Aim:To study preterm delivery outcomes in a tertiary care hospital in South India.
Methods: The study was conducted for a 7 month period from July 1, 2020 to January 31, 2021at JSS Hospital, Mysuru. Relevant details of every
pregnant woman who underwent a preterm delivery and the subsequent neonate born were collected and followed till discharge.
Results: The prevalence rate of preterm births was 11.81%. There were 44 early preterm deliveries and 88 late preterm deliveries. The most
common maternal complications that lead to preterm births PPROM and preeclampsia.36 early preterm and 29 late preterm neonates required an
NICU admission. This included 7 pairs of twins in the early preterm and 1 pair of twins in the late preterm. In the NICU, the most common
complications noted were RDS, and sepsis.4 neonates remained by mother's side soon after delivery in the early preterm subset, whereas 54 of late
preterm neonates were kept by the mother's side soon after delivery. 31 of 40 early preterm, 86 of the 88 of late preterm neonates were healthy and t
for discharge.
Conclusion:The prevalence of preterm birth rate in our study stands comparable to the reported global average. Preterm births have a
multifactorial etiology. Timely referral to higher centers, experienced obstetricians, and a good NICU facility proved helpful to both the mother and
neonate. Thorough record keeping also allows a true picture of preterm prevalence on the basis of which, policies and decisions can be made to
further improve preterm care.
Bacteremia due to obligate anaerobes following large bowel surgery in a tertiary care hospital in South India
