scholarly journals Morbidity and Mortality of Low Birth Weight Baby

1970 ◽  
Vol 21 (1) ◽  
pp. 35-39 ◽  
Author(s):  
MI Bari ◽  
MA Ullah ◽  
M Khatun
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Birth Asphyxia ◽  
Analytical Techniques ◽  
Neonatal Morbidity ◽  
Morbidity And Mortality ◽  
Chi Square ◽  
College Hospital ◽  
Normal Birth ◽  
A Prospective Study

This was a prospective study conducted in a cohort of live normal full term singleton newborns delivered in Rajshahi Medical College Hospital with the objective to explore their early neonatal health as well as the role of low birth weight on it. A total 770 live normal newborns were Included in this study. For data collection APGAR Score Estimating Checklist and one protested structured questionnaire were used. Simple descriptive as well as analytical techniques including Chi-square t test were done. The results of this study suggested that low weight (LBW) babies were more prone to develop early neonatal morbidity and mortality than normal birth weight (NBW) babies. LBW infants needed more resuscitation and responded less to resuscitative effort than the infants of NBW. Birth asphyxia was the commonest cause of early neonatal morbidity and mortality.    doi: 10.3329/taj.v21i1.3216 TAJ 2008; 21(1): 35-39

scholarly journals Low Birth Weight and Early Neonatal Health

1970 ◽  
Vol 17 (1) ◽  
pp. 1-5
Author(s):  
M Khanum ◽  
MA Ullah ◽  
MI Bari
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Birth Asphyxia ◽  
Analytical Techniques ◽  
Neonatal Morbidity ◽  
Morbidity And Mortality ◽  
Neonatal Health ◽  
Chi Square ◽  
College Hospital ◽  
A Prospective Study

This was a prospective study conducted in a cohort of live normal full term singleton new-borns delivered in Rajshahi Medical College Hospital with the objective to explore their early neonatal health and as well as the role of low birth weight on it. A total 770 live normal new-borns were included in this study. For data collection APGAR Score Estimating Checklist and one pretested structured questionnaire were used. Simple descriptive as well as analytical techniques including Chi-square and t test were done. The results of this study suggested that low birth weight (LBW) babies were more prone to develop early neonatal morbidity and mortality than normal birth weight (NBW) babies. LBW infants needed more resuscitation and responded less to resuscitative effort than the infants of NBW. Birth asphyxia was the commonest cause of early neonatal morbidity and mortality.   doi: 10.3329/taj.v17i1.3480 TAJ 2004; 17(1) : 1-5

A review of neonatal morbidity and mortality in Aminu Kano Teaching Hospital, northern Nigeria

2007 ◽  
Vol 37 (3) ◽  
pp. 130-132 ◽  
Author(s):  
M Mukhtar-Yola ◽  
Z Iliyasu
Keyword(s):  
Birth Weight ◽  
Teaching Hospital ◽  
Birth Asphyxia ◽  
Neonatal Morbidity ◽  
Obstetric Care ◽  
Morbidity And Mortality ◽  
Early Referral ◽  
Normal Birth ◽  
Common Causes ◽  
The Common

Neonatal morbidity and mortality still poses a serious challenge in developing countries. Low level of obstetric care, unsupervised home deliveries and late referrals lead to poor outcome even in special care baby units (SCBU). To identify the common causes of neonatal morbidity and mortality among babies admitted to the SCBU in Aminu Kano Teaching Hospital (AKTH) the case-notes of all admitted neonates from January 1998 to December 2004 were retrospectively reviewed. A total of 2963 (98.3%) babies had complete records. There were 1455 (49.1%) in-born (delivered in AKTH) and 1508 (50.9%) out-born (delivered elsewhere) babies. The sex ratio was1.25:1in favour of males. A total of1868 (63.0%) were of normal birth weight, while 951 (32.1%) and 134 (4.5%) were low birth weight and macrocosmic, respectively. The leading diagnoses were birth asphyxia (27%) (severe birth asphyxia 18.1%, moderate asphyxia 8.9%), neonatal sepsis (25.3%) and prematurity (16.0%). Out of the 2963 babies, 501 (16.9%) died. The risk of dying was significantly higher (20.5%) among out-born babies compared with those delivered in AKTH (6.4%) (odds ratio = 1.71, 95% confidence interval = 1.4-2.1). In conclusion, the causes of neonatal morbidity and mortality at this centre are similar to those reported from other units. They could be prevented through effective antenatal care, supervised delivery and appropriate care and early referral of sick neonates.

scholarly journals Morbidity and mortality profile of neonates in a tertiary care centre in Tamil Nadu: a study from South India

2018 ◽  
Vol 5 (2) ◽  
pp. 377 ◽  
Author(s):  
Ravikumar S. A. ◽  
Harikrishnan Elangovan ◽  
Elayaraja K. ◽  
Aravind Sunderavel K. K.
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Morbidity And Mortality ◽  
Normal Birth Weight ◽  
Mortality Pattern ◽  
Normal Birth ◽  
Significant Difference

Background: Accurate data on morbidity and mortality pattern are useful for many reasons. The Perinatal and the neonatal period are so short but they are the most critical faces of human life1. It reflects the general health and the socio-biological features of the most vulnerable groups of the society, the mothers and the infants. The objectives of this study was to investigate the morbidity and mortality pattern of neonates admitted in Neonatal Intensive Care Unit (NICU) of tertiary care hospital.Methods: All the neonates admitted to NICU from July 2013 to June 2015, excluding the neonates referred and discharged against medical advice were retrospectively analysed for demographic profile, short term morbidity and outcome.Results: 3118 neonates were admitted in the study period. 57.5% were Males, 72.5% were inborn, 69% were term babies and 53.3% had normal birth weight. Important causes for morbidity were Perinatal asphyxia 490 (15.7%), Preterm/LBW 456 (14.6%), Neonatal jaundice 438 (14%) and then sepsis 402 (12.9%). The mortality rate was 10.4% with statistical significant difference between inborn and outborn babies (P<0.0001). The major causes of mortality are Respiratory syndrome 109 (33.6%), followed by birth asphyxia 82 (25.3%) and sepsis 82 (25.3%). The survival of term as well as normal birth weight babies was statistically significant over preterm (P<0.0001) and Low Birth Weight (LBW), Very Low Birth Weight (VLBW), Extreme Low Birth Weight (ELBW) neonates (P<0.0001> respectively.Conclusions: Birth asphyxia, prematurity, Jaundice and neonatal sepsis respiratory problems were major causes of both mortality and morbidity. There is need to strengthen services to address these problems more effectively. 

Determinan Kejadian Bayi Berat Lahir Rendah (BBLR) di RS Panembahan Senopati Bantul

2019 ◽  
pp. 1-10
Author(s):  
Angga Arsesiana ◽  
Desi Kumala ◽  
Rena Oki Alestari
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Weight Control ◽  
Control Design ◽  
Neonatal Morbidity ◽  
Case Control ◽  
Normal Birth Weight ◽  
Chi Square ◽  
Normal Birth ◽  
Main Factor

Latar Belakang: Berat badan lahir rendah adalah salah satu indikator kesehatan anak dan merupakan faktor utama dalam peningkatan angka kematian, morbiditas dan disabilitas neonatal, bayi dan anak-anak.Tujuan: Penelitian ini bertujuan untuk mengetahui dan menganalisis terjadinya BBLR di Rumah Sakit Panembahan Senopati Bantul.Metode: Ini adalah studi analitik observasional dari desain kasus kontrol. Populasi penelitian ini adalah semua ibu yang melahirkan dengan berat badan lahir rendah di Rumah Sakit Panembahan Senopati. Sampel penelitian ini adalah ibu melahirkan berat badan lahir rendah (case) sebanyak 162 ibu dan ibu melahirkan berat lahir normal (kontrol) sebanyak 162. Analisis dilakukan secara deskriptif, chi square dan regresi logistik.Hasil: Hasil penelitian ini menunjukkan bahwa penentu berat lahir rendah adalah Hb 11 g / dL dengan nilai OR 19,02. Selain itu ada juga faktor lain yang mempengaruhi terjadinya BBLR adalah komplikasi kehamilan dengan nilai OR 13,28, paritas dengan nilai OR 10,37, penyakit kronis dengan nilai OR 8,18, dengan nilai OR 3,92 dan usia kehamilan dengan OR 3,88. Dianjurkan bagi wanita hamil untuk secara rutin melakukan pemeriksaan kehamilan untuk memantau kondisi janin sehingga faktor penyebab BBLR dapat dideteksi sejak dini.Kesimpulan: Penentu berat lahir rendah adalah tingkat Hb 11gr / dL dengan nilai OR 19,02. Kata kunci: Berat lahir rendah, kecelakaan, determinan  ABSTRACT­­BACKGROUND Low birth weight is one indicator of child health and is a main factor in increased mortality, neonatal morbidity and disability, infants and children.OBJECTIVE This study aims to determine and analyze the occurrence of low birth weight in Panembahan Senopati Bantul Hospital.METHODS This was an observational analytic study of case-control design. The population of this study were all mothers who gave birth to low birth weight in Panembahan Senopati Hospital. The sample of this research is mother giving birth of low birth weight (case) as much as 162 mother and mother giving birth of normal birth weight (control) as much as 162. Analysis is done descriptive, chi square and logistic regression.RESULT Result of this research shows that the determinant of low birth weight is Hb 11 g / dL with OR value of 19,02. In addition there are also other factors that affect the occurrence of low birth weight is pregnancy complications with the value of OR 13.28, parity with the value of OR 10.37, chronic disease with OR value of 8.18,  with OR value of 3.92 and gestational age with the OR 3.88. It is recommended for pregnant women to routinely conduct pregnancy examination to monitor condition of fetus so that cause factor of LBW can be detected early.CONCLUSION Determinant of low birth weight is Hb level 11gr/ dL with OR value 19,02. Keyword: Low birth weight, accident, determinant 

scholarly journals Morbidity and mortality of low birth weight babies in early neonatal period in a rural area teaching hospital, Telangana, India

2019 ◽  
Vol 6 (4) ◽  
pp. 1582
Author(s):  
Jayalakshmi Pabbati ◽  
Preethi Subramanian ◽  
Mahesh Renikuntla
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress ◽  
Gestational Age ◽  
Neonatal Period ◽  
Birth Asphyxia ◽  
Morbidity And Mortality ◽  
Neonatal Deaths ◽  
Early Neonatal Period ◽  
Preterm Babies

Background: A baby’s weight at birth is a strong indicator of newborn health and nutrition. Low birth weight (LBW) babies are more susceptible to morbidities and mortality in early neonatal period than normal birth weight (NBW) babies. Among neonatal deaths, 80% occurs in LBW / preterm babies and 75% of total neonatal deaths occur in early neonatal period. The present study was undertaken to know the incidence and early neonatal outcome of LBW babies in rural area.Methods: Prospective observational study was conducted in babies born with <2.5 kg (LBW) birth weight.Results: The incidence of LBW babies was 25.07% with almost an equal contribution from preterm (50.46%) and Term Intra Uterine Growth Restricted (IUGR) (49.53%) babies. The most common morbidity found in LBW babies was Jaundice (40.09%) followed by respiratory distress (18.16%), sepsis (8.72%) and apnea (4.48%). Preterm-LBW babies had more morbidities in terms of apnea (100%), birth asphyxia (88.88%), respiratory distress (87.01%%), sepsis (80.55%) and jaundice (67.64%). Early neonatal mortality was 21.22 per 1000 live births. Mortality was 100% for babies <1 kg in birth weight, 16% in 1-1.499 kg group and 0.75% in 1.5-2.499 kg group in early neonatal period. According to gestational age, mortality in preterm-LBW babies was 88.88% and 11.11% in Term IUGR-LBW babies. The most common cause of death in LBW babies was birth asphyxia (44.44%) followed by hyaline membrane disease (HMD) (33.33%).Conclusions: The present study revealed that preterm babies contributed 50% to incidence of LBW babies. Morbidity and mortality in LBW babies were inversely related to birth weight and gestational age.

scholarly journals Risk Factors and Outcome of Neonatal Thrombocytopenia

2020 ◽  
Vol 24 (3) ◽  
pp. 229-234
Author(s):  
Hira Arif ◽  
Nadeem Ikram ◽  
Shangraf Riaz ◽  
Asma Nafisa
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Birth Asphyxia ◽  
P Value ◽  
Maternal Risk ◽  
Significant Difference ◽  
Neonatal Thrombocytopenia ◽  
A Prospective Study

Introduction: About 30% of neonates develop thrombocytopenia during hospital admission. Inevitable and irreversible complications can be prevented by determining the risk factors of neonatal thrombocytopenia. The present study was undertaken to determine the risk factors and outcome of neonatal thrombocytopenia in neonates admitted to Neonatal Intensive Care Unit Benazir Bhutto Hospital Rawalpindi. Materials and Methods: A prospective study was conducted to evaluate the risk factors for neonatal thrombocytopenia (NT) in 160 neonates. Neonatal and maternal risk factors were recorded and neonates were categorized into three groups based on the severity of thrombocytopenia. Results: A higher percentage of the neonates 89 (55.6%) were male. The majority (61.9%) had moderate neonatal thrombocytopenia while 21.9% had severe neonatal thrombocytopenia. A highly significant difference was observed for the distribution of gestational age, platelet count, birth weight, and age at admission (for all p-value ≥0.0001) among different groups. Multivariate logistic regression revealed a significant independent association of prematurity, birth asphyxia, and low birth weight with neonatal thrombocytopenia. Conclusion: Prematurity, low birth weight, and birth asphyxia were the significant causes of Neonatal thrombocytopenia. The mortality rate increased significantly with the severity of thrombocytopenia.

OUTCOME OF LOW BIRTH WEIGHT NEONATES WITH RELATION TO EARLY ANEMIA.

2021 ◽  
pp. 1-3
Author(s):  
Anmol Kaur Sidhu ◽  
Preeti Malhotra
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Cross Sectional Study ◽  
Morbidity And Mortality ◽  
Normal Birth Weight ◽  
Sectional Study ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Normal Birth ◽  
Elbw Neonates

Background: Weight of newborn is a universal predictor of health during childhood. Haematological prole varies with period of gestation in low birth weight neonates i.e., <2500 grams. They have different haematological prole as compared to normal birth weight neonates. Aim of this study is to relate early morbidity and mortality of low birth weight neonates and their haemoglobin at days 1, 4 and 7. Materials and methods: A prospective cross-sectional study was conducted from January 2019 to June 2020 on children weighing below 2500 grams admitted within 24 hours of birth in Department of Paediatrics, SGRDIMSR, Amritsar. A total of 110 neonates were enrolled in this study following the inclusion and exclusion criteria. Haemoglobin levels of these were measured on days 1, 4 and 7. The data obtained was compiled and analysed to reach valid conclusions in relation to outcome in form of morbidity and mortality of the subjects. Results: Among 110 neonates majority belong to category of birth weight between 1500-2500 grams (70%). Lowest mean haemoglobin levels were seen in ELBW (<1000 grams) neonates. Fall in haemoglobin from day 1 to 7 in all the neonates was seen and was statistically signicant. Anaemia was signicantly related to PNA and mortality. Lowest mean haemoglobin values were seen in neonates with PNA as a morbidity on day 7 (13.04±2.32). Neonates who died had even lower haemoglobin level on day 7 (12.17±2.03). Conclusion: It was concluded that ELBW neonates had higher risk of early anaemia as compared to LBW and VLBW neonates. Anaemia was also signicantly present in neonates who died and those who had PNA. Thus early anaemia is associated with PNA, ELBW and Mortality.

scholarly journals Preterm Very Low-Birth Weight Babies: Outcome of Admitted Newborns at a Community-Level Medical College Hospital in Bangladesh

1970 ◽  
Vol 26 (3) ◽  
pp. 128-134
Author(s):  
ASM Nawshad Uddin Ahmed ◽  
MA Rob ◽  
Ferdous Rahman ◽  
Redwanur Rahman ◽  
Nazmul Huda
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Gestational Age ◽  
Very Low Birth Weight ◽  
Birth Asphyxia ◽  
Medical College Hospital ◽  
Community Level ◽  
College Hospital ◽  
Medical College

y, mainly due to infections and complications of prematurity. The present article is a descriptive analysis of the most common reasons for hospital admission of VLBW infants, morbidity during hospital stay, and their immediate outcome at a community level medical college hospital in Bangladesh. Sixty VLBW neonates (< 1,500 grams weight), 37 males and 23 females, < 72 hours of age were enrolled prospectively from March 2005 to February 2007; 4 babies were excluded. Thirty-four babies were hospital born and 26 home delivered cases admitted postnatally. The mean birth weight and gestational age of the newborns were 1270 ± 169 grams and 30.9 ± 2.9 weeks respectively. Forty-one of 60 cases (68.3%) mothers received at least one antenatal care visit. Common clinical presentations were prematurity alone (36.7%) and its complications like delayed crying (25.0%), feeding problem (23.3%), lethargy (16.7%), hypothermia (10.0%) and respiratory problem (8.3%). The commonest morbidity during hospital stay was neonatal hyperbilirubinemia requiring phototherapy (26.7%), apnoea of prematurity (15.0%), and septicaemia (11.7%). The overall survival rate was 56.7%; most of the deceased cases were those < 1250 grams (15/28, 53.6%) and < 30 weeks of gestation (17/30, 56.7%). No infant with a birth weight < 850 grams or a gestational age < 28 weeks survived. The most common cause of death was birth asphyxia (38.5%), followed by extreme prematurity (26.9%), and septicaemia (19.2%). Very low birth weight infants had relatively higher survival rates probably due to low infection rate. DOI: 10.3329/jbcps.v26i3.4196 J Bangladesh Coll Phys Surg 2008; 26: 128-134

scholarly journals Hubungan Antara Prematuritas, Berat Badan Lahir, Jenis Persalinan dan Kelainan Kongenital dengan Kejadian Asfiksia di RSI Fatimah

2017 ◽  
Vol 11 (2) ◽  
pp. 1-7
Author(s):  
Johariyah Johariyah
Keyword(s):  
Birth Weight ◽  
Congenital Abnormalities ◽  
Early Period ◽  
Birth Asphyxia ◽  
Normal Birth Weight ◽  
Chi Square ◽  
Normal Birth ◽  
Second Stage ◽  
The Third ◽  
Referral Hospitals

Major causes of neonatal mortality include 29% premature infants, sepsis and 25% pneumonia, and 23% are newborns withasphyxia and trauma. Birth asphyxia occupies the third leading cause of infant death in the world in the early period of life. Theincidence of asphyxia at provincial referral hospitals in Indonesia of asphyxia deaths was 41.94%. Research objective to determinethe relationship between prematurity, Low Birth Weight, type of labor and congenital abnormalities with asphyxia. The researchmethods is a case-control with retrospective approach will be compared the possible factors causing asphyxia. The first stage ofanalyze data is to perform descriptive of characteristic asphyxia based on prematurity, LBW, type of labor, and congenitalabnormalities. The second stage is to analyze the correlation between prematurity, LBW, type of labor and congenital abnormalitieswith asphyxia by Chi-Square. The results showed that most of the asphyxia occurrence occurred in infants with mature age (59.2%),spontaneous labor (53.0%), normal birth weight (71.4%) and no abnormalities congenital (99%). Based on the result of analysisfound that there is a significant relationship between prematurity, type of labor, LBW with asphyxia and no relationship betweencongenital aberration with asphyxia occurrence.

Neonatal Mortality: Effects of Selective Pediatric Interventions

PEDIATRICS ◽  
1985 ◽  
Vol 75 (1) ◽  
pp. 51-57
Author(s):  
Adekunle H. Dawodu ◽  
Charles E. Effiong
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Current Knowledge ◽  
Perinatal Asphyxia ◽  
Birth Asphyxia ◽  
Case Fatality ◽  
Therapeutic Interventions ◽  
Low Birth Weight Infants ◽  
College Hospital

A previous prospective study of neonatal mortality in babies receiving special care at the University College Hospital, Ibadan, revealed that respiratory failure associated with prematurity, perinatal asphyxia, sepsis, and congenital malformations were the major causes of high neonatal mortality. To improve survival, selective measures were taken to improve care of low-birth-weight infants and prevent or treat intrapartum and postnatal hypoxia, metabolic acidosis, hypoglycemia, and hypothermia. A change in the initial antibiotic management of suspected septicemia to the use of cloxacillin and an aminoglycoside was also introduced, based on the current knowledge of etiologic agents and their antimicrobial sensitivities. In the 5-year period (1976 to 1980), the neonatal mortality in babies weighing 2,500 g and more at birth dropped significantly from 1.2% to 0.7% (P &lt; .02). The case fatality rates from birth asphyxia and neonatal sepsis dropped by 48% and 32%, respectively. Despite therapeutic interventions, however, the neonatal mortality in babies with birth weight of 1,000 g or less, 1,001 to 1,500 g, 1,501 to 2,000 g, and 2,001 to 2,499 g remained unchanged at about 82%, 25%, 9%, and 3%, respectively. These results suggest that early identification of infants at risk of developing birth asphyxia or neonatal septicemia and institution of prompt and appropriate management could produce a significant reduction in mortality in infants of normal birth weight. Survival of low-birth-weight infants requires additional high technical, financial, and manpower resources, which most centers in developing countries cannot afford at the present time. Therefore, efforts are probably better concentrated on decreasing the incidence of low birth weight.

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