Abstract
Infants of birthweight up to 2500 g born in 1966 in two district hospitals were followed-up until their school medical examination at six years. Neonatal mortality rates differed in the two cohorts despite similar maternal age, parity, and social class distribution; differences in the management of labour and in neonatal care may have been responsible. Numbers were small but the prevalence of mild or more severe handicaps among the survivors did not differ significantly between the cohorts; an improved mortality was not achieved at the expense of an increased overall morbidity, although there was a suggestion of a difference in cerebral palsy prevalence. It is suggested that the neonatal mortality rate in conjunction with the prevalence of handicaps among the survivors of low birthweight infants be used as an indicator of the efficacy of perinatal care.
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Selected References
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- ASHER P., SCHONELL F. E. A survey of 400 cases of cerebral palsy in childhood. Arch Dis Child. 1950 Dec;25(124):360–379. doi: 10.1136/adc.25.124.360. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bolton D. P., Cross K. W. Further observations on cost of preventing retrolental fibroplasia. Lancet. 1974 Mar 16;1(7855):445–448. doi: 10.1016/s0140-6736(74)92395-2. [DOI] [PubMed] [Google Scholar]
- CHILDS B., EVANS P. R. Birth weights of children with cerebral palsy. Lancet. 1954 Mar 27;266(6813):642–645. doi: 10.1016/s0140-6736(54)92349-1. [DOI] [PubMed] [Google Scholar]
- Cross K. W. Cost of preventing retrolental fibroplasia? Lancet. 1973 Oct 27;2(7835):954–956. doi: 10.1016/s0140-6736(73)92610-x. [DOI] [PubMed] [Google Scholar]
- DRILLIEN C. M. Growth and development in a group of children of very low birth weight. Arch Dis Child. 1958 Feb;33(167):10–18. doi: 10.1136/adc.33.167.10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Davies P. A., Tizard J. P. Very low birthweight and subsequent neurological defect (with special reference to spastic diplegia). Dev Med Child Neurol. 1975 Feb;17(1):3–17. doi: 10.1111/j.1469-8749.1975.tb04951.x. [DOI] [PubMed] [Google Scholar]
- EASTMAN N. J., DELEON M. The etiology of cerebral palsy. Am J Obstet Gynecol. 1955 May;69(5):950–961. doi: 10.1016/0002-9378(55)90094-6. [DOI] [PubMed] [Google Scholar]
- Elwood J. H., MacKenzie G., Cran G. W. Observations on single births to women resident in Belfast 1962-1966. Part I. Factors associated with perinatal mortality. J Chronic Dis. 1974 Dec;27(11-12):517–535. doi: 10.1016/0021-9681(74)90027-7. [DOI] [PubMed] [Google Scholar]
- LUBCHENCO L. O., HORNER F. A., REED L. H., HIX I. E., Jr, METCALF D., COHIG R., ELLIOTT H. C., BOURG M. Sequelae of premature birth. Evaluation of premature infants of low birth weights at ten years of age. Am J Dis Child. 1963 Jul;106:101–115. [PubMed] [Google Scholar]
- SMALLPEICE V., DAVIES P. A. IMMEDIATE FEEDING OF PREMATURE INFANTS WITH UNDILUTED BREAST-MILK. Lancet. 1964 Dec 26;2(7374):1349–1352. doi: 10.1016/s0140-6736(64)91152-3. [DOI] [PubMed] [Google Scholar]
- Wennberg R. P., Schwartz R., Sweet A. Y. Early versus delayed feeding of low birth weight infants: effects on physiologic jaundice. J Pediatr. 1966 Jun;68(6):860–866. doi: 10.1016/s0022-3476(66)80203-2. [DOI] [PubMed] [Google Scholar]
- Wu P. Y., Teilmann P., Gabler M., Vaughan M., Metcoff J. "Early" versus "late" feeding of low birth weight neonates: effect on serum bilirubin, blood sugar, and responses to glucagon and epinephrine tolerance tests. Pediatrics. 1967 May;39(5):733–739. [PubMed] [Google Scholar]