scholarly journals Maternal and Perinatal Determinants of Late Hospital Discharge Among Late Preterm Infants; A 5-Year Cross-Sectional Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Wasim Khasawneh ◽  
Rahaf Alyousef ◽  
Zuhour Akawi ◽  
Areen Al-Dhoon ◽  
Ahlam Odat
Keyword(s):  
Hospital Stay ◽  
Preterm Infants ◽  
Preterm Births ◽  
Early Discharge ◽  
Late Preterm ◽  
Perinatal Factors ◽  
Cross Sectional ◽  
Late Preterm Infants ◽  
Factors Associated ◽  
Initial Hospital

Background: Although late preterm infants (LPIs) account for the majority of preterm births, they are mistakenly labelled and treated as “near term.” Whether longer initial hospital stay improves their outcomes and lowers readmission is controversial. The aim of this study is to identify maternal and perinatal factors associated with longer hospital stay and to assess the rate of readmission.Methods: The medical records of LPIs delivered at an academic center in Jordan over a 5-year period were reviewed. They were divided according to their initial hospital stay into: Early discharge group (ED, ≤ 3 days) and late discharge group (LD, > 3 days). Maternal and perinatal factors associated with > 3-day hospital stay were reported. The rate of readmission was compared between both groups.Results: 2236 LPIs were included in the analysis representing 13% of total births and 81% of premature births. LD group constituted 54%. A thousand two hundred forty three (56%) required admission to NICU. Factors associated with longer hospital stay included maternal prolonged rupture of membranes (AOR 1.9, 95% C.I 1.5, 2.4, p 0.000), C-section delivery (AOR 2.4, 95% C.I 1.9, 3, p 0.001), <35-week gestation (AOR 3.8, 95% C.I 2.6, 5, p 0.000), small-for-gestational age (AOR 1.9, 95% C.I 1.1, 3.8, p 0.03), birthweight <2,500 g (AOR 1.3, 95% C.I 1.1, 1.6, p 0.02), NICU admission (AOR 6.3, 95% C.I 3.4, 11.5, p 0.000), RDS (AOR 2.3, 95% C.I 1.5, 3.6, p 0.005), surfactant therapy (AOR 5, 95% C.I 1.9, 13.5, p 0.001), use of CPAP (AOR 1.7, 95% C.I 1.2, 2.2, p 0.001), jaundice (AOR 11.2, 95% C.I 7.7, 16.2, p 0.000), and sepsis (AOR 10.3, 95% C.I 4.8, 22, p 0.000). Readmission rate was 19% among the LD group and 13% among the ED group.Conclusion: LPIs are at high risk for developing prematurity-related morbidities and the duration of their initial hospital stay can be anticipated based on certain predisposing maternal and perinatal factors. Late discharge of LPIs does not lower the rate of readmission.

scholarly journals Factors associated with the development of skin allergies in premature newborns in the first year of life

2021 ◽  
Vol 42 ◽  
Author(s):  
Leonardo Bigolin Jantsch ◽  
Bruna Paola de Lima Bridi ◽  
Giovana Dornelles Callegaro Higashi ◽  
Andrea Moreira Arrué ◽  
Diúlia Calegari de Oliveira ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Protective Factor ◽  
Newborn Infants ◽  
Late Preterm ◽  
First Year ◽  
Cross Sectional ◽  
Late Preterm Infants ◽  
Factors Associated ◽  
Skin Allergy ◽  
First Year Of Life

ABSTRACT Objective To identify the factors associated with the development of skin allergies in the first year of life in moderate and late preterm infants. Method: This is a cross-sectional study with 151 moderate and late preterm infants, born between May 2016 and May 2017. Participants were evaluated in the 3rd, 6th, 9th and 12th months of life, in telephone interviews. Statistical analyzes were performed in the SPSS software with frequency comparison tests and logistic regression. Results: The prevalence of skin allergy, in the perception of caregivers, among late and moderate preterm infants was 16%. Factors such as being admitted to neonatal intensive care (p = 0.006) and not being breastfed (p = 0.041) showed a significant association with the development of skin allergies in the 3rd and 12th months of life, respectively. Conclusion: Skin allergy, in the perception of caregivers, is more severe in newborn infants who have clinical respiratory and gastrointestinal manifestations, be it conditioning or cause-effect. Breastfeeding proved to be a protective factor in the first year of life.

scholarly journals Morbidity profile and immediate outcome of late preterm neonates compared to term neonates in a rural tertiary care hospital of Gujarat

2017 ◽  
Vol 4 (4) ◽  
pp. 1329 ◽  
Author(s):  
Manish Rasania ◽  
Prasad Muley
Keyword(s):  
Preterm Infants ◽  
Tertiary Care ◽  
Preterm Births ◽  
Full Term ◽  
Late Preterm ◽  
Preterm Neonates ◽  
Care Hospital ◽  
Term Infants ◽  
Term Neonates ◽  
Late Preterm Infants

Background: Late premature infants are born near term, but are immature. As a consequence, late preterm infants are at higher risk than term infants to develop morbidities. Although late preterm infants are the largest subgroup of preterm infants, there is a very limited data available on problems regarding late preterm infants in rural India.Methods: This is a retrospective cohort study using previously collected data from neonates born at Dhiraj Hospital and neonates who were born outside but admitted at SNCU of Dhiraj Hospital, Piparia, Vadodara district, Gujarat, India between January 2015 to December 2015.Results: 168 late preterm infants and 1025 term infants were included in this study. The need for SNCU admission is significantly higher in late preterm compared to full term (41.07% vs 2.04%). Morbidities were higher in late preterm neonates compared to full term neonates. Sepsis (4.76% vs 1.07%), TTN (10.11% vs 2.04%), hyperbilirubinemia (19.04% vs 9.36%), RDS (1.78% vs 0.09%), hypoglycemia (1.78% vs 0.29%), PDA (1.78% vs 0.58%), risk of major congenital malformation (2.38% vs 0.58%). Need for respiratory support was 5.95% in late preterm vs 2.04% in full term neonates. Immediate neonatal outcome in terms of death and DAMA (non-salvageable) cases was poor in late preterm neonates compared to full term neonates (1.19% vs 0.78%).Conclusions: Late preterm neonates are at higher risk of morbidities and mortalities. They require special care. Judicious obstetric decisions are required to prevent late preterm births. 

Risk factors associated with respiratory disorders in late preterm infants

2015 ◽  
Vol 29 (3) ◽  
pp. 447-451 ◽  
Author(s):  
Sachie Suga ◽  
Ichiro Yasuhi ◽  
Mikihiro Aoki ◽  
Makoto Nomiyama ◽  
Norio Kubo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Infants ◽  
Late Preterm ◽  
Respiratory Disorders ◽  
Late Preterm Infants ◽  
Factors Associated

Factors Associated With Readmission in Late-Preterm Infants: A Matched Case-Control Study

2014 ◽  
Vol 4 (5) ◽  
pp. 298-304 ◽  
Author(s):  
L. B. Moyer ◽  
N. K. Goyal ◽  
J. Meinzen-Derr ◽  
L. P. Ward ◽  
C. L. Rust ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Case Control Study ◽  
Case Control ◽  
Late Preterm ◽  
Late Preterm Infants ◽  
Factors Associated ◽  
Matched Case ◽  
Matched Case Control Study ◽  
Control Study

Evaluation of an intervention supporting breastfeeding among late-preterm infants during in-hospital stay

2020 ◽  
Vol 33 (1) ◽  
pp. e33-e38
Author(s):  
Itziar Estalella ◽  
Jaione San Millán ◽  
María José Trincado ◽  
Amaia Maquibar ◽  
Lorea Martínez-Indart ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Preterm Infants ◽  
Late Preterm ◽  
Late Preterm Infants

scholarly journals MATERNAL AND FETAL RISK FACTORS ASSOCIATED WITH LATE PRETERM INFANTS

2020 ◽  
Vol 38 ◽  
Author(s):  
Luísa Krusser Vanin ◽  
Helen Zatti ◽  
Thaise Soncini ◽  
Rodrigo Dias Nunes ◽  
Louise Beni Staudt de Siqueira
Keyword(s):  
Risk Factors ◽  
Prenatal Care ◽  
Preterm Infants ◽  
Post Partum ◽  
Late Preterm ◽  
Premature Rupture ◽  
Late Preterm Infants ◽  
Factors Associated ◽  
Fetal Risk ◽  
Tertiary Center

ABSTRACT Objective: To determine maternal and fetal risk factors associated with the birth of late preterm infants in comparison to those born at term. Methods: A case-control study was carried out in a tertiary center for high-risk pregnancies. For the cases, the study enrolled post-partum mothers and their respective newborns with gestational ages equal or greater than 34 weeks and less than 37 weeks. As controls, the post-partum mothers and their newborns with gestational ages of 37 weeks or greater were selected. The sample was calculated with a ratio of two controls for each case, resulting in 423 patients. Association studies were performed using the chi-square test or Fisher’s exact test and logistic regression analysis. Results: The variables associated with late prematurity were inadequate prenatal (Odds Ratio [OR] 1.23; confidence interval of 95% [95%CI] 1.12-1.34; p≤0.001), premature rupture of membranes (OR 4.98; 95%CI 2.66-9.31; p≤0.001), length of hospital stay ≥24 hours until birth (OR 0.18; 95%CI 0.06-0.52; p≤0.001), cesarean section (OR 2.74; 95%CI 1.69-4.44; p≤0.001) and small for gestational age newborn (OR 3.02; 95%CI 1.80-5.05; p≤0.001). Conclusions: Inadequate prenatal care and membranes’ premature rupture were found as factors associated with the late preterm birth. It is important to identify the factors that allow intervention with adequate prenatal care in order to reduce poor outcomes due to late prematurity.

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