Immediate Outcome of Vlbw And Elbw Babies in a Tertiary Care Center of Nepal

Acharya, Niraj; Mishra, Pradip; Shrestha, Niraj; Gupta, Veena

doi:10.3126/jngmc.v12i1.13404

Cited by 2 publications

(2 citation statements)

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“…Study conducted by Acharya N, et al revealed that the common neonatal morbidities were seizures, RDS, hypothermia, anemia, shock, CHD, birth asphyxia and NEC. 5 In present study we observed that RDS, asphyxia, sepsis, shock, seizures, etc. were common morbidities.…”

Section: Discussionmentioning

confidence: 53%

Clinical profile and factors determining outcome of intramural very low birth weight babies in a tertiary care centre: a retrospective study

2017

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Background: Very low birth weight (VLBW) babies are at increased risk of a number of complications both immediate and late. Worldwide it has been observed that these babies contribute to a significant extent to neonatal mortality and morbidity. Aim of the study was to study the risk factors contributing to mortality in VLBW babies and to evaluate the morbidity pattern in these infants.Methods: A retrospective analysis of data retrieved from the case records of VLBW babies admitted in the NICU of Kilpauk Medical College between January 2015 to December 2015. Out of the 2360 intramural babies admitted during the study period, 99 babies were less than 1500 gms. The risk factors for these babies were analyzed for their association with the outcome. Data were statistically analyzed.Results: In present study, we found that sex of the baby, gestational age, obstetric score, birth asphyxia, pulmonary haemorrhage, ROP and presence of shock were found to be associated with increased mortality. By logistic regression analysis it was observed that birth weight of the baby (p value 0.002), duration of stay (p value 0.0006), presence of shock (p<0.0001), were the risk factors significantly associated with poor outcome.Conclusions: Among the maternal and neonatal factors analyzed in the study using logistic regression analysis, birth weight, duration of hospital stay and presence of shock were significantly related to poor outcome. Of these presence of shock was the single most important factor that predicted increased mortality.

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Section: Discussionmentioning

confidence: 53%

Clinical profile and factors determining outcome of intramural very low birth weight babies in a tertiary care centre: a retrospective study

2017

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“…14 In a study by Acharya N et al mortality rate in ELBW and VLBW babies were 69.7% and 25% respectively. 15 In a study by K K Roy at al. -The commoner neonatal complications in both VLBW and ELBW babies were RDS, neonatal jaundice and sepsis.…”

Section: Discussionmentioning

confidence: 99%

Morbidity profile and immediate outcome of low birth weight neonates in a rural tertiary care hospital of Gujarat, India

Rasania¹,

Pathak²,

Dogra³

et al. 2018

Int J Contemp Pediatr

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Background: Low birth weight (LBW) has been defined as a birth weight of <2.5 kilogram regardless of gestational age. In India, every 3rd born child is of LBW. LBW is associated with increased neonatal mortality and morbidity, compromised growth and cognitive development.Methods: This is a retrospective cohort study using previously collected data from January 2015 to December 2015.Results: Out of 1238 live births, 485 (39.17%) were LBW. 456(94.01%) were LBW weighing >1500 grams (LBW), 22(4.53%) were VLBW, and 07(1.44%) were ELBW. 361(74.43%) were LBW2 (birth weight ≥2000 - <2500 grams), 95(19.58%) were LBW1 (birth weight ≥1500 - <2000 grams). 289(59.58%) of LBW neonates were full term. SNCU admission is significantly higher in LBW neonates (25.8% vs 9.61%). Morbidities were higher in LBW neonates compared to normal birth weight neonates. Difference was more significant in incidence of sepsis (3.72% vs 0.83%), RDS (2.19% vs 0%), TTN (5.48% vs 2.36%), hypoglycemia (1.31% vs 0%), feed intolerance (1.09% vs 0%) and risk of major congenital malformation (1.97% vs 0.27%). Need for respiratory support was 4.82% in LBW vs 2.36% in normal birth weight neonates. Morbidities were significantly higher in VLBW and ELBW neonates. Immediate poor outcome was in 3.92% in LBW neonates, while it was 0.56% in normal weight neonates. Poor immediate outcome was 1.11% in LBW2, 2.10% in LBW1, 10% in VLBW1, 41.66% IN VLBW2, and 100% in ELBW.Conclusions: LBW neonates are at higher risk of morbidities and mortalities. The major determinant for mortality in LBW babies is the birth weight. The best option to prevent LBW is by improving maternal health. Improvement of perinatal and neonatal services in government sector and public private partnership model of free neonatal care can help to achieve the INAP goal of NMR <10 by 2030.

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Immediate Outcome of Vlbw And Elbw Babies in a Tertiary Care Center of Nepal

Cited by 2 publications

References 15 publications

Clinical profile and factors determining outcome of intramural very low birth weight babies in a tertiary care centre: a retrospective study

Clinical profile and factors determining outcome of intramural very low birth weight babies in a tertiary care centre: a retrospective study

Morbidity profile and immediate outcome of low birth weight neonates in a rural tertiary care hospital of Gujarat, India

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