Research News: More babies being given a fighting chance

NICU Thewomens

CRE in Newborn Medicine Director Professor Jeanie Cheong has published findings in BMJ Open showing that survival rates of extremely premature babies has gone up by nearly 20 per cent since the early 1990s, thanks to advances in clinical practice, research and technology.

Evidence from the Victorian Infant Collaborative Study (VICS), led by the Royal Women’s Hospital, also found that extremely premature babies stayed on breathing support for three times as long as they did in the early 1990s – an outcome of the new ways in which clinicians are now helping babies breathe.

  • Survival to discharge home increased (68% (1991-92) to 87% (2016-17))
  • Median duration of breathing support increased from 22 days (1991-92) to 66 days (2016-17)
  • 1,001 babies born extremely preterm (22-27 weeks’ gestation) at four Victorian tertiary hospitals over the past 25 years have taken part.

This is the latest in a collection of VICS sub-studies contributing to state-wide guidelines for clinicians in providing care for extremely premature babies, due to be published in the coming months.

Professor Jeanie Cheong, who leads the study and is a neonatologist at the Women’s, said the evidence represents the success of the clinicians who over time have been able to help more of the tiniest and sickest of babies. 

“Data from the past 25 years has allowed us to look at how, over time, care has improved for Victoria’s youngest and most vulnerable patients – and survival rates have gone up.

“The introductions of technology such as nasal high flow – a non-invasive breathing treatment for babies – and the associated research by clinicians at the Women’s, mark major steps forward in neonatal care.

“It’s the new technologies and research that give our clinicians the confidence to give these babies a fighting chance in the delivery room. 

“At the Women’s we see more than 2,000 babies admitted to our neonatal intensive care unit and special care every year – these are the babies who are born too soon, too small or need additional care. Many of these families generously choose to be part of our research, and it’s with their help over the years that we are able to translate the findings into improved clinical care.”

Story originally published by The Royal Womens Hospital here :

BMJ Open: 

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