Very low birth weight children at school age: Comparison of neonatal management methods

Abstract

The outcome of 293 infants born to a geographically defined community and weighing 501–1500 g was investigated. Medical intervention in the newborn period had been avoided. Morbidity was assessed at school age. Of the infants, 236 had been live born in the labour ward of this hospital; of these, 117 (49-6%) died in the neonatal period, one (0-4%) died in the first year, four (1.7%) were untraced, 13 (5.5%) had major handicap, 29 (12.3%) had minor handicap, and 72 (30.5%) were considered to be normal. In terms of survival, handicap, and intellectual capacity at school age the outcome compared favourably with that of infants born over the same period (1963–71) in areas where intensive methods of perinatal care were used. These results imply that postnatal survival and potential of infants of very low birth weight are by no means prejudiced when only experienced nursing care is available. © 1980, British Medical Journal Publishing Group. All rights reserved.