Burden of late-preterm infant at a tertiary care neonatal intensive care unit - A prospective observational study
Journal Title: Indian Journal of Child Health - Year 2018, Vol 5, Issue 6
Abstract
Background: Infants born at 340⁄7 through 366⁄7 weeks’ gestation are called as “late-preterm” infants. Even though physically resembling infants born at term gestation (370⁄7–416⁄7 weeks) they are developmentally immature and are at higher risk of morbidity and mortality. Objective: The objective of the study was to study the etiology and burden of late-preterm infant (340/7–366/7 weeks) birth. Material and Methods: This prospective observational study was conducted over 11 months in a tertiary care Level III neonatal intensive care unit in an urban city of India to elucidate the burden and etiology of late-preterm infant birth. Results: In our study, 17.5% (160, n=916) of total admissions were late-preterm infants. The most common underlying cause of late-preterm infant birth in this cohort was a previous lower segment caesarian section (LSCS) 27.5% (44, n=160) and pregnancy-induced hypertension 25% (40, n=160) followed by preterm labor 15.6% (25, n=160). Median gestation was 35 weeks with IQR (34–36 weeks). The median birth weight was 2100 grams with IQR (1900–2400 g). Conclusion: Late-preterm infants account for a significant proportion of preterm births and major burden on the neonatal intensive care workload. The most common reason of late-preterm births was an elective LSCS, done due to an earlier LSCS delivery.
Authors and Affiliations
Saikiran Deshabhotla, Aafaque Hussain, Baswaraj Tandur
Keywords
Related Articles
- EP ID EP465546
- DOI -
- Views 83
- Downloads 0
Neonatal Jaundice: Knowledge, attitude beliefs, and practices of postnatal mothers in a tertiary care hospital in Uttarakhand, India
Background: Neonatal jaundice (NNJ), a preventable cause of brain damage, is the most common cause of admission in the 1st week of life in neonatal intensive care unit. Objective: To determine the knowledge attitude and...
Clinical profile and short-term outcome of perinatally asphyxiated term neonates in a tertiary hospital in Southern Kerala
Introduction: In India, in spite of improvement in perinatal-neonatal care, perinatal asphyxia accounts for 23% of the neonatal deaths. Objective: The objective of the study was to study the clinical profile and short-te...
To study the clinicoetiological profile of children admitted with bleeding diathesis
Background: Bleeding complications in children may be caused by disorders of secondary hemostasis or fibrinolysis. A child who presents with bleeding warrants evaluation for a significant bleeding problem. Objectives: Th...
Hypoalbuminemia as a marker of adverse outcome in children admitted to pediatric intensive care unit
Background: Research on critically ill adult patients has shown the usefulness of albumin as a predictor of increased morbidity and mortality. There is a paucity of similar data in pediatric age group. Objective: The obj...
Holt-Oram syndrome in an infant presenting with heart failure
Holt-Oram syndrome is an autosomal dominant condition characterized by morphological abnormalities of upper limbs and congenital cardiac defects. We report a case of 6-week-old infant with morphological alterations of up...