A prospective study on neonatal outcome of preterm births and associated factors in a South Indian tertiary hospital setting

Philip, Tinu; Thomas, Pramod

doi:10.18203/2320-1770.ijrcog20184923

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…4 observed majority of the women in both groups of preterm and term labor were between 20-29 years which is similar to present study. Philip et al 5 in their study on neonatal outcome of preterm births found no significant association of the maternal age to the neonatal outcome in preterm births in present study which is similar to present study. Following table shows mean age in different studies [3][4][5] .…”

Section: Table Iii: Distribution Of Pre-term Cases According To Postn...supporting

confidence: 90%

“…Philip et al 5 in their study on neonatal outcome of preterm births found no significant association of the maternal age to the neonatal outcome in preterm births in present study which is similar to present study. Following table shows mean age in different studies [3][4][5] . In present study, majority 32(64%) of study subjects were primigravida followed by 15 (30%) having multigravida.…”

Section: Table Iii: Distribution Of Pre-term Cases According To Postn...supporting

confidence: 90%

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Preterm Labour Pain & Its Outcome in 50 pts attending at a Tertiary Care Hospital-ICMH

Jabeen,

Jebunnesa,

Dilruba Akter

et al. 2023

Med. Today

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Introduction: Preterm labor is the leading cause of neonatal morbidity all over the world. Over the past two decades despite major preventive efforts, the incidence of preterm birth has remained constant at about 5-10% of live births. The etiology is often multifactorial and poorly understood. Currently preterm labour is one of the most challenging problems confronting the obstetricians and perinatologists. With this background the present study was done to find out perinatal outcome in women presenting with preterm labour. Aims To study the fetal and maternal outcome in preterm labor cases. Materials and Methods: It was Prospective, single centered, observational study. A total of 50 women with preterm labor in the study period i.e. from June 2019 to May 2020 were included for the study sample. This study carried out at the department of Obstetrics and Gynecology, Institute of Child and Mother Health (ICMH), Matuail, Dhaka, Bangladesh. The data were collected personally through a structural questionnaire. Results: Out of 50 subjects, majority of mothers 32(64%) were in age group of 21-30 years followed by 12(24%) in age group of 20 years. Majority 26(52%) of study subjects were primigravida followed by 24(48%) multigravida. Majority 32(64%) of study subjects were in lower class followed by 15 (30%) cases in middle class, 3(6.0%) cases in affluent class. Maximum 31 (62%) cases were unbooked cases and rest 19 (38%) cases were booked. Out of 50 babies who were <2500 grams, maximum 29 (58.0%) were low birth weight followed by 11(22%) being VLBW babies. 5 cases were >2.5 kgs, which are not LBW babies according to WHO Classification of low birth weight. Majority 17 (47.2%) stayed for 1-10 days followed by 9 (25.0%) babies for 11-20 days. Also 7 (19.4%) babies stayed for 21-30 days. Conclusions: Preterm infants are at high risk of overall morbidity and mortality. Clinical suspicion, early detection and correction of risk factors, institutional delivery and good neonatal care back up facilities can improve the outcome of preterm labour and decrease the maternal complications as well. Medicine Today 2023 Vol.35 (2): 73-77

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Section: Table Iii: Distribution Of Pre-term Cases According To Postn...supporting

confidence: 90%

Section: Table Iii: Distribution Of Pre-term Cases According To Postn...supporting

confidence: 90%

Preterm Labour Pain & Its Outcome in 50 pts attending at a Tertiary Care Hospital-ICMH

Jabeen,

Jebunnesa,

Dilruba Akter

et al. 2023

Med. Today

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“…10 The rate of live birth in present study was 89.33%, early neonatal death rate was 6.6% and the fresh still birth rate was 4% which is similar to study done by Philip et al in which live birth rate was 84%. 5 In my study, amongst 75 preterm birth, 60% neonates developed complications, majority was respiratory distress syndrome (18.6%), neonatal hypoglycemia (16%), sepsis (4%), narcotising enterocolitis (4%) and encephalitis (2%). Garg et al observed 84% of neonates requiring NICU admission with complications of jaundice in (30%) of neonates followed by asphyxia (18%) and RDS (16%).…”

Section: Distribution Of Subjects According To Fetal Complicatiosmentioning

confidence: 69%

A prospective study of risk factors and feto-maternal outcome of preterm labor in OG department of tertiary care centre of South Gujarat

Prajapati,

Bhatia

2023

Int J Reprod Contracept Obstet Gynecol

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Background: Every year globally, an estimated 15 million babies are born preterm and this number is rising over major parts of the world. Severe morbidity is common in neonates born before 32-34 weeks of gestation. Management of prematurity is a team approach by the obstetrician and the pediatrician. Methods: This prospective observational study was conducted in the Department of Obstetrics and Gynecology, NCH, Surat from October 2019 to October 2020. 120 consenting consecutive subjects fulfilling inclusion criteria were enrolled. Results: The most common risk factor for preterm labor in my study was PPROM (premature rupture of membranes). 27% subjects were diagnosed with threatened preterm labor. 22% subjects delivered preterm due to advanced labor. Labor arrest with tocolytic drug nifedipine was attempted in 30 subjects without any complications, which was successful in 19 subjects. The most common maternal complication in preterm labor was postpartum hemorrhage. All neonates were admitted to NICU, amongst them 45 developed complications. The most common complication in preterm neonates was respiratory distress. The rate of early neonatal death was 6.6%. Conclusions: Inspite of advances in antenatal care and neonatal services, preterm birth remains a burden to families. Strengthening of referral systems to make sure that high risk patients are managed at tertiary care centers with NICU facilities will improve the neonatal outcome.

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“…3 According to WHO if the delivery is occurring after the period of viability and before completing 37 weeks of gestation or 259 days since the first day of women's Last menstrual period than it is defined as preterm labour. 4 We classify preterm deliveries into two main groups. One is the delivery occurring after 28 weeks of gestation but before completing 34 weeks than it is known as early preterm and the other is delivery occurring after 34 weeks but before completing 37 weeks of gestation than it is known as late preterm.…”

Section: Introductionmentioning

confidence: 99%

An observational study of aetiology of preterm labour in a tertiary health care centre

Shaheen¹,

Chauhan²,

Alka³

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: Preterm labor and delivery are very challenging obstetric complications encountered by obstetrician as preterm births are the major cause of perinatal and neonatal morbidity and mortality.Methods: An observational study was conducted in the Department of Obstetrics and Gynaecology, Himalayan Institute of Medical Sciences (HIMS), Jollygrant, Dehradun, over a period of one year in which 105 preterm pregnant were observed and risk factors associated with preterm labour were evaluated. Results: Preterm labour was more common in multigravida as compared to primigravida. Maximum (58.10%) number of preterm birth occurred after 32 weeks of gestation. In previous history of pregnancy most important history was previous history of abortion than previous history of preterm labour. Previous one history of abortion was more commonly associated than previous history of 2 or more than 2 abortions. Preterm prelabour rupture of membranes was most important risk factor associated with preterm labour and delivery followed by UTI, than PIH and anemia being the 4th important reason.Conclusions: Thus we concluded that various risk factors that lead to preterm labor are identifiable and mostly are modifiable. Therefore, preconceptional counseling has a great role to play in bringing down the incidence of preterm labour.

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A prospective study on neonatal outcome of preterm births and associated factors in a South Indian tertiary hospital setting

Cited by 4 publications

References 15 publications

Preterm Labour Pain & Its Outcome in 50 pts attending at a Tertiary Care Hospital-ICMH

Preterm Labour Pain & Its Outcome in 50 pts attending at a Tertiary Care Hospital-ICMH

A prospective study of risk factors and feto-maternal outcome of preterm labor in OG department of tertiary care centre of South Gujarat

An observational study of aetiology of preterm labour in a tertiary health care centre

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