Cargando…
How to survive a periviable birth baby with birth weight of 450g: A case report
An increasing number of periviable birth newborns (PVBs) have emerged with concurrent growing high-risk pregnancy. To date, postnatal management of PVBs remains one of the most challenging issues and limited studies have been reported. PATIENT CONCERNS: A female baby born at 23(0/7) weeks of gestati...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592289/ https://www.ncbi.nlm.nih.gov/pubmed/36281089 http://dx.doi.org/10.1097/MD.0000000000031356 |
_version_ | 1784814890799595520 |
---|---|
author | Tang, Binzhi Ling, Qiying Yang, Qian Li, Maojun Shi, Wei Wu, Qing |
author_facet | Tang, Binzhi Ling, Qiying Yang, Qian Li, Maojun Shi, Wei Wu, Qing |
author_sort | Tang, Binzhi |
collection | PubMed |
description | An increasing number of periviable birth newborns (PVBs) have emerged with concurrent growing high-risk pregnancy. To date, postnatal management of PVBs remains one of the most challenging issues and limited studies have been reported. PATIENT CONCERNS: A female baby born at 23(0/7) weeks of gestation with birth weight of 450g. DIAGNOSIS: PVB baby, respiratory distress syndrome (RDS), ventilator associated pneumonia (VAP), intraventricular hemorrhage (IVH), metabolic bone disease of prematurity (MBDP), transient hypothyroxinemia of prematurity (THOP), bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP). INTERVENTIONS: Individualized treatment and intensive care, including neonatal resuscitation, effective respiratory and circulatory support, venous access and nutrition, prevention and treatment of infection, management of endocrine and metabolic problems, individualized nursing such as developmental supportive care, integrated oral motor interventions, skin care, family-integrated-care, etc were performed according to existing literature. OUTCOMES: The baby was discharged home after 138 days of hospitalization with body weight of 2700 g, a full oral feed achieved, and without any requirement of respiratory support or oxygen supply. Now she is 38-month-old, with no significant long-term adverse sequelae. LESSONS: Our case expands the experience and knowledges of individualized and intensive management of PVB babies in their early life days, which increase PVBs’ survival and improves their prognosis. |
format | Online Article Text |
id | pubmed-9592289 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-95922892022-10-25 How to survive a periviable birth baby with birth weight of 450g: A case report Tang, Binzhi Ling, Qiying Yang, Qian Li, Maojun Shi, Wei Wu, Qing Medicine (Baltimore) 6200 An increasing number of periviable birth newborns (PVBs) have emerged with concurrent growing high-risk pregnancy. To date, postnatal management of PVBs remains one of the most challenging issues and limited studies have been reported. PATIENT CONCERNS: A female baby born at 23(0/7) weeks of gestation with birth weight of 450g. DIAGNOSIS: PVB baby, respiratory distress syndrome (RDS), ventilator associated pneumonia (VAP), intraventricular hemorrhage (IVH), metabolic bone disease of prematurity (MBDP), transient hypothyroxinemia of prematurity (THOP), bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP). INTERVENTIONS: Individualized treatment and intensive care, including neonatal resuscitation, effective respiratory and circulatory support, venous access and nutrition, prevention and treatment of infection, management of endocrine and metabolic problems, individualized nursing such as developmental supportive care, integrated oral motor interventions, skin care, family-integrated-care, etc were performed according to existing literature. OUTCOMES: The baby was discharged home after 138 days of hospitalization with body weight of 2700 g, a full oral feed achieved, and without any requirement of respiratory support or oxygen supply. Now she is 38-month-old, with no significant long-term adverse sequelae. LESSONS: Our case expands the experience and knowledges of individualized and intensive management of PVB babies in their early life days, which increase PVBs’ survival and improves their prognosis. Lippincott Williams & Wilkins 2022-10-21 /pmc/articles/PMC9592289/ /pubmed/36281089 http://dx.doi.org/10.1097/MD.0000000000031356 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 6200 Tang, Binzhi Ling, Qiying Yang, Qian Li, Maojun Shi, Wei Wu, Qing How to survive a periviable birth baby with birth weight of 450g: A case report |
title | How to survive a periviable birth baby with birth weight of 450g: A case report |
title_full | How to survive a periviable birth baby with birth weight of 450g: A case report |
title_fullStr | How to survive a periviable birth baby with birth weight of 450g: A case report |
title_full_unstemmed | How to survive a periviable birth baby with birth weight of 450g: A case report |
title_short | How to survive a periviable birth baby with birth weight of 450g: A case report |
title_sort | how to survive a periviable birth baby with birth weight of 450g: a case report |
topic | 6200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592289/ https://www.ncbi.nlm.nih.gov/pubmed/36281089 http://dx.doi.org/10.1097/MD.0000000000031356 |
work_keys_str_mv | AT tangbinzhi howtosurviveaperiviablebirthbabywithbirthweightof450gacasereport AT lingqiying howtosurviveaperiviablebirthbabywithbirthweightof450gacasereport AT yangqian howtosurviveaperiviablebirthbabywithbirthweightof450gacasereport AT limaojun howtosurviveaperiviablebirthbabywithbirthweightof450gacasereport AT shiwei howtosurviveaperiviablebirthbabywithbirthweightof450gacasereport AT wuqing howtosurviveaperiviablebirthbabywithbirthweightof450gacasereport |