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Although the mortality rate for preterm infants and the gestational age-specific mortality rate have dramatically improved over the last 3 to 4 decades, preterm infants remain vulnerable to the many complications of prematurity.
1 de ene. de 2023 · The rate of mortality and postoperative complications after cardiac surgery is three times higher in low birth weight and premature infants compared to older infants. 23 Patent ductus arteriosus arteriosus (PDA): symptomatic PDA is common in preterm neonates, occurring in about 30% of VLBW infants.
Surgical complications were classified as strictures, fistulas (enterocutaneous), wound dehiscence (dehiscence of skin and subcutaneous tissue), surgical site infections (SSIs), adhesions requiring surgical intervention and perforations.
Compared to term, preterm infants have increased odds of surgical morbidity (EP Odds Ratio (OR) 3.2 95% Confidence Interval (CI) 1.6-6.4, VP OR 1.2 95%CI 0.9-1.7, and MLP OR 1.2 95%CI 1.0-1.4). 30-day mortality decreased as neonatal age increased from 22.2% EP to 2.9% term (p < 0.001).
Infants with postoperative complications following surgical NEC were more likely to be female, have additional morbidities, and demonstrate growth failure at 36 weeks PMA than those without surgical complications.
19 de nov. de 2021 · The incidence of perinatal depression is markedly increased among preterm neonates because of the complications associated with preterm labor and the physiological immaturity and lability of the preterm infant. Most VLBW require fast and effective resuscitation at birth.
13 de dic. de 2023 · Seven risk factors provided robust evidence: amphetamine exposure, isolated single umbilical artery, maternal personality disorder, sleep-disordered breathing (SDB), prior induced termination of pregnancy with vacuum aspiration (I-TOP with VA), low gestational weight gain (GWG), and interpregnancy interval (IPI) following miscarriage < 6 months.
