scholarly journals Where to manage late preterm babies? A look at whether late preterm babies fit proposed ‘transitional care’ criteria for ward-based care

2017 ◽  
Vol 53 ◽  
pp. 59-59
Keyword(s):  
Transitional Care ◽  
Late Preterm ◽  
Preterm Babies

“His tummy's only tiny” – Scientific feeding advice versus women's knowledge. Women's experiences of feeding their late preterm babies

Midwifery ◽  
2019 ◽  
Vol 69 ◽  
pp. 102-109 ◽  
Author(s):  
Luisa Cescutti-Butler ◽  
Ann Hemingway ◽  
Jaqui Hewitt-Taylor
Keyword(s):  
Late Preterm ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
Preterm Babies ◽  
Women's Knowledge ◽  
Women’S Knowledge

Comparative study on prediction and course of significant hyperbilirubinemia in term and late preterm babies

Astrocyte ◽  
2017 ◽  
Vol 4 (3) ◽  
pp. 139
Author(s):  
Arpita Gupta ◽  
VN Tripathi ◽  
RupaD Singh ◽  
Kiran Pandey
Keyword(s):  
Comparative Study ◽  
Late Preterm ◽  
Preterm Babies

The influence of maternal ethnicity on neonatal respiratory outcome

2019 ◽  
Vol 105 (1) ◽  
pp. 50-55 ◽  
Author(s):  
Annie Georgina Cox ◽  
Shagun Narula ◽  
Atul Malhotra ◽  
Shavi Fernando ◽  
Euan Wallace ◽  
...  
Keyword(s):  
South Asian ◽  
Neonatal Morbidity ◽  
Hyaline Membrane Disease ◽  
Late Preterm ◽  
Functional Maturity ◽  
Respiratory Outcome ◽  
Preterm Babies ◽  
Birth Records ◽  
Respiratory Outcomes ◽  
Spontaneous Delivery

ObjectiveHigher rates of neonatal morbidity and mortality at term combined with earlier spontaneous delivery have led to the hypothesis that babies born to South Asian born (SA-born) women may mature earlier and/or their placental function decreases earlier than babies born to Australian and New Zealand born (Aus/NZ-born) women. Whether babies born to SA-born women do better in the preterm period, however, has yet to be evaluated. In this study we investigated respiratory outcomes, indicative of functional maturity, of preterm babies born to SA-born women compared with those of Aus/NZ-born women to explore this hypothesis further.Study design and settingThis retrospective cohort study was conducted at Monash Health.PatientsData were collected from neonatal and birth records of moderate-late preterm (32–36 weeks) infants born between 2012 and 2015 to SA-born and Aus/NZ-born women.Outcome measuresRates of nursery admissions and neonatal respiratory outcomes were compared.ResultsBabies born to Aus/NZ-born women were more likely to be admitted to a nursery (80%) compared with SA-born babies (72%, p=0.004). Babies born to SA-born mothers experienced significantly less hyaline membrane disease (7.8%), required less resuscitation at birth (28.6%) and were less likely to require ventilation (20%) than babies born to Aus/NZ-born mothers (18%, 42.2%, 34.6%; p<0.001). There was no difference in the duration of ventilation or length of stay in hospital.ConclusionsModerate-late preterm babies born to SA-born women appear to have earlier functional maturity, as indicated by respiratory outcomes, than Aus/NZ-born babies. Our findings support the hypothesis of earlier fetal maturation in SA-born women.

Morbidity Patterns of Late Preterm Babies Born Small for Gestation

2019 ◽  
Vol 86 (7) ◽  
pp. 578-583 ◽  
Author(s):  
Achinta Kumar Mallick ◽  
Kannan Venkatnarayan ◽  
Rajeev Kumar Thapar ◽  
Vishal Vishnu Tewari ◽  
Subhash Chandra Shaw
Keyword(s):  
Late Preterm ◽  
Preterm Babies

scholarly journals Maternal risk factors and immediate outcome of late preterms

2019 ◽  
Vol 6 (5) ◽  
pp. 1845
Author(s):  
Sahana Giliyaru ◽  
Sahaya Nirmala S. ◽  
Adarsh E.
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Late Preterm ◽  
Close Monitoring ◽  
Maternal Risk Factors ◽  
Maternal Risk ◽  
Preterm Babies ◽  
Nicu Admission

Background: This study was conducted to analyse the immediate outcome of late preterm babies and also to evaluate the various maternal risk factors in these babies so that close monitoring of these babies for the complications is done and immediate problems can be addressed.Methods: Prospective observational study done in level 3 NICU setting for 6 months. All babies born between 34-36/7 weeks are included in the study and they constitute the cases. Term (above 36 weeks 6 days gestation) newborns babies born during the study period are controls. Maternal history is taken in detail. Risk factors during pregnancy including maternal age, gravida, mode of delivery, medical conditions and birth details. Baby details like gestational age, sex, birth weight, and neonatal morbidities are recorded. The babies are either shifted to NICU or to mother’s side based depending on the baby’s condition. All of them are followed up till discharge.Results: 89 late preterm babies born in the hospital during the study period are included in the study. Out of 89 babies 45are females constituting 50.6% and 44are male babies constituting 49.4%. 20 (22.5%) babies had gestational age between 34-35 weeks.29 babies (32.5 %) had gestational age between 35-36 weeks and 40 babies (45%) are between 36-37 weeks of gestation. 47 babies (52.9%) have birth weight between 1.5-2.49 kg.42 babies (47.1%) have birth weight between 2.5-3.5 kg. The number of babies born by LSCS were 48 (54%) and 41 babies 46% are born through vaginal route.42 babies constituting 48.3% are appropriate for gestational age and 43 babies (49.4%) are small for gestationalage.34 (39.1%) babies required NICU admission and 55 (60.9%) babies did not require NICU admission. Among the maternal risk factors PIH was the commonest risk factor in 22babies (24.7 %), followed by PROM13 (14.6 %), oligohydramnios 6 (6.7 %) ,twin gestation 6 (6.7 %), MSAF 3 (3.4%), IDM 3 (3.4%), Antepartum hemorrhage 3 (3.4%), eclampsia 1 (1.1%) and maternal cardiac disease 1.1%. Neonatal morbidities are 25 late preterm babies had jaundice (28.7%) followed by RDS in 15 (17.2%), sepsis in 9 (10.3%), NEC 2 (2.3%), Hypoglycemia 5 (5.6%) late preterm babies required ventilation/ CPAP constituting 5.7%. Surfactant was used in 2 late preterm babies 2.3%. 87 babies (97.8%) got discharged and mortality is 2.2%.Conclusions: Late prematurity is associated with significant neonatal morbidity.

scholarly journals Can we Rely on Transcutaneous Bilirbinometry during Phototherapy?

2020 ◽  
pp. 5-12
Author(s):  
Dr. Pearl Mary Varughese
Keyword(s):  
Serum Bilirubin ◽  
Late Preterm ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Neonatal Septicemia ◽  
New Born ◽  
Prolonged Hospitalization ◽  
Preterm Babies ◽  
Screening Device ◽  
Transcutaneous Bilirubinometer

Background:Neonatal jaundiceis one of the main reasons for prolonged hospitalization in newborns, and its progress and treatment depends on serum bilirubin values. Phototherapy remains the mainstay of treatment of pathological jaundice in newborn babies. Though, transcutaneous bilirubinometer has been used as a screening device for measuring bilirubin, its role during phototherapy has always been questioned. Objective: To study the correlation between Transcutaneous bilirubinometer (TcB) values with serum bilirubin levels (TSB) in infants during phototherapy in term and late preterm babies. Materials and Methods: The study was conducted in a tertiary new-born center from November 2014 to June 2016. The inclusion criteria included all babies above 34 weeks gestation and exclusion criteria included babies with established direct hyperbilirubinemia, neonatal septicemia, major congenital/ gastrointestinal malformations, and those on phototherapy.

A randomized controlled trial of restricted versus standard fluid management in late preterm and term infants with transient tachypnea of the newborn

2020 ◽  
Vol 13 (4) ◽  
pp. 477-487
Author(s):  
S. Sardar ◽  
S. Pal ◽  
R. Mishra
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Initial Period ◽  
Fluid Management ◽  
Late Preterm ◽  
Respiratory Morbidity ◽  
Term Infants ◽  
Randomized Controlled ◽  
Antenatal Steroid ◽  
Preterm Babies

BACKGROUND: Transient tachypnea of the newborn(TTNB) is the most common respiratory morbidity in late preterm and term babies and is pathophysiologically related to delayed lung fluid clearance after birth. Mimicking low physiological fluid intake in the initial period of life may accelerate the recovery from TTNB. In a randomized controlled trial, we compared the roles of restricted versus standard fluid management in babies with TTNB requiring respiratory support. METHODS: This parallel group,non-blinded, stratified randomized controlled trial was conducted in a level III neonatal unit of eastern India. Late preterm and term babies with TTNB requiring continuous positive airway pressure (CPAP) were randomly allocated to standard and restricted fluid arms for the first 72 hours (hrs). Primary outcome was CPAP duration. RESULTS: In total, 100 babies were enrolled in this study with 50 babies in each arm. CPAP duration was significantly less in the restricted arm (48[42, 54] hrs vs 54[48,72] hrs, p = 0.002). However, no difference was observed in the incidence of CPAP failure between the two arms. In the subgroup analysis, the benefit of reduced CPAP duration persisted in late preterm but not in term infants. However, the effect was not significant in the late preterm babies exposed to antenatal steroid. CONCLUSION: This trial demonstrated the safety and effectiveness of restrictive fluid strategy in reducing CPAP duration in late preterm and term babies with TTNB. Late preterm babies, especially those not exposed to antenatal steroid were the most benefitted by this strategy.

Twenty-Five Percent Dextrose and EBM in Pain Relief During Heel Lance in Late Preterm Babies Using the PIPP Score: A Randomized Controlled Trial

2018 ◽  
Vol 32 (2-3) ◽  
pp. 43-49 ◽  
Author(s):  
Sandeep Rawal ◽  
Anirudh Ghai ◽  
Tarsem Jindal
Keyword(s):  
Randomized Controlled Trial ◽  
Pain Relief ◽  
Controlled Trial ◽  
Late Preterm ◽  
Sterile Water ◽  
Control Groups ◽  
Randomized Controlled ◽  
Preterm Babies ◽  
Pipp Score ◽  
And Control

Objective: To compare the analgesic effect of 25% dextrose and expressed breast milk (EBM) in pain relief during heel lance in late preterm babies using the premature infant pain profile (PIPP) score. Study Design: Prospective, double blind, randomized controlled trial. Setting: The neonatal intensive care unit of Jaipur Golden Hospital, Rohini, Delhi. Participants: One-hundred eleven late preterm babies who required heel lancing for glycemic control and who were on oral feeds and were hemodynamically stable. Methodology: The babies were randomized into 2 intervention groups (25% dextrose and EBM) and control group (sterile water). The test solution of 2mL was given to baby 2 minutes before heel lancing. The facial response to pain (brow bulge, eye squeeze, and nasolabial furrow) was analyzed from the video. Maximum heart rate (HR) and minimum blood oxygen saturation (SpO2) were also recorded at 30 seconds, 1 minute, 1.5 minutes, and 2.5 minutes after heel lancing by another camera. Outcome Variable: PIPP score, HR, SpO2 at 30 seconds, 1 minute, 1.5 minutes, and 2.5 minutes after heel lancing. Results: A total of 63 babies were considered for final analysis with 21 each in the 25% dextrose, EBM, and sterile water groups. The mean PIPP score in the 25% dextrose, EBM, and control groups at 30 seconds were 4.52, 6.86, and 10.14, respectively ( P < .001). At 1 minute, the PIPP scores were 3.24, 5.14, and 8.24, respectively, for the 25% dextrose, EBM, and control groups ( P < .001). Twenty-five percent dextrose gave better pain relief than EBM. Mean difference between the PIPP score in the 25% dextrose and EBM groups was –2.34 and –1.9 at 30 seconds and 1 minute, respectively, after the painful procedure ( P = .001). Babies in intervention groups had less increase in HR and less decrease in SpO2. Conclusions: Twenty-five percent dextrose and EBM significantly reduced procedural pain in neonates, though pain relief was better in the 25% dextrose group as compared to the EBM group.

scholarly journals Powerless responsibility: A feminist study of women’s experiences of caring for their late preterm babies

2020 ◽  
Vol 33 (4) ◽  
pp. e400-e408
Author(s):  
Luisa Cescutti-Butler ◽  
Jaque Hewitt-Taylor ◽  
Ann Hemingway
Keyword(s):  
Late Preterm ◽  
Women’S Experiences ◽  
Feminist Study ◽  
Women's Experiences ◽  
Preterm Babies
Sign in / Sign up

Export Citation Format

Share Document