Morbidities and follow-up of admitted late preterm infants

Authors

  • Bandi Ramya Department of Pediatrics, JJM medical College, Davangere, Karnataka, India
  • Basanth Kumar G.R Department of Pediatrics, JJM medical College, Davangere, Karnataka, India
  • Guruprasad G. Department of Pediatrics, JJM medical College, Davangere, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20151505

Keywords:

Late preterm infants, Neonatal morbidities, Follow up

Abstract

Background: The objective of the study was to document the neonatal morbidities in late preterm infants admitted to tertiary care newborn centre.

Methods: Observational prospective case series study. All late preterm infants during the study period of one year were included. Descriptive statistics and analysis of the morbidities was done. A follow up of 6 months was done to assess growth and development.

Results: 100 infants were studied. The admission complaints were respiratory distress (32%), low birth weight care (31%), jaundice (15%), feeding difficulties & lethargy (5%). morbidities included jaundice (68%), hypoglycaemia (38%), septicaemia (24%), respiratory distress syndrome (20%) & transient tachypnea of newborn (15%). 55% of infants with subnormal head growth were identified in follow-up.

Conclusions: The most common cause for admission was respiratory distress (32%) within 48 hours of life and jaundice later. Most common morbidity was jaundice (68%).Most of the morbidities could be effectively treated with timely care. Follow up of these infants for early identification and treatment of problems is imperative.

Metrics

Metrics Loading ...

References

Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) gestations 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.

WHO. Preterm Birth. Switzerland: World health Organization; 2015 Aug. Available from: http://www.who.int/mediacentre/factsheets/fs363/en

Ramachandrappa A, Jain L. The Late preterm Infant. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin’s Neonatal-Perinatal Medicine. 9th ed. Philadelphia, PA: Mosby Elsevier. 2011:629-642.

Reddy UM, Ko CW, Raju TN, Willinger M. Delivery indications at late-preterm gestations and infant mortality rates in the United States. Pediatrics. 2009;124:234-40.

Ma X, Huang C, Lou S, Lv Q, Su W, Tan J, et al. The clinical outcome of late preterm infants. J Perinat. Med. 2009;37(6):695-9.

Escobar GJ, Clark RH, Greene JD. Short-term outcomes of infants born at 35 and 36 weeks gestation: we need to ask more questions. Semin Perinatol. 2006;30:28-33.

Fuch K, Wapner R. Elective cesarean section and Induction and Their Impact on Late Preterm Births, Clin Perinatol. 2006;33:793-801.

Jaiswal A, Murki S, Gaddam P, Reddy A. Early Neonatal Morbidities in Late Preterm Infants. Indian pediatr. 2011;48:607-11.

Wang ML Dorer DJ, Fleming MP, Catlin EA. Clinical outcomes of near-term infants, Pediatrics. 2004;114:372-6.

Costello DW, Hack M. Follow-up for High Risk Neonates. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin’s Neonatal-Perinatal Medicine. 9th ed. Philadelphia, PA: Mosby Elsevier. 2011:629-642.

Woythaler, McCormick MC, Smith VC. Late Preterm Infants Have Worse 24-Month Neuro developmental outcomes Than Term Infants. Pediatrics. 2011;127;e622.

McGowan JE, Alderdice FA, Doran J, Holmes VA, Jenkins J, Craig S, et al. Impact of Neonatal Intensive Care on Late Preterm Infants: Developmental Outcomes at 3 years, Pediatrics. 2012;130;e1105.

Downloads

Published

2016-12-31

How to Cite

Ramya, B., Kumar G.R, B., & G., G. (2016). Morbidities and follow-up of admitted late preterm infants. International Journal of Contemporary Pediatrics, 3(1), 31–34. https://doi.org/10.18203/2349-3291.ijcp20151505

Issue

Section

Original Research Articles