Neonatal problems of late and moderate preterm infants

Gouyon, Jean‐Bernard; Iacobelli, Simona; Ferdynus, Cyril; Bonsante, Francesco

doi:10.1016/j.siny.2012.01.015

Cited by 76 publications

(60 citation statements)

References 39 publications

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“…The organisms isolated in blood culture were gram negative, most commonly Acinetobacter 15 . Various studies show CONS, staphylococcus aureus, E coli to be common organisms 16,17 . There was rise in mortality due to sepsis as compared to data 10 years back in our center (from 33% to 50%) 13 .…”

Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity Pattern of Preterm Babies at a Tertiary Level Hospital in Nepal

Shrestha

2013

J. Nepal Paedtr. Soc.

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Introduction: Preterm birth is a major determinant of neonatal mortality and morbidity and has long-term adverse consequences for health. The objectives of this study were to find the demographic characteristics and clinical course of preterm babies admitted at Neonatal Unit of TU Teaching Hospital. Materials and Methods: A retrospective study was done by collecting data from labour room, NICU and by reviewing medical records of all preterm babies admitted to NICU in 2011. Results: There were total of 266 preterm deliveries in TUTH in the year 2011. About 45% of them required NICU admission. Ninety five babies were included in the study. Most common cause of premature delivery was maternal pregnancy induced hypertension (26%). Other causes were preterm premature rupture of membrane (24%) and in 25% of cases the cause was unknown. There were 10 (10.5%) severe preterm babies with mean weight 1.4 ± 0.3 kg, 27 (28.5 %) moderate preterm babies with mean weight 1.8 ± 0.4 kg and 58 (61%) late preterm babies with mean weight 2.2 ± 0.5 kg. Respiratory distress syndrome (RDS) was seen in 32% babies, hyperbilirubinemia in 40% babies, sepsis occurred in 37% and NEC in 4%. Hypothermia was seen in 10.5% and hypoglycemia in 5% babies. Apnea of prematurity was seen in 7% babies. Mechanical ventilation was required in 7% babies. The overall mortality was 12%. The main causes of death were respiratory distress syndrome and sepsis. The mean duration of stay was 10.2±8.8days. The survival rate of severe preterm babies was 80%, moderate preterm babies was 78% while that of late preterm was 95%. Conclusion: The main causes of morbidities in preterm babies were respiratory distress, hyperbilirubinemia and sepsis. Respiratory distress syndrome and sepsis were the predominant causes of mortality in these babies.

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Section: Discussionmentioning

confidence: 99%

Mortality and Morbidity Pattern of Preterm Babies at a Tertiary Level Hospital in Nepal

Shrestha

2013

J. Nepal Paedtr. Soc.

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“…Every eighth twin and every third triplet are born before completed 32 weeks of gestation, while only 2 in 100 singletons are born before completed 32 weeks of gestation (Gouyon et al, 2012;Newman & Unal, 2011). In comparison to singletons, twin pregnancy is five times more likely to result in a preterm delivery, with the majority of twins being born late preterm (Mally et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

Late Prematurity in Twins: A Polish Multicenter Study

et al. 2014

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The study aimed at investigating the impact of late prematurity (LPT) on neonatal outcome in twins and neonatal morbidity and mortality within LPT with regard to the completed weeks of gestation. The study was conducted in six tertiary obstetric departments from different provinces of Poland (Warsaw, Lublin, Poznan, Wroclaw, Bytom). It included 465 twin deliveries in the above centers in 2012. A comparative analysis of maternal factors, the course of pregnancy and delivery and neonatal outcome between LPT (34 + 0-36 + 6 weeks of gestation) and term groups (completed 37 weeks) was performed. The neonatal outcome included short-term morbidities. The analysis of neonatal complication rates according to completed gestational weeks was carried out. Out of 465 twin deliveries 213 (44.8%) were LPT and 156 (33.55%) were term. There were no neonatal deaths among LPT and term twins. One-third of LPT newborns suffered from respiratory disorders or required antibiotics, 40% had jaundice requiring phototherapy, and 30% were admitted to NICU. The analysis of neonatal morbidity with regard to each gestational week at delivery showed that most analyzed complications occurred less frequently with the advancing gestational age, especially respiratory disorders and NICU admissions. The only two factors with significant influence on neonatal morbidity rate were neonatal birth weight (OR = 0.43, 95% CI = 0.2-0.9, p = .02) and gestational age at delivery (OR = 0.62, 95% CI = 0.5-0.8, p < .01). LPT have a higher risk of neonatal morbidity than term twins. Gestational age and neonatal birth weight seem to play a crucial role in neonatal outcome in twins.

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“…4 Secondly, various morbidities associated with late-preterm birth may negatively impact on feeding, such as hyperbilirubinemia, hypoglycemia, respiratory difficulties, and dehydration. 1,5,6 LPIs are more likely than term infants to be separated from their mothers for medical investigations and treatments. 3,7 Avoiding separation, as in kangaroo mother care…”

Section: Reliability and Validitymentioning

confidence: 99%

Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit

Pike

Kritzinger

Krüger

2017

Breastfeeding Medicine

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Title:Breastfeeding characteristics of latepreterm infants in a kangaroo mother care unit. AbstractObjective: To describe the breastfeeding characteristics of late-preterm infants (LPIs) in a kangaroo mother care unit (KMC). Materials and methods:In a 20-bed KMC unit, the breastfeeding of 73 purposively-selected LPIs' (mean gestational age: 34.8 weeks) was observed once-off, using the Preterm Infant Breastfeeding Behavior Scale. Participants' mean age was 9.5 days, mean number of days in the unit was 3.1 days, and mean number of days breastfeeding was 7.5 days on observation.

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Neonatal problems of late and moderate preterm infants

Cited by 76 publications

References 39 publications

Mortality and Morbidity Pattern of Preterm Babies at a Tertiary Level Hospital in Nepal

Mortality and Morbidity Pattern of Preterm Babies at a Tertiary Level Hospital in Nepal

Late Prematurity in Twins: A Polish Multicenter Study

Breastfeeding Characteristics of Late-Preterm Infants in a Kangaroo Mother Care Unit

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