[The Stepwise Care of Very Low Birth Weight Infants in Germany and Internationally].

Z Geburtshilfe Neonatol 2019 Apr 17. Epub 2019 Apr 17.

Kompetenz-Centrum Qualitätssicherung / Qualitätsmanagement, MDK Baden-Württemberg, Stuttgart.

Objective: In Germany the care of newborn infants is regulated by directives of the Federal Joint Committee. Assignment to the four levels of care, with level 1 being the highest level, is based on maternal risk factors, maternal and fetal diseases, birth weight and gestational age. This article compares birth weight and gestational age limits used in Germany with international regulations.

Methods: A manual search of websites of medical societies and regulative bodies in Europe, Northern America and Australia for regulations and guidelines was performed.

Results: Outside of Germany, level 1 is the lowest level of care. 2 to 7 levels are used. In Germany a birth weight<1250 g and a gestational age<29+0 weeks of gestation require treatment at the highest level. Internationally, the assignment to the highest level is most frequently defined by a birth weight of 1250 g or 1500 g. Birth weight is often associated with gestational age. The American Academy of Pediatrics refers to a meta-analysis in which the mortality was significantly lower if preterm infants with less than 1500 g and 32+0 weeks of gestation were born and treated in a highly specialized hospital.

Conclusions: Birth weight and gestational age limits for the assignment of preterm infants to different levels of care are internationally inhomogeneous. Only one guideline provides a scientific justification for the assignment rules.

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/a-0868-2513
Publisher Site
http://dx.doi.org/10.1055/a-0868-2513DOI Listing

Still can't find the full text of the article?

We can help you send a request to the authors directly.
April 2019
9 Reads

Publication Analysis

Top Keywords

birth weight
16
gestational age
8
weight gestational
8
germany
5
factors maternal
4
maternal fetal
4
fetal diseases
4
diseases birth
4
risk factors
4
america australia
4
age article
4
regulations guidelines
4
highest level
4
care level
4
level based
4
based maternal
4
australia regulations
4
maternal risk
4
level
4
article compares
4

Similar Publications