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Obstetrics & Gynecology:
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Factors Influencing Survival and Morbidity With Very Low Birth Weight Delivery.

WORTHINGTON, DENNIS MD; DAVIS, LOWELL E. MD; GRAUSZ, JOHN P. MD; SOBOCINSKI, KATHLEEN MS

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Abstract

Factors influencing survival and morbidity in a group of 214 consecutively delivered very low birth weight infants (500 to 1500 g) are examined. The perinatal mortality was 313 per 1000 births. Of 185 live-born, congenially normal infants, 133 (72%) were discharged alive. Respiratory distress syndrome was the most common form of significant morbidity, occurring in 114 infants (62%). Intraventricular hemorrhage was diagnosed in 38 (21%) of the infants. Neither survival nor morbidity was influenced by the mode of delivery. The current trend of a liberalized policy of cesarean section for the very low birth weight delivery is questioned.

(C) 1983 The American College of Obstetricians and Gynecologists

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