Comparison Of Neonatal Morbidity and Mortality Among Late Preterm and Term Neonates at Neonatal Intensive Care Unit in Gujarat
Keywords:
Late preterm neonates, Term neonates, Morbidity and mortality in neonateAbstract
Background: Late preterm infants are physiologically less mature and have limited compensatory responses to the extra-uterine envi- ronment, compared with term infants. Although late preterm infants are the largest subgroup of preterm infants, there has been little re- search on this group until recently.
Aims: The present study is an attempt to obtain actual data on pat- tern of early neonatal morbidities and mortality among late preterm infant.
Material and Methods: This hospital based retrospective study was carried out by enrolling live newborns admitted during January 2014 to December 2014 in the neonatal intensive care unit at Civil Hospit- al, Gandhinagar, Gujarat. With ethical permission from Institutional Ethical Committee and administrative permission from medical su- perintendent files of the neonates were retrospectively reviewed.
Results: Mean weight in term neonates is more (3.14±0.48) than late preterm neonates (2.35±0.43). Chance of any morbidity is almost 3 times higher in late preterm compared to term neonates. Proportional death rate is more than double in late preterm neonates (13.79%) compared to term neonates (6.25%).
Conclusion: Late preterm neonates are at higher risk of different morbidities and mortalities so they required extra care and special attention for prevention of any adverse effect.
References
Wang ML, Dorer DJ, Fleming MP, Catlin EA. Clinical outcomes of near-term infants. Pediatrics. 2004;114:372- 6.
Khashu M, Narayanan M, Bhargava S, Osiovich H. Pe- rinatal outcomes associated with preterm birth at 33 to 36 weeks’ gestation: a population-based cohort study. Pediatrics. 2009;123: 109-13.
McIntire DD, Leveno KJ. Neonatal mortality and mor- bidity rates in late preterm births compared with births at term. Obstet Gynecol. 2008;111:35-41.
Young PC, Glasgow TS, Xi Li, Guest-Warnick G, Stod- dard GJ. Mortality of late-preterm (near-term) newborns in Utah. Pediatrics. 2007;119:659-65.
Ellis, M., N. Manandhar, P. S. Shrestha, L. Shrestha, D. S. Manandhar, and A. M. Costello. 1999. “Outcome at One Year of Neonatal Encephalopathy in Kathmandu, Nep- al.” Developmental Medicine and Child Neurology 41 (10): 689–95.
Bang, A T, R A Bang, Sanjay Baitule, Mahesh Desh- mukh, and H Reddy (2001): 'Burden of Morbidities and the Unmet Need for Health Care in Rural Neonates: A Prospective Observational Study in Gadchiroli, India', Indian Pediatrics, 38: 952-965.
De Zoysa I, Bhandari N, Akhtari N, Bhan MK. Care seeking for illness in young infants in an urban slum in India. SocalSci Med 1998; 47: 2101-2111.
Bang A, Reddy MH, Deshmukh MD. Child mortality in Mahararshtra. Economic Political Weekly 2002; 37: 4947–4965.
Joshi R. Perinatal and neonatal mortality in rural Pun- jab. Working Paper No. 3. 2003. AchutaMenoncentre for Health Science Studies, Tiruvananthapuram, Kerala, In- dia.
Nath Roy R, et al. The mortality pattern of the hospital- ised children in a tertiary care hospital of Kolkata. Indian Journal of Community Medicine, 2008 Jul; 33(3):187-89.
Aggarwal AK, Kumar R, Kumar P. Early Neonatal mor- tality in a hilly north Indian State: Socio-demographic factors & treatment seeking behaviour. Indian J PrevSoc Med 2003; 34 (1&2); 46-52.
Baqui AH, Darmstadt GL, Williams EK, Kumar V, Kiran TU, Panwar D, Srivastava VK, Ahuja R, Black RE, San- tosham M. Rates, timing and causes of neonatal deaths in rural India: implications for neonatal health pro- grammes. Bull World Health Organ. 2006; 84(9):706-13.
Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) gesta- tions and for late-preterm infants: a summary of the workshop sponsored by the National Institutes of Health and Human Development. Pediatrics. 2006;118:1207-14.
Nath Roy R, et al. The mortality pattern of the hospital- ised children in a tertiary care hospital of Kolkata. Indian Journal of Community Medicine, 2008 Jul; 33(3):187-89.
Rakholia R, Rawal V, MeharBano, Singh G. Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000. J Trop Pediatrics, 2004;50:170-4.
Bhatia BD, Mathur NB, Chaturvedi P, Dubey AP. Neo- natal mortality pattern in rural based Medical college hospital. Indian J Pediatrics,1984;51:309-12.
Jaiswal A, Srinivas M, Gaddam P, Reddy. A Early Neo- natal Morbidities in Late Preterm Infants. J. Indian Pedi- atrics, 2011; 48(8): 607-11.
Melamed N, Klinger G ,Tenenbaum-Gavish K, Her- scoviciT, Linder N, Hod M, et al. Short term neonatal outcome inlow risk, spontaneous, singleton, late pre- term deliveries.Obstet Gynecol. 2009;114:253-60.
Tomashek KM, Shapiro-Mendoza CK, Weiss J, Kotel- chuckM, Barfield W, Evans S, et al. Early discharge among latepreterm and term newborns and risk of neo- natal mortality.SeminPerinatol. 2006;30:61-8.
Shapiro-Mendoza CK, Tomashek KM, Kotelchuck M,Barfield W, Weiss J, Nannini A, et al. Effect of late- pretermbirth and maternal medical conditions on new- bornmorbidity risk. Pediatrics.2008; 121:223-32
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