All issues > Volume 27(1); 1984

Original Article

J Korean Pediatr Soc. 1984;27(1):9-18. Published online January 31, 1984.

Clinical and Statistical Study of High Risk Infants.

B K Chung, S K Kim, S O Byun, M H Shin, J S Oh

¹Department of Pediatrics, Wallace Memorial Baptist Hospital, Busan, Korea

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%).

Keywords :High risk infant;Neonatal intensive care unit