HOW SMALL IS TOO SMALL AND HOW EARLY IS TOO EARLY - A SURVEY OF AMERICAN OBSTETRICIANS SPECIALIZING IN HIGH-RISK PREGNANCIES

被引：17

作者：

AMON, E ^{[1
]}

SHYKEN, JM ^{[1
]}

SIBAI, BM ^{[1
]}

机构：

[1] UNIV TENNESSEE,DEPT OBSTET & GYNECOL,DIV MATERNAL FETAL MED,SUITE E102,853 JEFFERSON AVE,MEMPHIS,TN 38103

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 1992年 / 9卷 / 01期

关键词：

D O I：

10.1055/s-2007-994662

中图分类号：

R71 [妇产科学];

学科分类号：

100211 [妇产科学];

摘要：

Four hundred and five Maternal-Fetal Medicine specialists were surveyed to determine their clinical opinions regarding intrapartum management of the severely preterm fetus requiring delivery. Intrapartum fetal heart rate monitoring was initiated at 23, 24, and 25 weeks' gestation by 10%, 43%, and 66% of respondents, respectively. Cesarean section was not performed at less than 24 weeks' gestation or less than 500 gm fetal weight. Ninety percent of respondents were willing to perform cesarean section for fetal distress or breech presentation at 26 weeks' gestation or 750 gm fetal weight. Delivery management prior to 26 weeks' gestation or for fetuses smaller than 750 gm was variable and appeared to be individualized. Due to inherent uncertainty regarding appropriate management and observed variability of response, we conclude that studies be performed to assess objectively safety and efficacy of cesarean section for fetal indications at less than 26 weeks' gestation or less than 750 gm estimated fetal weight.

引用

页码：17 / 21

页数：5

共 35 条

[1]

Stewart A.L., Reynolds E.O.R., Lipscomb A.P., Outcome for infants of very low birthweight: survey of world literature, Lancet, 1, pp. 1038-1041, (1981)

[2]

Hack M., Fanaroff A.A., Changes in the delivery room care of the extremely small infant (#x003C

[3]

750 g): Effects on morbidity and outcome, N Engl J Med, 314, pp. 660-664, (1986)

[4]

Benneil F.C., Robinson N.M., Sells C.J., Growth and development of infants weighing less than MOO grams at birth, Pediatrics, 71, pp. 319-323, (1983)

[5]

Buckwald S., Zorn W.A., Egan E.A., Mortality and follow-up data for neonates weighing 500–800 g at birth, Am J Dis Child, 138, pp. 779-782, (1984)

[6]

Driscoll J.M., Oracoli Y.T., Steir M.E., Et al., Mortality and morbidity in infants less than 1001 grams birth weight, Pediatrics, 69, pp. 21-26, (1982)

[7]

Hirata T., Epcar J.T., Walsh A., Et al., Survival and outcome of infants 501 to 750 gm: A six year experience, J Pediatr, 102, pp. 741-748, (1983)

[8]

Kwong M.S., Egan E.A., Reduced incidence of hyaline membrane disease in extremely premature infants following delay of delivery in mother with preterm labor: Use of ritodrine and betamethasone, Pediatrics, 78, pp. 767-774, (1986)

[9]

Saigal S., Rosenbaum P., Stoskopf B., Sinclair J.C., Outcome in infants 501 to 1000 gm birth weight delivered to residents of the McMasrer Health Region, J Pediatr, 105, pp. 969-976, (1984)

[10]

Stahlman M.T., Newborn intensive care: Success or failure?, J Pediatr, 105, pp. 102-167, (1984)

← 1 2 3 4 →