The Tiny Tricksters: Differences between Late Preterm and Term Neonates
Journal Title: The Indian Journal of Maternal-Fetal and Neonatal Medicine - Year 2018, Vol 5, Issue 1
Abstract
Introduction: Preterm births are increasing globally, estimated at an annual incidence of 15 million. Of these, about 80% are moderate and late preterm births occurring between 32-37 weeks of gestation. Though large in size they have much more morbidity and mortality compared to their term counterparts. Methods: Retrospective case control study conducted in a referral perinatal centre in South India during the period January 2011 to June 2013. Inborn late preterms (LPT) were cases and term babies born during the same period were controls. Maternal and neonatal demography, morbidity and mortality data were collected. Means and standard deviations were used to compare numerical variables between case and control groups using Student’s t test and the Mann-Whitney test; Pearson’s chi-square was used for categorical variables. Results: A total of 1933 babies were included in the study of which 233 (12%) were late preterms. Elderly mothers, conceived with ovulation induction, multiple gestation and with antenatal complications had significantly higher number of LPT births. There were more CS and PROM noted. Parity and newborn gender did not show significant differences. There were larger numbers of small and large for gestational age babies among the late preterms. NICU admissions, phototherapy, sepsis treatments, respiratory distress, hypoglycemia, duration of hospital stay and cost of stay, mortality and readmission rates were higher among the LPT babies. Conclusion: Late preterms had a longer and more morbid course after delivery as compared to their term peers. They represent a high risk group which may go unrecognized.
Authors and Affiliations
Poornima Kumar
Keywords
Related Articles
- EP ID EP571657
- DOI 10.21088/ijmfnm.2347.999X.5118.8
- Views 86
- Downloads 0
A Rare Case of Malignant Ovarian Tumor with Para neoplastic Syndrome
A 17 year old girl was admitted with lump in abdomen, dyspnoea, secondary amenorrhoea and loss of appetite since 4 months and swelling over right arm, shoulder and right aspect of neck since 15 days. Ultrasound and CT ab...
Assessment of Chromohysteroscopy in Detection of Intracavitary Lesions in Perimenopausal Women with Abnormal Uterine Bleeding: A Prospective Study
Background and Aim: Abnormal Uterine Bleeding (AUB) is one of the most common health problems encountered by women. It affects about 20% women of reproductive age, and accounts for almost two thirds of all hysterectomies...
Role of Doppler Ultrasound in High Risk Pregnancies in Predicting Feto-Maternal Outcome
Aim: To study the role of color Doppler ultrasonography in high risk pregnancy in predicting maternal outcome depending on gestational age at the time of delivery and mode of delivery. Material and Methods: 50 women with...
Bacteriological Profile and Antibiogram of Neonatal Sepsis in a Tertiary Care Hospital
Introduction: Neonatal sepsis is one of the major causes of neonatal morbidity and mortality. It is responsible for about 30-50% of the total neonatal deaths in developing countries. Delay in diagnosis and treatment of s...
Evaluation of Etiological Factors for Late Pregnancy Bleeding in Tertiary Care Centre
Aims and Objectives: 1. to study prevalence of various etiological factors involved in late pregnancy haemorrhage. 2. To find out relative frequency of various causes of bleeding during late pregnancy. Materials and Me...