Evaluation of the extreme pre-term newborn survival in a teaching hospital
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Abstract
Introduction: The care of extremely preterm newborns, especially those considered at the limit of viability, has been transformed in the last decades in order to increase the survival of these patients.
Objective • To describe the survival of extremely premature newborns reanimated in the delivery room at a university hospital. Methods: A retrospective cohort study was carried out based on the collection and analysis of data from records of newborns weighing less than 750g born between 2014 and 2015, at the University Hospital Antônio Pedro. The p-value was calculated by Fisher's Exact Test and Relative Risk, using software R. Results: The 24 patients in the sample had gestational ages between 23/5 and 31/4 weeks, mean birth weight of 596g and mean Apgar of 4 in the first minute and 7 in the fifth minute. A survival rate of 43.75% was identified between 23 and 27 (6/7) weeks, of 33.33% with birth weights below 500g and 42.9% with those born between 500g and 749g. The analysis did not present statistical significance. Conclusions: The results support resuscitation in the delivery room of preterm newborns and reinforce the need for further studies to support the decision and conduct of the neonatologist.
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