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Obstetrical risk factors for focal intestinal perforation in very low birth weight infants
-
Yoshiyuki Nakajima
and
Tatsuo Yamamoto
Published/Copyright:
November 15, 2010
Abstract
Objective: Our objective was to determine the obstetrical risk for spontaneous focal intestinal perforation (FIP) in very low birth weight (VLBW) infants.
Methods: Eight mothers delivered infants who underwent laparotomy for FIP between 2001 and 2006 in our hospital. A retrospective case-control study of the eight case mothers and 32 control mothers was conducted. Clinical findings were retrospectively analyzed.
Results: There were significant differences in the frequency of oligohydramnios (P<0.01) and velamentous cord insertion (P<0.05) between cases and controls. The 1-min Apgar score was significantly lower in the FIP group than in the control group (P<0.05). Moreover, primigravidity was significantly associated with a risk of FIP.
Conclusions: The etiology of FIP may be related to changes in the blood circulation, such as fetal hypoxic-ischemic episodes or disturbance in the umbilical blood flow, during the antepartum and/or intrapartum periods.
Keywords: antepartum; hypoxic-ischemic; intestinal perforation; maternal risk; umbilical blood flow; very low birth weight infants
Received: 2010-4-4
Revised: 2010-8-10
Accepted: 2010-8-20
Published Online: 2010-11-15
Published Online: 2010-11-15
Published in Print: 2011-03-01
©2011 by Walter de Gruyter Berlin New York
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Keywords for this article
antepartum;
hypoxic-ischemic;
intestinal perforation;
maternal risk;
umbilical blood flow;
very low birth weight infants
Articles in the same Issue
- Recommendations and guidelines for perinatal practice
- Twin-to-twin transfusion syndrome (TTTS)*
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- Review article
- Weight gain and dietary intake during pregnancy in industrialized countries – a systematic review of observational studies
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- Clinical significance of oligohydramnios in patients with preterm labor and intact membranes*,**
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