Study to Find Out the Risk Factors and Prevalence of Very Low Birth Weight and Extremely Low Birth Weight Babies in Terms of Mortality in Early Neonatal Period in Babies Admitted to a Tertiary Care Teaching Hospital in Eastern India
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: Preterm birth is one of the major clinical problems in neonatology as it is commonly associated with perinatal mortality, serious neonatal morbidity. To find out the risk factors and morbidities of very low birth weight and extremely low birth weight babies in terms of morbidity and mortality in early neonatal period in babies admitted to SNCU, Department of Paediatrics, M.K.C.G. Medical College, Hospital, Berhampur. One hundred six cases of very low birth weight and extremely low birth weight babies from birth to 7 days of life, admitted to SNCU, Department of Paediatrics, M.K.C.G. Medical College &Hospital, Berhampur were enrolled in this study. Details of risk factors and morbidities developed during the hospital stay were noted. High mortality was seen in babies with weight between 500-749 gm (87.5%) and lowest in babies with weight between 1250-1499 gm (25.80%). Mortality of babies was inversely related to gestational age with highest (80%) in babies with gestational age <28 weeks and lowest (28.57%) in babies with gestational age >32 weeks. Mortality of inborns was slightly lower (34.78%) than the outborns (43.33%). Respiratory distress syndrome (40.48%), perinatal asphyxia (21.43%) and sepsis (19.05%) were the common causes of death in babies with weight <1500 gm. Caesarean delivery, low APGAR score at 5 min., meconium stained amniotic fluid and ETT resuscitation at birth were the risk factors for death in very low birth weight as well as extremely low birth weight neonates. Mortality was higher in babies who developed respiratory distress syndrome, shock and perinatal asphyxia.
Authors and Affiliations
Dr. Saroj Kumar Tripathy, Dr. Kripasindhu Chatterjee, Dr Narendra Behera
Keywords
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