Clinical and Statistical Study of High Risk Infants. |
B K Chung, S K Kim, S O Byun, M H Shin, J S Oh |
Department of Pediatrics, Wallace Memorial Baptist Hospital, Busan, Korea |
고위험 신생아의 임상 및 통계적 고찰 |
정부권, 김승기, 변순옥, 신명호, 오지섭 |
왈레스기념 침례회병원 소아과 |
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Abstract |
Clinical study was done on 6,588 liveborn infants and 2,644 high risk infants who were born in WMBH during the period of 2 years from June 1980 to May 1982. The following results were obtained: 1)Of 6,588 liveborn infants 2,644, 40,1%, were born associated with high risk factors. The mortality rate was 1.47% in normal newborn infant. 2)High risk factors were in order of frequency; Cesarean section 1,312 cases (49.6%), prematurity 739 cases(27.9%), Toxemia of pregnancy 674 cases(25.5%), and Meconium stained amniotic fluid 628 cases(23.7%).
3)Antepartum care was received in 34.7% of high risk infant group and 79.3% of non-risk infant group. 4)The mortality rate was significantly different between high risk infant(3.4%) and non high risk infant(0.15%) except elective cesarean section, birth weight over 4,000 gm and PROM less than 24 hours. 5)The number of high risk infants who needed treatment at NICU were 1,052(15.9%) cases of 6,588 total live newborn, by Pierog criteria. The most of the high risk infants were premature babies, being 739 cases(70.2%). 6) The number of high risk infants who needed treatment at NICU were 358 cases(5.4%) of 6,588 total live newborn by Babson criteria. The most of the high risk infants were very immature being 153 cases (42.7%). 7)Classification of high, risk infants according to gestational age and birth weight by the criteria of Behrman and Babson revealed low risk group being 5,310 cases(82.6%), medium risk group being 887 cases(13.8%) and high risk group being 231 cases(3.6%).
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Key Words:
High risk infant, Neonatal intensive care unit |
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