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Short-term neonatal outcome in late preterm vs. term infants

journal contribution
posted on 2014-01-01, 00:00 authored by Anila Haroon, Syed Rehan Ali, Shakeel Ahmed, Humaira Maheen
OBJECTIVE: To determine the short-term neonatal outcomes in late preterm infants (LPI's) as compared to term infants and their association with maternal risk factors. STUDY DESIGN: A case control, descriptive study. PLACE AND DURATION OF STUDY: The Aga Khan University Hospital, Karachi, Pakistan, from January to December 2009. METHODOLOGY: The study included 326 late preterm babies (defined as those born between 340⁄7 to 376⁄7 weeks of gestation) and equal number of term control babies at the Aga Khan University Hospital, Karachi, Pakistan. Data, including obstetric history, maternal complications, neonatal morbidities, etc., was retrieved from patients' medical records. The data was compared with the control group for complications, fetal morbidity and maternal morbidity. RESULTS: Late preterm infants constituted 10.6% of all deliveries and 77% of all live preterm births during the study period. Respiratory distress syndrome (RDS) (16.5% vs. 0.3%, p < 0.001), growth retardation (24.8% vs. 4%, p < 0.001), hyperbilirubinemia requiring phototherapy (37.9% vs. 11%, p < 0.001), and sepsis (4.9% vs. 0.3%, p < 0.001) were found to be the major morbidities in the study group. The need for resuscitation was 12.7 times higher in the study group as compared to the term babies (21.4% vs. 1.2%, p < 0.001). NICU admissions in the study group were also higher (18.8% vs. 2.4%, p < 0.001). Hypertension (12.5% vs. 1.5%, p < 0.001), diabetes (12.5% vs. 9.2%, p < 0.001), antenatal history of UTI (1.5% vs. 0.3%, p < 0.001), and prolong rupture of membrane (8.9% vs. 4%, p < 0.001) were significant maternal morbidities in the late preterm group. CONCLUSION: The late preterm group had greater morbidity, compared to term neonates. Prior awareness of the morbidities associated with late preterm babies is helpful for the health care providers to anticipate and manage potential complications in late preterm infants.

History

Journal

Journal of the college of physicians and surgeons-Pakistan

Volume

24

Issue

1

Pagination

34 - 38

Publisher

College of Physicians and Surgeons Pakistan

Location

Pakistan

ISSN

1022-386X

eISSN

1681-7168

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2014, College of Physicians & Surgeons Pakistan