Abdulkadir I, Hassan L, Abdullahi F, Sobowale A M, Akeredolu F D, Purdue S, Okpe M, Adewumi O A, Abdullahi U, Onadiran M A, Ogala W N
Neonatal Unit Department of Paediatrics, Ahmadu Bello University/Teaching Hospital Shika, Zaria, Kaduna State, Nigeria.
West Afr J Med. 2015 Jan-Mar;34(1):50-4.
Survival among extremely low birth weight (ELBW) babies (birth weight below 1000grams) in resource limited settings is still very low. The study aimed to determine the correlation between materno-foetal factors and outcome in this category of neonates.
A retrospective study in which patients' records admitted into the Neonatal Unit of Ahmadu Bello University Teaching Hospital between January 2005 and December 2014 were retrieved. Information on neonates weighing < 1000 g were extracted and analyzed. Survival at discharge was the primary outcome.
The overall survival rate of extremely low birth weight babies was 18%. Mortality in ELBW neonates weighing less than 750g was 100%. Factors that were significantly predictive of survival were birth weight, parity and duration of hospital stay with p-values of 0.014, 0.039 and 0.025 respectively
The survival rate of ELBW babies remains low in our resource constrained setting. Focus should be on preventing preterm deliveries and as well equipping newborn care providers and newborn units with the necessary skills and materials respectively to enable implementation of evidence based interventions to improve newborn survival.
在资源有限的环境中，极低出生体重（ELBW，出生体重低于1000克）婴儿的存活率仍然很低。本研究旨在确定此类新生儿的母婴因素与预后之间的相关性。
一项回顾性研究，检索了2005年1月至2014年12月期间入住阿哈穆杜·贝洛大学教学医院新生儿科的患者记录。提取并分析了体重<1000克的新生儿的信息。出院时的存活率是主要结局。
极低出生体重婴儿的总体存活率为18%。体重小于750克的ELBW新生儿死亡率为100%。显著预测存活的因素是出生体重、产次和住院时间，p值分别为0.014、0.039和0.025。
在我们资源有限的环境中，ELBW婴儿的存活率仍然很低。应重点预防早产，并分别为新生儿护理人员和新生儿病房配备必要的技能和物资，以实施基于证据的干预措施，提高新生儿存活率。
