (p<0.05). In conclusion, the overall survival and the outcomes among the very low birth weight infants born in Sing Buri hospital is relatively acceptable. Complications and perinatal risks of mortality should be improved in the future for even better
outcomes.

Key words: survival, neonatal outcome, very low birth weight infants