Care Practices and Short-term Clinical Outcomes of Very Low Birth Weight Infants in Yangtze River Delta in China

Overview

Journal BMC Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2022 Nov 24

PMID 36418987

Authors

TianChan Lyu

Yibo Tao

Wei Hua

Liling Li

Yunfei Tang

Yumei Jin

Yan Wang

Yuelan Ma

Futing Ji

Yalan Dou

Yun Cao

Xiao-Jing Hu

Affiliations

Soon will be listed here.

Abstract

Background: Intensive care is of great significance for very low birth weight infants (VLBWI). The Yangtze River Delta is the most ecomonically developed area in China. However, there are few data on the care practices and survival of VLBWI in this region.

Objectives: To investigate the prevalence, care practices and motality of VLBWI in Yangtze River Delta in China.

Methods: A multi-center retrospective investigation study was conducted at five tertiary hospitals within the Yangtze River Delta in China from January to December 2017. Clinical data included the general characteristics of the infants and the mothers, clinical prognosis, care practices in NICUs was collected by trained research members.

Results: During the study period, 1059 VLBWIs were included. Infants with birth weight < 750 g, 750-1000 g, 1000-1250 g and 1250-1500 g accounted for 2.3, 14.9, 34.8 and 47.8%, respectively. Premature rupture of membranes (17.8%) was the main cause of premature delivery. The catheterization rates of umbilical vein catheterization (UVC) and peripherally inserted central catheter (PICC) were 25.0 and 64.4%, respectively. The duration of parenteral nutrition was 27.0 ± 19.5 d, the meantime of feeding tube indwelling was 36.2 ± 24.2 d. The corrected gestational age of the infants who reached full oral feeding was 35.8 ± 2.7 weeks. The breast feeding rate in the investigated infants was 61.9%. The mortality rate of preterm infants was 3.4%. The incidence of main complications BPD, PDA, ROP, NEC and sepsis were 24.9, 29.9, 21.7, 9.4 and 13.3% respectively.

Conclusions: Maternal and infant care practices need to be improved in the very preterm births. This study provides a baseline for the improvement in the further study.

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