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A review of the obstetric and medical complications leading to the delivery of infants of very low birthweight

1988; Wiley; Volume: 149; Issue: 5 Linguagem: Inglês

10.5694/j.1326-5377.1988.tb120594.x

1326-5377

Beverley Hewitt, John P. Newnham,

Assisted Reproductive Technology and Twin Pregnancy

Medical Journal of AustraliaVolume 149, Issue 5 p. 234-242 Original Article A review of the obstetric and medical complications leading to the delivery of infants of very low birthweight Beverley G. Hewitt MB BS, MRACOG, Beverley G. Hewitt MB BS, MRACOG formerly, Obstetric Registrar King Edward Memorial Hospital for Women, 374 Bagot Road, Subiaco, WA, 6008Search for more papers by this authorJohn P. Newnham MD, FRACOG, Corresponding Author John P. Newnham MD, FRACOG Staff Perinatologist n/a@dne.dne King Edward Memorial Hospital for Women, 374 Bagot Road, Subiaco, WA, 6008Reprints: Dr J.P. Newnham.Search for more papers by this author Beverley G. Hewitt MB BS, MRACOG, Beverley G. Hewitt MB BS, MRACOG formerly, Obstetric Registrar King Edward Memorial Hospital for Women, 374 Bagot Road, Subiaco, WA, 6008Search for more papers by this authorJohn P. Newnham MD, FRACOG, Corresponding Author John P. Newnham MD, FRACOG Staff Perinatologist n/a@dne.dne King Edward Memorial Hospital for Women, 374 Bagot Road, Subiaco, WA, 6008Reprints: Dr J.P. Newnham.Search for more papers by this author First published: 01 September 1988 https://doi.org/10.5694/j.1326-5377.1988.tb120594.xCitations: 30AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract The delivery of very-low-birthweight infants is one of the major problems in human reproduction today. This study describes the principal obstetric and medical complications which led to the birth of 417 infants of 500-g to 1499-g birthweight, at the tertiary-level perinatal centre in Western Australia during the two years 1980 and 1985. An altered pattern of obstetric management of these cases was observed in 1985 compared to the management in 1980. In 1985, fewer deliveries were a result of spontaneous labour; tocolytic agents had been used in a smaller proportion of pregnancies; more infants were delivered by caesarean section without a preceding labour; and the still-birth rate was lower. Uncomplicated preterm labour was not the major cause of birth of very-low-birthweight infants. The most common factors that precipitated the delivery of very-low-birthweight infants were preterm premature rupture of the membranes (30% of cases), severe hypertension (19% of cases), antepartum haemorrhage (17% of cases) and preterm labour (17% of cases). Very low birthweight has a multifactorial aetiology, and its prevention will require a multidisciplinary approach. Citing Literature Volume149, Issue5September 1988Pages 234-242 RelatedInformation