Department of Pediatrics, Medical College, Kolkata, India.
Indian J Pediatr. 2009 Sep;76(9):937-9. doi: 10.1007/s12098-009-0185-z. Epub 2009 Nov 4.
The study was conducted to find out whether there is any significant difference in outcome if low birth weight babies weighing between 1500g and 1800g are managed by keeping them with their mothers, i.e., without special care neonatal unit (SCNU) admission.
It was a retrospective study for which data was collected from past medical record section of 6 months duration from 01.07.06 to 31.12.06, Medical College, Kolkata. The subject of the study was babies born with weight between 1500g and 2000g, divided into 2 groups. Group A representing babies born between weight 1500g and 1800g, groups B representing babies born between 1801g and 2000g. The groups were compared with regard to four variable namely average material age, sex of the babies, singleton or twin pregnancy, mode of delivery and gestational maturity. Test of one proportion was used for statistical analysis of outcome.
Total number of live born babies in group A were 198 and in group B 223. Two group were comparable with respect to average maternal age (23.7 yr), sex distribution, singleton or twin pregnancy and number of cesarian section or vaginal delivery and proportion of small for gestational age (SGA) babies. In both the group 13 babies required SCNU admission after being given to their mothers in the postnatal ward. No significant difference in outcome was observed between the groups.
We conclude that the recommended guidelines for giving institutional care to babies below 1800g may be lowered down to 1500g. However, more babies should be evaluated prospectively, over a longer duration of time, before changing the standard guidelines.
本研究旨在探讨出生体重为 1500g 至 1800g 的低体重儿是否在与母亲同室（即无需入住新生儿特别护理病房）的情况下进行管理，其结果是否存在显著差异。
这是一项回顾性研究，数据收集自 2006 年 7 月 1 日至 12 月 31 日的 6 个月期间，来自加尔各答医学院的过去的医疗记录部分。研究对象为出生体重在 1500g 至 2000g 之间的婴儿，分为两组。A 组代表出生体重在 1500g 至 1800g 之间的婴儿，B 组代表出生体重在 1801g 至 2000g 之间的婴儿。对两组在以下四个变量方面进行比较，即平均胎龄、婴儿性别、单胎或双胎妊娠、分娩方式和胎龄成熟度。采用单样本比例检验对结果进行统计分析。
A 组的活产婴儿总数为 198 例，B 组为 223 例。两组在平均母亲年龄（23.7 岁）、性别分布、单胎或双胎妊娠以及剖宫产或阴道分娩的比例以及小于胎龄儿（SGA）的比例方面具有可比性。在两组中，都有 13 例婴儿在产后病房与母亲同室后需要入住新生儿特别护理病房。两组之间的结果无显著差异。
我们的结论是，为 1800g 以下的婴儿提供机构护理的建议指南可以降低至 1500g。然而，在改变标准指南之前，应该对更多的婴儿进行前瞻性、更长时间的评估。
