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The male disadvantage in very low birthweight infants: Does it really exist?

  • Neonatology
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Abstract

In a nationwide collaborative study in the Netherlands, perinatal and follow up data were collected on 1338 liveborn very preterm (<32 weeks) and/or very low birth-weight (VLBW) infants (<1500g). In this group, the mortality risk was similar for both male and female infants. The handicap risk, however, was significantly greater for boys than for girls. This finding could not be explained as being due to the well-known delay in lung maturation in male infants as in idiopathic respiratory distress syndrome and need of assisted ventilation.

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Abbreviations

CI:

confidence interval

IRDS:

idiopathic respiratory distress syndrome

OR:

odds ratio

VLBW:

very low birth weight

References

  1. Bax M (1982) Looking at learning disorders. Dev Med Child Neurol 24:731–732

    PubMed  Google Scholar 

  2. Berman SM, Binkin NJ, Hogue CJR (1987) Assessing sex differences in neonatal survival: a study of discordant twins. Int J Epidemiol 16:436–440

    PubMed  Google Scholar 

  3. Bjerkedal T, Bakketeig L, Lehmann EH (1973) Percentiles of birth weights of single, live births at different gestation periods. Acta Paediatr Scand 62:449–457

    PubMed  Google Scholar 

  4. Bor M van de, Verloove-Vanhorick SP, Brand R, Keirse MJNC, Ruys JH (1988) Incidence and prediction of periventricular-intraventricular hemorrhage in very preterm infants. J Perinat Med 15: 333–339

    Google Scholar 

  5. Bor M van de, Verloove-Vanhorick SP, Baerts W, Brand R, Ruys JH (1988) Outcome of periventricular-intraventricular hemorrhage at 2 years of age in 484 very preterm infants admitted to 6 neonatal intensive care units in the Netherlands. Neuropediatrics 19:183–185

    PubMed  Google Scholar 

  6. Brothwood M, Wolke D, Gamsu H, Benson J, Cooper D (1986) Prognosis of the very low birthweight baby in relation to gender. Arch Dis Child 61:559–564

    PubMed  Google Scholar 

  7. Drillien CM, Thomson AJM, Burgoyne K (1980) Low-birthweight children at early school-age: a longitudinal study. Dev Med Child Neurol 22:26–47

    PubMed  Google Scholar 

  8. Heinonen K, Hakulinen A, Jokela V (1988) Time trends and determinants of mortality in a very preterm population during the 1980s. Lancet II:204–207

    Google Scholar 

  9. Henderson SE, Hall D (1982) Concomitants of clumsiness in young school children. Dev Med Child Neurol 24:448–460

    PubMed  Google Scholar 

  10. Hogue CJR, Buehler JW, Strauss LT, Smith JC (1987) Overview of the national infant mortality surveillance (NIMS). Public Health Rep 102:126–138

    PubMed  Google Scholar 

  11. Jakobovits A, Jakobovits AA, Viski A (1987) Sex ratio of the stillborn fetuses and neonates dying in the first week. Early Hum Dev 15:131–135

    PubMed  Google Scholar 

  12. Khoury MJ, Marks JS, McCarthy BJ, Zaro SM (1985) Factors affecting the sex differential in neonatal mortality: the role of respiratory distress syndrome. Am J Obstet Gynecol 151:777–782

    PubMed  Google Scholar 

  13. Kloosterman GJ (1969) On intrauterine growth and the intrauterine growth curve (Dutch). Mdschr v Kindergnk 37:209–225

    Google Scholar 

  14. Kloosterman GJ (1970) On intrauterine growth. Int J Gynaecol Obstet 8:895–912

    Google Scholar 

  15. Kollée LAA, Eskes TKAB, Koppes JEP (1984) Regionalised perinatal care for the small newborn (Dutch). Medisch Contact 35:1115–1117

    Google Scholar 

  16. Lindahl E (1987) Motor performance of neonatal risk and nonrisk children at early school-age. Acta Paediatr Scand 76:809–817

    PubMed  Google Scholar 

  17. Lubchenco LO, Hansman C, Dressler M, Boyd E (1963) Intrauterine growth as estimated from liveborn birth-weight data at 24 to 42 weeks of gestation. Pediatrics 11:793–800

    Google Scholar 

  18. Morley CJ (1986) The respiratory distress syndrome. In: Roberton NRC (ed) Textbook of neonatology. Churchill Livingstone, Edinburgh, p 275

    Google Scholar 

  19. Naeye RL, Burt LS, Wright DL, Blanc WA, Tatter D (1971) Neonatal mortality, the male disadvantage. Pediatrics 48:902–906

    PubMed  Google Scholar 

  20. Ounsted M, Moar VA, Scott A (1986) Factors affecting development: similarities and differences among children who were small, average and large for gestational age at birth. Acta Paediatr Scand 75:261–266

    PubMed  Google Scholar 

  21. Paneth N, Wallenstein S, Kiely JL, Susser M (1982) Social class indicators and mortality in low birth weight infants. Am J Epidemiol 116:364–375

    PubMed  Google Scholar 

  22. Perelman RH, Palta M, Kirby R, Farrell PM (1986) Discordance between male and female deaths due to the respiratory distress syndrome. Pediatrics 78:238–244

    PubMed  Google Scholar 

  23. Perkins RP (1981) The neonatal significance of selected perinatal events among infants of low birth weight. Am J Obstet Gynecol 139:546–561

    PubMed  Google Scholar 

  24. Prechtl HFR (1968) Neurological findings in newborn infants after pre- and paranatal complications. From: Aspects of prematurity and dysmaturity. Nutricia Symposium, Stenfert Kroese, Leiden, pp 303–321

    Google Scholar 

  25. Rantakallio P, Wendt L von (1985) Prognosis for low-birthweight infants up to the age of 14: a population study. Dev Med Child Neurol 27:655–663

    PubMed  Google Scholar 

  26. Roede MJ, Wieringen JC van (1985) Growth diagrams 1980 Netherlands, third nation-wide survey. Tijdschr Soc Gezondh [Suppl]:1–34

  27. SAS (1982) SAS user's guide: statistics. SAS Institute Cary, North Carolina, pp 257–258

    Google Scholar 

  28. Schlesinger-Was EA (1982) Longitudinal study of the psychomotor development of a group of infants in child health clinics. T Soc Geneesk 60:602–605

    Google Scholar 

  29. Stark A, Frantz ID (1986) Respiratory distress syndrome. Pediatr Clin North Am 33:533–544

    PubMed  Google Scholar 

  30. Stewart AL, Turcan DM, Rawlings G, Reynolds EOR (1977) Prognosis for infants weighing 1000 g or less at birth. Arch Dis Child 52:97–104

    PubMed  Google Scholar 

  31. Touwen BCL, Huisjes HJ, Jurgens-van de Zee AD, Bierman-Eendenburg MEC van, Smrkovsky M, Olinga AA (1980) Obstetrical condition and neonatal neurological morbidity. An analysis with the help of the optimality concept. Early Hum Dev 4/3:207–228

    Google Scholar 

  32. Verloove-Vanhorick SP, Verwey RA (1987) Project on preterm and small-for-gestational age infants in the Netherlands 1983. Thesis, State University Leiden, Leiden. University Microfilms International, Ann Arbor, Michigan, U.S.A., No 8807276

    Google Scholar 

  33. Verloove-Vanhorick SP, Verwey RA, Brand R, Bennebroek Gravenhorst J, Keirse MJNC, Ruys JH (1986) Neonatal mortality risk in relation to gestational age and birthweight. Lancet I:55–57

    Google Scholar 

  34. Verloove-Vanhorick SP, Verwey RA, Ebeling MCA, Brand R, Ruys JH (1988) Mortality in very preterm and very low birth weight infants according to place of birth and level of care: results of a national collaborative survey of preterm and very low birth weight infants in the Netherlands. Pediatrics 81:404–411

    PubMed  Google Scholar 

  35. Westerlaak JM van, Kropman JA, Collaris JWM (1975) Index of occupations (Dutch). Instituut voor Toegepaste Sociologie, Nijmegen

    Google Scholar 

  36. WHO (1980) International classification of impairments, disabilities, and handicaps. World Health Organisation, Geneva

    Google Scholar 

  37. Yu VYH, Downe L, Astbury J, Bajuk B (1986) Perinatal factors and adverse outcome in extremely low birthweight infants. Arch Dis Child 61:554–558

    PubMed  Google Scholar 

  38. Zeben-van der Aa DM van (1989) Outcome at 2 years of age of very preterm and very low birthweight infants in the Netherlands (POPS 1983). Thesis, State University Leiden, Leiden (in press)

    Google Scholar 

  39. Zeben-van der Aa TM van, Verloove-Vanhorick SP, Brand R, Ruys JH (1989) Morbidity of very low birthweight infants at corrected age of two years in a geographically defined population. Lancet I:253–255

    Google Scholar 

  40. Zeben-van der Aa TM van, Verloove-Vanhorick SP, Brand R (1989) Morbidity of very low birthweight infants. Lancet I:729–730

    Google Scholar 

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From the collaborative study “Project On Preterm and Small for gestational age infants in the Netherlands” (POPS), 1983

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Verloove-Vanhorick, S.P., van Zeben-van der Aa, D.M., Verwey, R.A. et al. The male disadvantage in very low birthweight infants: Does it really exist?. Eur J Pediatr 149, 197–202 (1989). https://doi.org/10.1007/BF01958281

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  • DOI: https://doi.org/10.1007/BF01958281

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