Abstract

Background and aims: Recording the survival of newborns in any Maternity Hospital is of utmost importance, as it contributes to the understanding of the level of perinatal care in Greece. The aim is to present evidence about perinatal mortality and survival rate of very low birth weight (VLBW) neonates (birth weight (BW)≤ 1,500 grams) at the NICU at Leto Maternity Hospital. Methods: Neonates transferred to other hospitals, admissions in Leto's NICU, perinatal mortality and neonatal survival (BW≤1,500 grams), were recorded and documented during 2007 to 2009. Results: In 2007, 744 neonates admitted in the NICU, 37 with BW ≤ 1,500 grams (11 with BW=500- 1,000 grams and 26 with BW=1,001-1,500 grams). Five were transferred to other hospitals (three for financial reasons and two needed surgical operation treatment). In 2008, 908 neonates admitted in the NICU, 40 with BW≤ 1,500 grams (17 with BW=500- 1,000 grams and 23 with BW=1,001-1,500 grams). Six were transferred to other hospitals (three needed intestinal surgery treatment, and three with posthemorrhagic hydrocephalus). In 2009, 911 newborns admitted in the NICU, 45 with BW ≤ 1,500 grams (15 with BW=500-1,000 grams and 30 with BW=1,001-1,500 grams). Four were transferred to other hospitals (two for financial reasons and two with posthemorrhagic hydrocephalus). 11 early fetal deaths were recorded (3, 3, and 5 for each year respectively) but no late neonatal fatalities (Table 1). Conclusions: The survival of VLBW neonates is considered to be equal to other European Union countries.

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