Study of Neonatal Morbidity and Mortality in Very Low Birth Weight Neonates Admitted In Neonatal Intensive Care Unit in a Tertiary Care Centre
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Background In recent trends, there is increasing number of babies born with very low birth weight. These VLBW babies are at risk of developing hypoglycemia, sepsis, hyperbilirubinemia, respiratory distress when compared to term babies. By studying the risk factors leading to very low birth weight and their morbidities, health professionals will be able to anticipate and manage them accordingly. Methods This is a Prospective cohort study where all VLBW neonates admitted in our NICU were enrolled. Relevant details were collected which includes maternal details, maternal risk factors, order of birth, gestational age , antenatal steroids, mode of delivery and baby’s details include their sex, need of resuscitation, Apgar score, gestational age, birth weight and need of mechanical ventilation , surfactant therapy were recorded Results: A total of 382 VLBW neonates were included. Out of 382 neonates, 199(52%) were males and 183(48%) were females, 195(51%) were born out of normal vaginal delivery and 187(49%) by caesarean section. Their Mean birth weight was 1.25 kg in males and 1.27 kg in females. Majority of VLBW neonates were in the gestational age group between 28-32 weeks (n = 224, 59%) and 32-34 weeks (n = 92, 24%).The most common maternal risk factor associated with VLBW being Gestational hypertension -210(55%) followed by Anemia – 63(17%),.The major morbidity was sepsis (n=133, 35%) followed by RDS (n= 105, 27%), TTN (n= 85, 22%). The most common mortality was Sepsis (n=49, 52%), RDS (n= 38, 40%). Conclusion Prematurity is the primary cause behind these neonatal deaths. This emphasizes the need to prevent preterm deliveries. Effective preventive strategies to decrease the preterm birth will be the next big step to decrease the perinatal morbidity rate.
Authors and Affiliations
Dr Lakshmanaswamy . A, Dr Senthilkumar . P, Dr Abinaya . G, Sathyan V K
Keywords
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- EP ID EP554682
- DOI 10.9790/0853-1803043337.
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