Clinical features of preterm infants with a birth weight less than 1 500 g undergoing different intensities of resuscitation: a multicenter retrospective analysis.
- Author:
Miao QIAN
1
;
Zhang-Bin YU
1
;
Xiao-Hui CHEN
1
;
Yan XU
;
Yue-Lan MA
;
Shan-Yu JIANG
;
Huai-Yan WANG
;
Zeng-Qin WANG
;
Liang-Rong HAN
;
Shuang-Shuang LI
;
Hong-Yan LU
;
Jun WAN
;
Yan GAO
;
Xiao-Qing CHEN
;
Li ZHAO
;
Ming-Fu WU
;
Hong-Juan ZHANG
;
Mei XUE
;
Ling-Ling ZHU
;
Zhao-Fang TIAN
;
Wen-Juan TU
;
Xin-Ping WU
;
Shu-Ping HAN
1
;
Xiao-Qi GU
1
Author Information
- Publication Type:Multicenter Study
- MeSH: Birth Weight; Cesarean Section; China; Female; Gestational Age; Humans; Infant; Infant, Newborn; Infant, Premature; Pregnancy; Retrospective Studies
- From: Chinese Journal of Contemporary Pediatrics 2021;23(6):593-598
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the clinical features of preterm infants with a birth weight less than 1 500 g undergoing different intensities of resuscitation.
METHODS:A retrospective analysis was performed for the preterm infants with a birth weight less than 1 500 g and a gestational age less than 32 weeks who were treated in the neonatal intensive care unit of 20 hospitals in Jiangsu, China from January 2018 to December 2019. According to the intensity of resuscitation in the delivery room, the infants were divided into three groups:non-tracheal intubation (
RESULTS:Compared with the non-tracheal intubation group, the tracheal intubation and ECPR groups had significantly lower rates of cesarean section and use of antenatal corticosteroid (
CONCLUSIONS:For preterm infants with a birth weight less than 1 500 g, the higher intensity of resuscitation in the delivery room is related to lower rate of antenatal corticosteroid therapy, lower gestational age, and lower birth weight. The infants undergoing tracheal intubation or ECRP in the delivery room have an increased incidence rate of adverse clinical outcomes. This suggests that it is important to improve the quality of perinatal management and delivery room resuscitation to improve the prognosis of the infants.
