Impact of Meconium Obstruction-Related Risk Factors on Surgical Intervention in Very Low Birth Weight Infants
Neonatal Medicine
;
: 84-91, 2015.
Article
in English
| WPRIM
| ID: wpr-125636
ABSTRACT
PURPOSE:
This study investigated the risks of development and surgical complications of meconium obstruction (MO) in very low birth weight (VLBW) infants.METHODS:
We performed a retrospective medical record review of VLBW infants admitted to the neonatal intensive care unit of Haeundae Paik hospital and diagnosed with MO of prematurity (MOP) between March 2010 and August 2013.RESULTS:
Of 267 VLBW infants admitted to the neonatal intensive care unit, 28 were diagnosed with MOP. Perinatal factors including maternal pregnancy-induced hypertension and small for gestational age were associated with MOP development (P<0.05). Over two-thirds of VLBW infants with MOP were successfully treated with a gastrografin enema. The remaining eight VLBW infants required surgery. Although small for gestational age was more frequent in the medical treatment group, specific risk factors associated with MOP development did not affect the need for surgical intervention.CONCLUSION:
MOP is common in VLBW infants, as most VLBW infants have risk factors for MOP. Identifying risk factors permits early diagnosis and initiation of appropriate medical treatment, reducing the necessity for surgery. However, the presence of specific risk factors does not increase risk of surgical complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Diatrizoate Meglumine
/
Intensive Care, Neonatal
/
Medical Records
/
Retrospective Studies
/
Risk Factors
/
Gestational Age
/
Infant, Very Low Birth Weight
/
Early Diagnosis
/
Hypertension, Pregnancy-Induced
/
Enema
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Female
/
Humans
/
Infant
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Neonatal Medicine
Year:
2015
Type:
Article
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