Mortality and morbidity profile of preterm very low birth weight infants: A prospective longitudinal observational study
Journal Title: Indian Journal of Child Health - Year 2017, Vol 4, Issue 2
Abstract
Objective: To study the survival to discharge and immediate outcome of preterm very low birth weight (VLBW) infants. Materials and Methods: Design: Prospective observational longitudinal study. Setting: Level II neonatal intensive care unit in a tertiary care center. Subjects: All live born inborn babies with birth weight 401-1499 g or gestational age between 22 weeks 0 day and 31 weeks 9 days. Outcome: Key outcome was survival to discharge for preterm VLBW infants. Incidence of major morbidities was assessed. Results: Of 183 neonates enrolled in the study, 73.2% babies were alive at initial disposition. Respiratory distress syndrome was the most common morbidity, and infection was the most common cause of death. Lower gestational age and low APGAR score at 1 min were the most significant predictors of poor outcome. Conclusion: This study provides a baseline database for evaluating the efficiency of perinatal services in a tertiary care center. Further large-scale trials are needed to substantiate our findings and to study neurodevelopmental outcome of VLBW infants.
Authors and Affiliations
Anuradha Bansal, Deepak Chawla
Keywords
Related Articles
- EP ID EP454826
- DOI -
- Views 107
- Downloads 0
Case report of multiple hepatic microabscesses in a term neonate
Neonatal liver abscess is a rare entity, which usually occurs in preterm infants with sepsis and certain risk factors like umbilical vein catheterization. Neonatal hepatic abscess has a non-specific clinical presentation...
Schools as opportunity for oral health promotion: Existing status in India
Childhood is a significant stage in people’s lives where they are more receptive toward behavior shaping; thus, schools have been considered important foundation in addressing the health and social issues. School oral he...
Use of furosemide stress test for edema control and predicting acute kidney injury in children with nephrotic syndrome
Background: Furosemide stress test (FST) involves measurement of 2‑h urine output after giving 1 mg/kg of furosemide in clinically euvolemic patients and has been shown to identify those with severe and progressive acute...
A study of neonatal hyperbilirubinemia from a tertiary care hospital in Northern India
Objective: The objective of this study was to analyze the incidence of pathological jaundice, average time of presentation, mean duration of phototherapy, and need for exchange transfusion with appropriate medical manage...
Assessment of fetal nutrition status at birth using the clinical assessment of nutritional status score
Introduction: Assessment of fetal malnutrition (FM) among neonates has been a major concern to health personnel due to the potentially serious sequelae of malnutrition on multiple organ systems. There is a dearth of rese...