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Why Do Babies Die?

Why Do Babies Die?. Elaine B. St. John, MD Division of Neonatology University of Alabama at Birmingham. Mortality by Country. Mortality by State. Mortality by Gestational Age. Termination/LAWR. Extreme Prematurity. CHD. RDS. PDA. Pulmonary hemorrhage. Chromosomal Abnormality. CLD.

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Why Do Babies Die?

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  1. Why Do Babies Die? Elaine B. St. John, MDDivision of NeonatologyUniversity of Alabama at Birmingham

  2. Mortality by Country

  3. Mortality by State

  4. Mortality by Gestational Age

  5. Termination/LAWR Extreme Prematurity CHD RDS PDA Pulmonary hemorrhage Chromosomal Abnormality CLD Other Anomaly/Sequence NEC PPHN MOSF Asphyxia/HIE IVH Unexplained Other Infection Causes of Death in Liveborns

  6. Effect of Maternal Steroids

  7. 100% Home, No O 2 O at 28d 2 Died PTD 80% Died <12 hrs 60% 40% 20% 0% 1991-2001 1991-2001 25-26wks 27-28wks Effect of Consensus Statement on Prenatal Steroids

  8. Alphabet Soup AOP Apnea of Prematurity, A&B BPD Bronchopulmonary Dysplasia CLD Chronic Lung Disease HIE Hypoxic Ischemic Encephalopathy IVH Intraventricular Hemorrhage NEC Necrotizing Enterocolitis PIE Pulmonary Interstitial Emphysema PPHN Persistent Pulm. Hypertension of the Newborn, PFC RDS Respiratory Distress Syndrome, HMD ROP Retinopathy of Prematurity, RLF

  9. Alphabet Soup?

  10. Annual Rates of Low Birth Weight, Preterm and Neonatal Mortality 1981 – 1998Single Live Births to U.S. Resident Mothers ?

  11. Survival & Births by GA 100% 30% 90% 25% 80% 70% Survival 20% 60% Distribution of Births Distribution of Births Survival 15% 50% 40% 10% 30% 20% 5% 10% 0% 0% 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 GA (wks)

  12. Livebirth Causes of Death

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