Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case Series
Reports on the birth of infants weighing <300 g are quite rare and little is known about the best practices in treating such micropreemies. Therefore, we report here on three cases of low birthweight infants weighing <300 g, of whom two infants survived. The birthweights and gestationa...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-12-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.758683/full |
| _version_ | 1818404237942456320 |
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| author | Yoshihiko Shitara Satsuki Kakiuchi Takeo Mukai Kohei Kashima Motohiro Kato Naoto Takahashi |
| author_facet | Yoshihiko Shitara Satsuki Kakiuchi Takeo Mukai Kohei Kashima Motohiro Kato Naoto Takahashi |
| author_sort | Yoshihiko Shitara |
| collection | DOAJ |
| description | Reports on the birth of infants weighing <300 g are quite rare and little is known about the best practices in treating such micropreemies. Therefore, we report here on three cases of low birthweight infants weighing <300 g, of whom two infants survived. The birthweights and gestational ages were ranging 279–293 g and 22 + 6/7 – 23 + 6/7 weeks, respectively. All the infants had severe fetal growth restriction and prematurity. The infant in case 1 died of hepatic rupture, perhaps due to birth trauma, which emphasized the need for less invasive obstetric procedures including en caul delivery. The infant in case 2 managed to survive through severe prematurity secondary to hydrops fetalis. However, complications followed soon as tracheal granulation tissue was formed with neurodevelopmental impairment. The infant in case 3 was born recently and her clinical course was less remarkable without severe complications, despite having the least gestational age and birthweight among the three patients. The improved care protocols for extremely low birthweight infants over these years through experiential learning including that with cases 1 and 2 may have ensured the better outcome of case 3. Accumulating evidence and recording the experience of such cases with continuous constructive discussion can contribute to better outcomes and appropriate parental counseling for extremely small babies in the future. |
| first_indexed | 2024-12-14T08:36:58Z |
| format | Article |
| id | doaj.art-c1805ae69b8e4a4c8d0cb3c26bcd04ce |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-14T08:36:58Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-c1805ae69b8e4a4c8d0cb3c26bcd04ce2022-12-21T23:09:24ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-12-01910.3389/fped.2021.758683758683Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case SeriesYoshihiko ShitaraSatsuki KakiuchiTakeo MukaiKohei KashimaMotohiro KatoNaoto TakahashiReports on the birth of infants weighing <300 g are quite rare and little is known about the best practices in treating such micropreemies. Therefore, we report here on three cases of low birthweight infants weighing <300 g, of whom two infants survived. The birthweights and gestational ages were ranging 279–293 g and 22 + 6/7 – 23 + 6/7 weeks, respectively. All the infants had severe fetal growth restriction and prematurity. The infant in case 1 died of hepatic rupture, perhaps due to birth trauma, which emphasized the need for less invasive obstetric procedures including en caul delivery. The infant in case 2 managed to survive through severe prematurity secondary to hydrops fetalis. However, complications followed soon as tracheal granulation tissue was formed with neurodevelopmental impairment. The infant in case 3 was born recently and her clinical course was less remarkable without severe complications, despite having the least gestational age and birthweight among the three patients. The improved care protocols for extremely low birthweight infants over these years through experiential learning including that with cases 1 and 2 may have ensured the better outcome of case 3. Accumulating evidence and recording the experience of such cases with continuous constructive discussion can contribute to better outcomes and appropriate parental counseling for extremely small babies in the future.https://www.frontiersin.org/articles/10.3389/fped.2021.758683/fullextremely preterm infantsextremely low birthweight infantsbirthweight below 300 gfetal growth restrictionen caul deliveryobstetric complications |
| spellingShingle | Yoshihiko Shitara Satsuki Kakiuchi Takeo Mukai Kohei Kashima Motohiro Kato Naoto Takahashi Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case Series Frontiers in Pediatrics extremely preterm infants extremely low birthweight infants birthweight below 300 g fetal growth restriction en caul delivery obstetric complications |
| title | Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case Series |
| title_full | Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case Series |
| title_fullStr | Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case Series |
| title_full_unstemmed | Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case Series |
| title_short | Case Report: Treatment of Extremely Preterm Infants With Birthweight Below 300 g: Case Series |
| title_sort | case report treatment of extremely preterm infants with birthweight below 300 g case series |
| topic | extremely preterm infants extremely low birthweight infants birthweight below 300 g fetal growth restriction en caul delivery obstetric complications |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.758683/full |
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