Pattern of Early Neonatal Morbidities in Moderate and Late Pre-terms
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2016, Vol 3, Issue 7
Abstract
Objective: The present study is an attempt to analyze the data on the pattern of early neonatal morbidities among moderate and late preterm infants of 32 full weeks of gestation to 36+6 weeks’ gestational age in a tertiary care teaching hospital with a level III NICU, Chinna Kakani, A.P.Materials and Methods: The study was a retrospective analysis of all live born preterms of 32+0– 36+6 GA, who were admitted between January, 2015 to April, 2016, over a period of 16 months. Data collected from hospital medical records of neonates were reviewed and analyzed statistically. Results: Of total of 3067 deliveries conducted, 930 babies were admitted in NICU for various reasons. Of total admissions to NICU 125 (13%) infants were termed as moderate and late preterms after checking their GA and analyzed for the spectrum of early neonatal morbidities during their stay in hospital. Of total 125 babies,58%(n=68) were moderate preterms and 45%(n=57) were late preterms, 75% (n=94) of them were AGA and 25%(n=32) were SGA. Of them, 62% (n=77) were delivered by LSCS while 38%(n=48) were delivered by NVD. Male infants comprised of 54% (n=67) while females were 46%(n=58). The mean weight at birth was 1.86 kg. Around 62% (n=78) of babies were observed for RD, of which 28% (n=35) required CPAP and 23%(n=29) for mechanical ventilation,18%(n=23) had apneas. Most common metabolic abnormality was hyper bilirubinemia at 44% (n=55) requiring phototherapy. Around 7% (N=9) received parenteral nutrition, NEC observed in 3%(n=3). Maternal co morbid conditions were associated in about 60% of cases. Conclusion: Moderate preterms were significantly at a higher risk for over all morbidities, longer duration of hospital stays and at a high risk for mortality when compared to late preterms. Moderate and late preterm infants place high demands on specialist neonatal services.
Authors and Affiliations
Kanta Kumari, K. Anantha Rao, Bhimireddy Vijayalakshmi
Keywords
Related Articles
- EP ID EP225878
- DOI 10.17511
- Views 149
- Downloads 0
Clinical profile and outcome of cerebral malaria in pediatric cases at a tertiary Care Hospital
Background: Cerebral malaria (CM) is a potentially fatal condition encountered in all age groups and if not treated timely can cause mortality. Objective: to evaluate the clinical features of cerebral malaria in children...
Counseling of nursing mothers! How effective it is - For improving nutrition of neonates & infants
Introduction: Optimal & appropriate infant & child feeding is one of the essentials to prevent morbidity & mortality in neonates & infants. The knowledge, practice & skills of WHAT & HOW of feeding must be known to ever...
A comparative study of 25 hydroxy vitamin D levels in patients of thalassemia and healthy children
Introduction: Vitamin D deficiency is emerging threat to patients with thalassemia. Adequate circulating levels of vitamin D are essential for optimal skeletal health and reducing fracture risk. The aim of this study was...
Effect of vitamin D supplementation in children with severe acute malnutrition in a nutritional rehabilitation centre: a randomized controlled trial
Background: According to World Health Organization (2013) approximately 35% of the under-fivemortalities are due to nutrition related factors & 4.4% of deaths are due to severe wasting. It has been found that Vitamin D l...
Application of WHO MUAC for age -Z score chart in diagnosis of SAM in Indian children: a comparative study with IAP classification
Background: Mid upper arm circumference (MUAC) is a quick and easy method to determine malnutrition. Though considered age independent earlier, recently World Health Organization (WHO) has prepared MUAC Z score chart for...