Objectives. To assess the risk of very low birth weight (VLBW) and extremely low birth weight (ELBW) attributable to second trimester amniocentesis. Methods. Records of 4,877 consecutive amniocentesis, performed between 1997 and 2003, were analyzed. Only VLBW and ELBW in the study population (exposed) and in the control group (unexposed) were evaluated. Comparisons were made between the amnioce...

The incremental costs incurred by VLBW (less than 1,500 grams) infants during the first year of life accounted for one-third of the $11.4 billion spent in the U.S. on health care. Developmental care for VLBW infants focuses on light and noise management, coordination of interventions to minimize sleep interruptions and positioning/bundling the infant to prevent disorganizaiton and promote self-...

OBJECTIVES To assess growth outcomes of VLBW infants using different growth references and to validate the practice of age adjustment for prematurity in the growth assessment for VLBW infants. METHODS Longitudinal growth data of 514 VLBW infants from 4 to 36 months of adjusted age were analyzed separately based on chronological and adjusted age and by comparison with three growth references. ...

OBJECTIVE Intrauterine and neonatal growth failure of very low birth weight (VLBW; <1500 g) infants may influence adult growth attainment and have long-term implications for adult health. As part of a longitudinal study of VLBW infants, we sought to examine gender-specific changes in growth from birth to 20 years old and to identify the correlates of growth attainment at 20 years old. DESIGN,...

AIM To compare the growth of very low birthweight (VLBW) children in early adolescence with that of their normal birthweight peers; to examine the role of factors contributing to growth-parental height, perinatal variables, bone maturity and sexual maturation; to examine the correlation between head growth and cognitive and educational outcome. METHODS Standing and sitting heights, weight, oc...

Neonatal sepsis remains one of the most important causes of death and co-morbidity in very-low-birth-weight (VLBW) infants. The aim of this study was to determine the current incidences of early-onset sepsis (EOS) and late-onset sepsis (LOS), the distribution of pathogens, and the impact of infection on co-morbidities in VLBW infants. We analyzed the data including sepsis episode from 2,386 VLB...

CONTEXT Little is known about the mental health outcomes of very low-birth-weight (VLBW) (< 1500 g) infants in young adulthood. OBJECTIVE To test whether young adults aged 18 to 27 years with VLBW differ from term control subjects in depressive symptoms, current use of antidepressant medication, and the rate of depression diagnosed by a physician. DESIGN Retrospective longitudinal study. ...

BACKGROUND Information on birth outcome among the Asian and Pacific Islander populations in the US is limited. This report examines the risks of moderately low (MLBW) and very low birthweight (VLBW) among six Asian subgroups (Chinese, Japanese, Fillipinos, Asian Indians, Koreans, Vietnamese) and three Pacific Islander subgroups (Hawaiians, Guamanians, Samoans) as compared with non-Hispanic whit...

OBJECTIVE To determine longitudinal outcomes and contributors to parental stress and coping in mothers of very low-birth-weight (VLBW) children. DESIGN Prospective cohort follow-up of high-risk VLBW children (n = 113), low-risk VLBW children (n = 80), and term children (n = 122) and their mothers from birth to 14 years. SETTING Recruitment from level III neonatal intensive care and term nur...

While mortality rates for VLBW infants have declined, there has been increasing concern about their long-term morbidity rates. A small proportion (10% to 15%) of VLBW infants are born with severe neurosensory handicaps such as blindness, deafness, or cerebral palsy, and 30-60% go on to show cognitive deficits, learning disabilities and language impairments. 1,2 VLBW children have been found to ...