Aims and Objectives: To nd out all the outcomes in neonates born to mother with premature membrane rupture (PROM or PPROM) of >18 hrs duration. This descriptive study was conducted in Department of P Methods: ediatrics, at Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala over a period of 18 months. Total 58 neonates born to mother with PROM of more than 18 hours were evaluated in this study. Perinatal Results: morbidity was seen in 50% of cases. Neonatal jaundice was the commonest cause for perinatal morbidity noticed in 37.93% of cases followed by respiratory distress/TTN, Thrombocytopenia, CRP positive sepsis, Birth asphyxia, Apnoea, RDS and Culture positive sepsis (27.58%, 18.96%, 18.96%, 10.34%, 10.34%, 8.62% and 8.62% respectively). Perinatal mortality observed was 1.72% (1 out of 58). As the period of gestation increases the duration of latency period decreases and incidence of perinatal morbidities also decreases. Pregnancies complica Conclusion: ted by PROM are signicantly at higher risk of developing perinatal morbidities and mortality. These morbidities are greatly inuenced by the duration of the latency period and period of gestation.
Background- Newborn infants are unique in their physiology and the health problems that they experience. Neonatal period is dened from birth to under four weeks of age. Late preterm infants may physiologically and physically appear like infants born at term, but most late preterm infants may undergo complications like respiratory distress, apnea, hypothermia, feeding problems, hypoglycemia, hyperbilirubinemia, sepsis, and mortality. AIM-To compare the clinical prole of late preterm neonates with term neonates. MATERIALAND METHODS: This prospective observational study was carried out in neonatal division of department of pediatrics MMIMSR, Mullana. Eligible neonates delivered at MMIMSR, Mullana born from 34 weeks up to 42 weeks gestation were included. All infants enrolled in the study was followed daily till rst 7 days of life for any morbidity by clinical evaluation and review of hospital records.104 preterms included in the study and 226 term neonates were included in the study. Results- Preterms born via LSCS and NVD were(58%vs.42%).Morbidities in late preterms were Hypoglycemia (21.2% vs. 9.3%), Hypothermia (15.4%vs5.7%), hypocalcaemia (38.4% vs. 5.3%), neonatal hyperbilirubinemia(67.3% vs. 30.5%), feeding difculties(44.2% vs. 14.6%), sepsis(40.4% vs. 19.5%), respiratory support(53% vs. 47%)
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