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Related to ELBW: very low birth weight
ELBWExtremely Low Birth Weight
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Prematurity is the driver of neonatal deaths in the country, with those born weighing <1 000 grams (ELBW) contributing significantly to the mortality figures.
The aims of this study were to quantify the amount of protein intake and compare growth parameters at hospital discharge (as measured by discharge weight and head circumference percentiles) when using two different methodologies (birth weight versus current daily weight until birth weight is regained) for calculating fluid and protein intake in the first two weeks after birth in ELBW infants.
[27] questioned these findings for ELBW neonates, as the use of Tochen's formula would result in excessively deep insertions of ETT, in that subgroup.
The Victorian Infant Collaborative Study Group included in their study extremely preterm or ELBW infants who underwent surgery and required general anesthesia during their primary hospitalization.
Considering the infants enrolled in the Canadian study were more premature than those in our study, the higher incidence of ROP in our study implicates the need for optimizing neonatal care for ELBW infants in developing countries.
The following variables were taken into consideration: MDI, PDI, and BRS, according to the BSID-II (as outcome measures); and days of gestational age (GA), birth weight (BW), categories of preterm infants on the basis of BW (VLBW and ELBW), categories on the basis of size versus GA (appropriate for GA, AGA, and small for G, SGA), head circumference (HC), 1-minute Apgar score (1'-AS) and 5-minute Apgar score (5'-AS), levels of severity on the basis of cranial ultrasound (CU) reports, presence or absence of bronchopulmonary dysplasia (BPD), and days of mechanical ventilation (MV) (as possible treatment-modifying factors).
The spontaneous closure of PDA during early postnatal life in 35% of ELBW infants and in 70% of infants with GA greater than 28 weeks has been demonstrated in a prospective studyby Koch et al.
One possible reason is that maternal/general hospitals have more percentage of preterm or VLBW neonates, which has raised a challenge of reducing neonatal mortality.[sup][1] Our another study about the mortality of extremely low birth weight (ELBW) infants showed that the maternal/general hospitals have a lower survival rate than pediatric hospitals.[sup][28] Another possible reason might be the higher incidence of pregnancy complications and multiple pregnancies in maternal/general hospitals.
Head circumference in ELBW babies is associated with learning difficulties and cognition but not ADHD in the school-aged child.
Low birth weight (LBW) infants are live born infants with birth weight less than 2500gm regardless of gestational age.1 There are three subclasses: 1501-2500gm LBW, 1001-1500gm very low birth weight (VLBW), and less than or equal 1000 gm extremely low birth weight (ELBW).2
Our goal at Children's Hospital of Orange County (CHOC Children's) is to ensure that extremely-low-birthweight (ELBW) babies not only survive, but that they do so with fewer long-term complications.
Neurobehavioral assessment predicts differential outcome between VLBW and ELBW preterm infants.