Dr. Eva Rita Czemmel, Dr. Istvan Kocsis PhD, Prof. Dr. Nandor Acs,
Department of Obstetrics and Gynecology, Semmelweis University, Budapest
Introduction: Infant mortality rate is an important statistical data describing the level of a country’s health and socioeconomic status. Premature birth is the biggest contributor to death under 1 year of age in developed countries. Between 2013 and 2017 there was a 30% decrease in infant mortality in Hungary.
Aim: There has been a substantial change in the last 5 years in neonatal intensive care at our Department including the introduction of a non-invasive approach in delivery room stabilisation, in respiratory care and in surfactant administration. Furthermore, a strong cooperation has been established between neonatal and obstetrics services to prevent prematurity and for the optimisation of time of premature births in pathological cases of Very Low Birth Weight (VLBW) neonates.
Method: Our presentation compares the statistics of mortality and morbidity of VLBW infants born before (2012, n=100) and after (2016, n=111; 2017, n=101) the introduction of the new concept. Gestational age, anthropometric parameters, parameters of respiratory care modes and incidence of surfactant administration, and the incidence of Bronchopulmonary Dysplasia (BPD) were compared retrospectively.
Results: Mechanical ventilation was administered for 687 days in 2012, 365 days in 2016 and 189 days in 2017. Surfactant administration was needed in 82 cases in 2012, 63 cases in 2016 and 58 cases in 2017. The average gestational age was changed from 28,6±3,25 to 29,6±2,8 weeks in years 2012 and 2017 respectively. The average gestational weight was also elevated from 1056±306 to 1196±289 grams in years 2012 and 2017.
Conclusion: The team work between obstetricians and neonatologists and introduction of non-invasive neonatal intensive care resulted in significantly decreased in the incidence of BPD, as well as mortality rates from 14% in 2012 to 1% in 2017 in our Neonatal Intensive Centre.
Doctoral School: Clinical Medicine
Program: Clinical application of basic science results
Supervisor: Istvan Kocsis, Nandor Ács,
E-mail address: email@example.com