Maternal anemia is a very common problem in country like India. The prevalence of it is around 56%. As per WHO guidelines maternal anemia is defined as hemoglobin concentration <11g/dl. It results many complications like Post-partum hemorrhage, sepsis, PIH & death. This study is designed to look at the outcomes of neonates born to mother with anemia. The objective of this study is to find the impact of maternal anemia on neonatal outcome. This is a retrospective study conducted in IMS & SUM Hospital, Bhubaneswar. The study period was 6 months (01.02.2019-30.07.2019). In this study period, baseline data of the mothers admitted to Obstetrics units were collected. Total 370 mothers were enrolled. Participants in study were divided into 2 groups-maternal anemia or no anemia. Mothers with APH, anemia due to acute blood loss & multiple gestation were excluded. Immediate neonatal outcomes (NICU admission due to any reason, small for gestational age) of the neonates born to these mothers were documented from neonatal unit at IMS and SUM Hospital. Need of NICU admission was significantly high for neonates born to anemic mothers as compared to neonates born to nonanemic mothers (53.8% vs 18.5%, 95% CI: [34.1, 36.5], P value <0.001). On regression analysis after adjusting with gestational age and birth weight, for every 1gm/dl decrease of hemoglobin in mother, the risk of NICU admissions has increased by 39%. Our study suggests that low maternal hemoglobin increases NICU admissions and its severity further increases its number and other complications.
Objective: To compare efficacy of near infrared light (NIR) versus naked eye (NE) visualization for intravenous access in the neonates. Methods: This was a randomized controlled trial carried out in a tertiary care center in New Delhi, India from 2015 to 2017. A total of 480 admitted neonates, who required placement of intravenous catheter were randomized to receive intravenous access attempt with NE group or using NIR source group. Primary outcome was first attempt success rate of establishing intravenous access. Secondary outcomes were to compare the time to establish intravenous access, number of pricks taken, and cost of consumables used. Results: Of 240 neonates in each group the mean birth weight of neonates in NE group and NIR group being 1665 ± 820 grams and 1600 ± 778 grams, respectively (p-value = 0.363). Mean gestational age of neonates were 31.78 ± 3.9 weeks in NE group and 31.79 ± 3.9 weeks in NIR group (p-value= 0.972). First-attempt success rate in NE group and NIR group was 122 (50.8%) and 124 (51.7%) respectively. The median(IQR) of time taken to establish intravenous access was 37.5 (13-134.7) sec and 43 (17-221.2) sec in the NE group and NIR group, respectively (pvalue = 0.307). There was no significant difference between the groups for secondary outcomes. Conclusion: Use of NIR source as compared to NE visualization, for establishment of intravenous access in neonates, does not improve first attempt success rate.
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