0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Individualized Care, as Well as Intensive Care, May Reduce Morbidity Among Premature Infants

Jody W. Zylke, MD
JAMA. 1990;264(20):2611-2614. doi:10.1001/jama.1990.03450200017003.
Text Size: A A A
Published online

ABSTRACT

A NEONATAL intensive care unit is nothing like a womb. But perhaps it should be. Some investigators wonder if the stress of such a noisy, bright environment is contributing to the morbidity of premature infants.

Great strides have been made over the last decade in improving survival of low—birth-weight infants. For those infants who weigh 750 to 999 g, survival has increased from 50% to 82%; for those infants who weigh 500 to 750 g, survival has increased from 11% to 36%. And, with the recent licensing of surfactant, it is likely that these figures will continue to improve.

What Price Survival?  This good news is offset in part by concern about the health of the survivors. Studies of older "ex-premies" suggest that they have motor deficits, learning disorders, and behavioral and attention problems.In one study by Mary Bozynski, MD, a neonatologist at the University of Michigan, Ann Arbor,

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();