A population-based survey of mortality in extremely-low-birthweight (500- to 999-g) infants was carried out in Victoria for the years 1982 to 1985. No increase in the number of extremely-preterm births occurred during that time. The still-birth rate fell from 498 still births per 1000 births in 1982-1983 to 403 still births per 1000 births in 1984-1985. The neonatal mortality in 1982-1985 was 638 deaths per 1000 live births, with no significant decline from that of the 1978-1981 cohort. The small increase in neonatal survivors was not associated with any change in the postneonatal death rate. Delivery in a level-3 unit was associated with a significantly better outcome. Multiple births made a major contribution to the extremely-low-birthweight group of infants.
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Lumley et al. (1988) studied this question.
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