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Objective: To study the incidence, associated risk factors and outcomes of thrombocytopenia in a group of high risk neonates admitted to the Neonatal Intensive Care Unit (NICU) of a tertiary care teaching hospital. Method: A prospective observational study was carried out in the NICU of Sri Guru Ram Dass Institute of Medical Sciences and Research, Amritsar on 100 high risk neonates (intramural + extramural) enrolled consecutively from January to July 2013. Babies of parents who refused to sign the consent form were excluded from the study. Gestational age was calculated by obstetrical estimate according to last menstrual period, combined with ultrasound and/or Ballard scoring. Enrolled neonates were observed prospectively and a platelet count was done at presentation, and subsequently, as and when required. The outcomes of the high risk neonates with thrombocytopenia were assessed. Statistical analysis (Chi square test) was done to find out the association of the risk factors with neonatal thrombocytopenia. Results: The study population comprised 84 males and 16 females. There were 55 preterm babies and 66 low birth weight babies. There were 11 babies with necrotising enterocolitis, 35 with perinatal asphyxia, 32 with maternal risk factors, 56 with respiratory risk factors, 66 with sepsis, 11 with twin deliveries, 41 with small for gestational age / intrauterine growth retardation (SGA/IUGR), 20 with jaundice, 10 with congenital defects / syndromes and 4 with ABO incompatibility. Incidence of thrombocytopenia among the high risk neonates was 55%. Perinatal ___________________________________________ 1 Senior resident,

Introduction: Hyperbilirubinemia is one of the most vexing

Congenital cystic adenomatoid malformation is a rare entity presenting with respiratory difficulty in newborns and even later in infancy. Various cases have been reported but recurrent spontaneous pneumothorax in an infant with failure to thrive and pectus carinatum since birth(with uneventful antenatal history and asymptomatic course in the first seven months of life) is an extremely rare presentation of this congenital lung condition.J Nepal Paediatr Soc 2016;36(1):91-93.

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