Sobrevida, viabilidad y pronóstico del prematuro

An heterogeneous group of newborns with different gestational ages, birth weight, nutritional status and different risks of morbidity and mortality are classified as premature. Therefore the definition of premature children subgroups is mandatory. Very low weight premature babies are those with a bi...

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Autores principales: Hübner G,María Eugenia, Ramírez F,Rodrigo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2002
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000800015
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spelling oai:scielo:S0034-988720020008000152014-08-21Sobrevida, viabilidad y pronóstico del prematuroHübner G,María EugeniaRamírez F,Rodrigo Infant mortality Infant, premature Infant, very low birth weight An heterogeneous group of newborns with different gestational ages, birth weight, nutritional status and different risks of morbidity and mortality are classified as premature. Therefore the definition of premature children subgroups is mandatory. Very low weight premature babies are those with a birth weight of less than 1500 g. In Chile, they correspond to 0.9% of newborns and they contribute to neonatal mortality with 50 to 70% and to infantile mortality, with 25 to 30%. Survival of extremely premature babies has improved significantly in the last decades, due to a better perinatal care, the appearance of neonatal intensive care units, the routine use of mechanical ventilation, the perinatal use of steroids and the introduction of exogenous surfactant. However, survival varies considerably according to the place of birth, birth weight and gestational age and may be associated with different degrees of physical and mental disability. The imminent birth of a child in the limit of viability will require complex and difficult ethical decisions. There is consensus that the limit of viability is 23 weeks and that it fluctuates between 24 and 26 weeks in different parts of the world (Rev Méd Chile 2002; 130: 931-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.130 n.8 20022002-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000800015es10.4067/S0034-98872002000800015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Infant mortality
Infant, premature
Infant, very low birth weight
spellingShingle Infant mortality
Infant, premature
Infant, very low birth weight
Hübner G,María Eugenia
Ramírez F,Rodrigo
Sobrevida, viabilidad y pronóstico del prematuro
description An heterogeneous group of newborns with different gestational ages, birth weight, nutritional status and different risks of morbidity and mortality are classified as premature. Therefore the definition of premature children subgroups is mandatory. Very low weight premature babies are those with a birth weight of less than 1500 g. In Chile, they correspond to 0.9% of newborns and they contribute to neonatal mortality with 50 to 70% and to infantile mortality, with 25 to 30%. Survival of extremely premature babies has improved significantly in the last decades, due to a better perinatal care, the appearance of neonatal intensive care units, the routine use of mechanical ventilation, the perinatal use of steroids and the introduction of exogenous surfactant. However, survival varies considerably according to the place of birth, birth weight and gestational age and may be associated with different degrees of physical and mental disability. The imminent birth of a child in the limit of viability will require complex and difficult ethical decisions. There is consensus that the limit of viability is 23 weeks and that it fluctuates between 24 and 26 weeks in different parts of the world (Rev Méd Chile 2002; 130: 931-8)
author Hübner G,María Eugenia
Ramírez F,Rodrigo
author_facet Hübner G,María Eugenia
Ramírez F,Rodrigo
author_sort Hübner G,María Eugenia
title Sobrevida, viabilidad y pronóstico del prematuro
title_short Sobrevida, viabilidad y pronóstico del prematuro
title_full Sobrevida, viabilidad y pronóstico del prematuro
title_fullStr Sobrevida, viabilidad y pronóstico del prematuro
title_full_unstemmed Sobrevida, viabilidad y pronóstico del prematuro
title_sort sobrevida, viabilidad y pronóstico del prematuro
publisher Sociedad Médica de Santiago
publishDate 2002
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872002000800015
work_keys_str_mv AT hubnergmariaeugenia sobrevidaviabilidadypronosticodelprematuro
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