Abstract
376 VLBW neonates were admitted to Regional Perinatal Center, between July 1979 to December 1981. 281 (75%) survived, 127 (45%) were followed up for up to 18 months corrected age and 3 years of age. The overall neonatal mortality was 25%; mean gestational age, 29.8 ± 2.35 wk.; mean birthweight, 1113 ± 230 gm.; SGA, 26%; Apgar ≤3 at 1 min., 35%; ≤5 at 5 min., 21%; outborn 35%, ventilated 78%. CT scan/ultrasound was done on 77 (61%), of which 38 (49%) had paraventricular-intraventricular hemorrhage. Neurologic examination, Bayley Scales of Infant Development, McCarthy Scales of Children's Abilities were done. Cerebral palsy or developmental delay (MDI more than 2 standard deviations below the mean), visual deficits were considered severe handicaps. Mean Bayley Score 70-84 were considered suspect.Our data confirms optimistic results of modern perinatal care. Additional work is needed to further reduce incidence of handicap.
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