Background: The incidence of preterm births is increasing and has become a global health concern. This study aimed to compare the outcome of late preterm (LPT) to full term (FT) neonates at two large hospitals in Upper Egypt. Results: Out of 250 newborns included in the study, 180 (72%) were FT and 70 (28%) were LPT. More than half of the LPT newborns (52.9%) were admitted to the neonatal intensive care unit (NICU), compared with 26.7% of FT newborns. Delivery of LPT was associated with an increased risk of neonatal morbidity, including jaundice requiring phototherapy (34.3% vs. 7.8%), respiratory morbidities (32.9% vs. 13.9%), hypoglycemia (8.6% vs. 1.7 %), and convulsions (4.3% vs. 0.6%). Conclusions: LPT neonates were more susceptible to suffer from jaundice and respiratory distress among other morbidities. They also had a higher rate of NICU admission, longer duration of NICU stay, as well as a higher mortality rate. The best treatment of late prematurity is to prevent it. Public and professional awareness of the problems associated with late prematurity should be highlighted. Follow-up programs for early detection and intervention for long term complications are recommended.
Asthma is a major public health problem worldwide. There was a sharp increase in the global prevalence of asthma over the last two decades. Few studies evaluated asthma prevalence in Egypt. Determination of the prevalence of bronchial asthma among school children aged 6-12 years old in Fayoum city (distrect) and identification of the risk factors associated with asthma. A questionnaire-based study conducted in the period from Feb to April 2013. We used a modified written International Study of Asthma and Allergies in the (ISAAC) questionnaire (phase I) translated into Arabic language. We added questions dealing with risk factors of asthma. We distributed 2872 questionnaires in this study which was conducted on (10) primary schools included both rural and urban areas. The subjects of the study were selected by multistage random sample technique. Out of the 2872 questionnaires, only 1656 questionnaires were returned only 103 children fitted the diagnosis of asthma. The prevalence of asthma in Fayoum city (district) 6.3%. was noted in females, high socioeconomic states and small family size. The main risk factors were: the first and second birth order, overcrowding at homes, high socioeconomic status, and small family size.Respiratory tract infections, exercise, smoking, house dust mites, diet, animal and allergens were the main precipitating factors for asthmatic attacks. The prevalence of bronchial asthma among primary school children aged 6-12 years old in Fayoum district, conducted in the year 2013, was 6.3% and was equally distributed among rural and urban areas.
Background: Preterm birth rates continue to rise. Suggestions have been made that preterm birth rates have also increased because of a dramatic rise in late preterm births, defined as births between 34 weeks and 36-6/7 weeks of gestation. Latepreterm births are considered functionally mature but, several line of evidences suggest that, compared with term neonates, they have a higher risk of complications. Objectives: The present study was done to compare the outcome of late preterm infants born in our hospital, compared to those born at term. Patients and Methods: This is a prospective study conducted on 250 newborn born in maternal unit and neonatal intensive care unit of Fayoum University Hospital and BeniSuef General Hospital during 6 consecutive months(the period from May 2015 to November 2015).The study sample comprised late-preterm infants (cases) and a group of full term newborns(controls). Maternal, gestational and neonatal variables were analyzed. Means and standard deviations were used to compare numerical variables between case and control groups using Kolmogorov-Smirnov test (KS) and the Mann-Whitney test.
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