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from the analysis as they had a birth weight exceeding 1 499 g. Results. Primary causes of delivery were hypertensive disease in 101 patients (44.7%), spontaneous preterm labour 65 (28.8%), preterm prelabour rupture of membranes 21 (9.3%), intrauterine death 17 (7.5%), antepartum haemorrhage 10 (4.4%), congenital abnormalities 3 (1.3%), and other 9 (4%). Of the hypertensive cases, 43 were delivered for fetal distress, 16 for fetal distress due to abruptio placentae, 20 for maternal reasons, 19 for intrauterine death and 3 for both fetal and maternal reasons. Conclusion. Hypertension, preterm labour and prelabour rupture of membranes were the main causes of delivery of VLBW babies. Further research should address methods to reduce the number of these deliveries. S Afr J Med 2003; 93: 61-64.

Obstetric causes for delivery of very-low-birth-weight babies at Tygerberg Hospital.