Journal of Pediatric Perspectives

Short Term Outcome of Preterm Neonates in a Tertiary Care Hospital in Costal Karnataka

Avinash Singraiah; Irshad Abdul Majeed

Volume 12, Issue 5 , May 2024, , Pages 18803-18807

https://doi.org/10.22038/ijp.2024.58769.4600

Abstract

Background: Preterm birth is a major cause of death and a signiﬁcant cause of long-term morbidity around the world. Complications of preterm birth are the single largest direct cause ... Read More Background: Preterm birth is a major cause of death and a signiﬁcant cause of long-term morbidity around the world. Complications of preterm birth are the single largest direct cause of neonatal deaths, responsible for 35% of the world’s 3.1 million deaths a year, and the second most common cause of under -5 deaths after pneumonia. India ranks first among the 10 countries which account for 60% of the world’s preterm births. There is a relative dearth of studies on short term outcomes of the preterm infants in Indian literature. The aim of this study is to find the preterm outcome in terms of morbidity & mortality. Methods: This was a prospective descriptive study done in a tertiary hospital in south Karnataka. A sample size of minimum of 150 preterm babies (<37 completed weeks) was selected using purposive sampling technique. Multiple gestation and babies with major as well as life threatening congenital anomalies were excluded. Preterm care was given as per standard NICU protocol of the hospital. The neonates were assessed daily for signs and symptoms of prematurity complications. The day of onset of symptoms, their duration, appropriate therapeutic intervention done, and time of symptom resolution or poor neonatal outcome (including death) was recorded up to discharge or till 1 month of admission, whichever is earlier. Results: Most of the babies were late preterm, while 13.3% and 16.7% were moderate to very, respectively. About 8.7% of the babies required resuscitation at birth with 2% requiring intubation. Neonatal hyperbilirubinaemia was seen in 66.7%, hypoglycemia in 3.3%, and respiratory distress in 17.3% of the babies. Probable sepsis was seen in 8% of babies while culture proven sepsis was seen in 1.3%. Mortality was 8%. Conclusion: This study shows morbidities more in terms of metabolic, namely hypoglycemia and hyperbilirubinemia. Sepsis, RDS, NEC was comparatively low. Mortality was in line with the global statistics. But we still intend to institute adequate antenatal and postnatal care to improve the outcome quality in premature babies.

The Decomposition of Socioeconomic Factors in Inequality in Preterm Birth; the Results of a Cohort Study Based on the Concentration Index Approach

Ashraf Direkvand-Moghadam; Safoura Taheri; Yousef Vaisani

Volume 8, Issue 11 , November 2020, , Pages 12431-12438

https://doi.org/10.22038/ijp.2020.45958.3746

Abstract

Background: Preterm labor is a crucial factor in neonatal morbidity and mortality. The present study aims to investigate the effects of Socioeconomic Status (SES) on preterm birth and ... Read More Background: Preterm labor is a crucial factor in neonatal morbidity and mortality. The present study aims to investigate the effects of Socioeconomic Status (SES) on preterm birth and to decompose the main inequalities affecting preterm birth.Materials and Methods: In a cohort study in 2017, 458 pregnant women in Ilam, Iran, were followed from the 20th gestational week up to the labor. All participants were followed up according to the Prenatal Care Schedule approved by the Ministry of Health of the Islamic Republic of Iran from the beginning to the end of the study. The results of participants' laboratory tests were collected based on the records from their pregnancy documents. A code was inserted in the prenatal care booklet of each participant for exchanging information between the researcher and participants. The Concentration Index (CI) was used to determine inequality. The Inequality Index was decomposed to find out the main sources of inequality in preterm infants. Distributive Analysis Stata Package was used for estimating CI.Results: Of the total of 458 participants, 12% had preterm labor. The number of male newborns was 219 (47.8%). Also, the prevalence of preterm labor was more in mothers aged 20 to 31 years (p < 0.001), housewives (p=0.037), and women with lower socioeconomic status (p < 0.001). The socioeconomic contributors to inequality were the mother’s age (p=0.008), father’s age (p=0.005), father’s education (p=0.003), and father's job (p < 0.001). The main factors of inequality were mother’s age (8%), father’s age (3%), father’s education (5%), and father's job (25%).Conclusion: Overall, 12% of our study population had preterm labor. Preterm birth was significantly more observed among mothers of lower socioeconomic status. Some SES, including the mother's age, father’s age, father’s education, and father’s job, were important factors in preterm inequality among Iranian mothers.

Evaluation of Maternal Anxiety in Mothers of Infants Admitted to the Neonatal Intensive Care Unit

Zhilla Heydarpoor Damanabad; Leila Valizadeh; Mohamadreza Mansouri Arani; Mohammadbager Hosseini; Mohammad Asgari Jafarabadi; Morteza Mansourian; Arash Ziapour; Omid Safari; Amin Mirzaei; Babk Rastegarimehr

Volume 7, Issue 10 , October 2019, , Pages 10215-10224

https://doi.org/10.22038/ijp.2019.41018.3458

Abstract

Background: Preterm birth and subsequent admission of the infant to neonatal intensive care unit (NICU) can be distressing for parents and lead to their anxiety. The aim of this study ... Read More

Comparison Study of Causes and Neonatal Mortality Rates of Newborns Admitted in Neonatal Intensive Care Unit of Al-Sadder Teaching Hospital in Al-Amara City, Iraq

Eman Alsadi

Volume 5, Issue 3 , March 2017, , Pages 4601-4611

https://doi.org/10.22038/ijp.2017.22315.1868

Abstract

BackgroundEach year about 32.4 million of children are born with low birth weight, which is below the 10th percentile for their gestational ages; moreover, about fifteen million of ... Read More

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Keywords = Preterm

Short Term Outcome of Preterm Neonates in a Tertiary Care Hospital in Costal Karnataka

Abstract

The Decomposition of Socioeconomic Factors in Inequality in Preterm Birth; the Results of a Cohort Study Based on the Concentration Index Approach

Abstract

Evaluation of Maternal Anxiety in Mothers of Infants Admitted to the Neonatal Intensive Care Unit

Abstract

Comparison Study of Causes and Neonatal Mortality Rates of Newborns Admitted in Neonatal Intensive Care Unit of Al-Sadder Teaching Hospital in Al-Amara City, Iraq

Abstract