A Study in Late Preterm Babies for Early Neonatal Outcome
Journal Title: Indian Journal of Neonatal Medicine and Research - Year 2017, Vol 5, Issue 1
Abstract
ABSTRACT Introduction: Infants born between 34 and 36 weeks gestation have an increased risk of neonatal morbidity requiring admission to a neonatal unit compared with those born at/or beyond 37 weeks gestation. Aim: To estimate the short term outcomes of late preterm babies in comparison with term babies and to study indication of caesarian section in late preterm deliveries. Materials and Methods: This prospective observational study was carried out at level II and level III Neonatal Care Unit and Obstetrics and Gynecology Department of North Bengal Medical College and Hospital. Total 7138 live babies were delivered during study period, out of them, 4891 babies were included in study group. Results: Total 919 late preterm were taken as cases and 3972 term neonates as control. Mean birth weight of term and late preterm neonates were 2.78 and 2.71kg respectively with standard deviation of 0.41 (p-value <0.01). Maternal age of term babies were 22.78 year with 3.81 standard deviation as against maternal age of late preterm were 23.03 with standard deviation 3.95 (p-value=0.0543). Among late preterm 120 (13.06%) developed respiratory distress as against 68 (1.71%) term neonates developed it during study period with a statistically significant p-value (p<0.01). 483 (52.56%) late preterm had jaundice while 1213 (30.54%) term babies developed it (p-value<0.001). Among all late preterm neonates 101 (10.99%) experienced one or more episodes of hypoglycemia while 57 (1.44%) term neonates experienced it (p-value<0.001). Hypothermia occurred in 73 (7.94%) late preterm neonates as against 69 (1.74%) term neonates (p-value<0.001). 39 (4.24%) late preterm experienced one or more episodes of apnea as against 49 (1.23%) term babies (p-value<0.001). 166 (18.06%) late preterm babies had feeding problems but only 113 (2.84%) term babies had it (p-value<0.001). 90 (9.79%) term babies had confirmed sepsis while 70 (1.76%) term babies developed sepsis during study period (p-value<0.001). among all late preterm babies, 404 (43.96%) were delivered by caesarian section while rest 515 (56.04%) were delivered by spontaneous vaginal delivery. Among caesarian deliveries most common indication were fetal distress accounting for 12.8% of all deliveries followed by oligohydramnios (10.1%), meconium stained liquor (8.6%), IUGR (4%), Eclampsia (3.7%). Others less common are placental abruption, breech, CPD, uterine dehiscence. Mortality of late preterm was 7.29% (67) as against 47 (1.18%) terms. Conclusion: In contrast to very preterm infants, serious neonatal morbidity in (Late/Moderately Preterm) LMPT infants is uncommon. However, even modest increases in morbidity in this sizeable group exert very significant demands on neonatal service.
Authors and Affiliations
Sanjeet Kumar Tiwari, Nitish Kumar, Santosh Kumar, Renu Prabha
Keywords
Related Articles
- EP ID EP318357
- DOI 10.7860/IJNMR/2017/24328.2198
- Views 143
- Downloads 0
A Community Based Survey on Prevalence of Iodine Deficiency among Pregnant Women in a Municipality Area of West Bengal, India
ABSTRACT Introduction: In India, an estimated 200 million people were at risk for iodine deficiency disorders. Iodine Deficiency Disorder (IDD) is one of the most challenging nutritional problems in India. The pregnant w...
Effect of Maternal Nutritional Status, Socioeconomic Class and Literacy Level on Birth Weight of Babies
ABSTRACT Introduction: The prevalence of Low Birth Weight (LBW) is higher in Asia than elsewhere predominantly because of undernutrition and poor socioeconomic status of mothers. Nearly half of the pregnant women still s...
Incidence of Acute Renal Failure (ARF) in Birth Asphyxia and its Correlation with Hypoxic Ischemic Encephalopathy (HIE) Staging
ABSTRACT Introduction: Acute kidney injury (AKI) previously known as Acute renal failure is a recognized complication of neonates with perinatal asphyxia. In all asphyxiated neonates emphasis must be laid on early recogn...
Status of Transported Neonates and Evaluation of TOPS as a Survival Score
Introduction: To achieve sustainable development goal -3, now we need to focus our attention more towards neonates being transported to higher centre in this very fragile period. We planned this study to assess clinical...
Effectiveness of Kangaroo Mother Care in Reducing Pain during Minor Procedures in Preterm Neonates
ABSTRACT Introduction: Premature babies admitted in Neonatal Intensive Care Unit (NICU) are subjected to many painful invasive procedures. The exposure to pain leads to immediate and long term changes in the structure an...