Proportion of bronchopulmonary dysplasia in extreme preterm babies after updated management strategies: A Prospective Observational Study

Number of premature births worldwide is on the rise; fortunately, so is survival. Prospective, recent, regional data regarding clinically relevant and patient oriented outcomes of those ≤ 28 weeks are sparse. It is a fact that peri-viable and extreme preterm neonates require intensive    care, high supports and specialized practices for long durations. Health care planners and parents need to prepared for these implications. Data on outcomes of babies who still requires respiratory support at 36 weeks post menstrual age and also data regarding the associated risk factors and co-morbidities and their management would drive policies. These would aid parent counselling and help in planning of resource allocation.

Our unit has reported >60% survival overall in this group. We have been providing intensive care supports after shared decision making even for periviable gestation. This study is aimed at analysis of incidence and risk factors of bronchopulmonary dysplasia of extreme preterms (≤ 28 weeks) after the unit updated practice policies for this high-risk group.