Title of article :
The impact of fetal compromise on outcome at the border of viability
Author/Authors :
Daniel G. Batton، نويسنده , , David B. DeWitte، نويسنده , , Roberto Espinosa، نويسنده , , Tammy L. Swails، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 1998
Pages :
7
From page :
909
To page :
915
Abstract :
OBJECTIVE: Our goal was to evaluate the impact of fetal compromise on the outcome of borderline viable babies. STUDY DESIGN: All 142 babies born in our hospital from 1990 to 1995 with a gestational age of 23 to 25 weeks were included. Fetal compromise was considered present if one of the following was documented: a major anomaly, congenital sepsis, chronic intrauterine infection, intrauterine drug exposure, congenital anemia, severe growth restriction, fetal acidosis, or cardiorespiratory and neurologic depression in the delivery room. RESULTS: The 43 babies who had at least one cause of fetal compromise had a lower birth weight (p< 0.001), but there were no other differences in demographics or complications of prematurity. The survival rate was significantly better for babies free of fetal compromise (75% vs 33%, p< 0.001), particularly for babies born at 23 weeks of gestation (75% vs 6%, p< 0.001). For surviving babies free of fetal compromise, the outcome at 23 weeks was comparable to that at 24 to 25 weeks for major causes of long-term neurologic morbidity. CONCLUSIONS: Like advancing gestational age and increasing birth weight, the absence of fetal compromise has a major beneficial impact on the outcome of borderline viable babies that might be important when decisions are made about the appropriate level of support. (Am J Obstet Gynecol 1998;178:909-15.)
Keywords :
Ethical decisions , outcome , Borderline viable babies , fetal compromise , prematurity
Journal title :
American Journal of Obstetrics and Gynecology
Serial Year :
1998
Journal title :
American Journal of Obstetrics and Gynecology
Record number :
642757
Link To Document :
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