Maternal antenatal profile and immediate neonatal outcome in very low birth weight babies
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Abstract Objective: To find out maternal risk factors associated with VLBW babies and study maternal risk factors associated with morbidity and mortality of VLBW babies. Method: The study was a prospective cross-sectional analysis of case records of 110 inborn VLBW babies admitted in Neonatal intensive care unit, Wanless Hospital, Miraj during the period of 1 year. All the babies were studied from the day of admission or birth and followed up till discharge or death. Mothers of these babies were studied to find out maternal risk factors. Morbidity and mortality were compared according to birth weight and gestational age of baby. Only those causes of morbidity where statistical significance with relation to such maternal antenatal factors could be drawn, were studied by using Chi-square test. Results: Majority (71.82%) mothers of VLBW babies had adverse risk factors. Anemia, PROM >=12 hrs and PIH were the commonest adverse maternal factors associated with very low birth weight babies. Majority (75.45%) VLBW babies developed one or other kinds of morbidity .The commoner morbidity in VLBW were neonatal sepsis (30%), RDS (19.09%) and NNH (18.18%). The mortality in VLBW babies was only 21.81 %. RDS (50%) was the commonest cause of death in VLBW, followed by sepsis (16.6%).The mortality was highest in babies weighing less than 750 gram and less than 28 weeks of gestation. Both morbidity and mortality decreased significantly in babies with higher birth weight.APH, multiple pregnancy and LSCS had statistically significant association (p<0.001) with RDS in VLBW babies .Presence of PROM >=12 hrs and maternal fever increased the risk of neonatal sepsis. Presence of PIH, abnormal presentation, multiple pregnancies and meconium staining of liquor were significantly associated with asphyxia. Conclusion: In our studies various adverse maternal factors were associated with very low birth weight and their morbidities. The identification of adverse maternal factors and its appropriate management can lead to better outcome of the baby
Authors and Affiliations
Shabana M Shaikh, Riyaj U Mujawar
Keywords
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