IMMEDIATE NEONATAL OUTCOME OF LATE PRETERMS AND EARLY TERMS COMPARED TO TERMS

2021 ◽  
pp. 8-11
Author(s):  
Kausik Sur ◽  
Brajagopal Ray

Introduction: Increasing number of Late Preterm (LPT) babies are being born in recent years, and they suffer from increased neonatal morbidities and moralities. Objective: +0 +6 To assess the immediate neonatal morbidities and mortalities of Late Pretrem - LPT - (34 -36 weeks) compared to +0 +6 +0 +6 those babies born at Early Term -ET- (37 - 38 weeks) and Term - T- (39 - 40 weeks) gestation. Methodology: A retrospective review of delivery, admission, discharge and death registers and necessary case notes of all live in-born babies excluding those with congenital anomalies were done in RKM Seva Pratisthan Hospital, a teriray level University Hospital in the City of Kolkata, between 1st January 2018 till 31st December 2019. Data collected in a predesigned pro forma were analysed with SPSS vs 23 software, after obtaining necessary permission. All the major neonatal morbidities and morality were compared between the three groups. Results: +0 +6 Total 6511 babies born between gestation 34 and 40 weeks were analysed of which 1021 were in LPT group (31.9%requiring NICU admission), 3408 in ET group (8.3% requiring NICU admission) and 2068 in T group (9.2% requiring NICU admission). There was no signicant difference in mortality (LPT vs ET vsT : 0.5% vs 0.3% vs 0.1%). All the major morbidities ( Respiratory, CNS, Infectious, Metabolic and Any morbidity) were signicantly higher in LPT group. No signicant difference were observed between ET and Term group in terms of any neonatal morbidity or mortality. Conclusion: Late Pretrem newborns suffer from increased neonatal morbidity compared to their Early Term or Term counterpart in immediate neonatal period. No difference of morbidity or mortality were noted between Early Term and Term groups.

Author(s):  
Nitin Gyaras Puria ◽  
Krishna Pada Dutta

The presence of meconium stained amniotic fluid (MSAF) is a sign of fetal compromise. It is associated with significant neonatal morbidity and mortality. MSAF is frequently associated with high cesarean rate, prolonged labour,low APGAR scores, increased rate of birth asphyxia; increased NICU admission, meconium aspiration syndrome and neonatal death. The aim of this prospective study is to correlate the effect of meconium stained amniotic fluid on neonatal outcome. Keywords: Meconium stained amniotic fluid, Neonatal morbidity and mortality, NICU.


Author(s):  
Mamatha Shivanagappa ◽  
Vinutha K. Veerabhadrappa ◽  
Deepthi Thandaveshwar ◽  
Madhumitha Mahesh

Background: Globally 18.6 percent of all births occur by Caesarean Section (CS) and the trend is increasing. In India CS rates have risen from 2.9% in 1992 to 17.2% in 2015. The optimal timing of CS is still being investigated. Data with regard to elective CS and neonatal outcome from India is sparse and this study aimed to obtain the same in the setting of a South Indian Hospital. The objective was to evaluate neonatal outcome and NICU admissions in elective CSMethods: This was a retrospective study conducted at a tertiary care referral hospital and data collected was of deliveries conducted from Jan 2017 to July 2018. All term singleton pregnancies (>37 gestational weeks) scheduled for elective CS were included in the study.Results: A total of 3174 Caesarean Sections were performed during the study period of which 1087 were elective CS and 2087 were done on an emergent basis. Of these elective CS, 425 (39%) were performed at early term (37+0 until 38+6) and 662 (61%) were performed at full term (>39 weeks). Analysis of adverse neonatal outcomes revealed that a significantly higher rate of NICU admission, low birth weight, respiratory complications in newborns delivered at early term than in those delivered at full term.Conclusions: In the present study newborns delivered at 37- 38 weeks of gestation had a higher rate of NICU admission, low birth weight and respiratory complications compared to newborns delivered after 39 weeks of gestation. Neonatal outcome was found to be better in those elective CS done after 39 weeks in comparison to those delivered at early term (< 39 weeks).


Author(s):  
Dachev Veliko Z ◽  
Dachev Veliko Z

The article represents a retrospective review of long time research of genesis and development of the Central beach in the City of Varna which makes possible a forecast of its further development. Both natural and anthropogenic impact on the beach evolution is taken into consideration. It is ascertained that construction of coastal protection structures at the northern part of the beach in 80’s resulted in cessation of natural beach area growth. The strengthen of a breakwater in the main port and illegal building also contributed to considerable coast recession and beach volume reducing. Because of this a recreational potential of the Central beach is gradually decreasing. New method named “cross-shore sediment bypassing” is suggested to reduce the negative trend.


Author(s):  
Dachev Veliko Z ◽  
Dachev Veliko Z

The article represents a retrospective review of long time research of genesis and development of the Central beach in the City of Varna which makes possible a forecast of its further development. Both natural and anthropogenic impact on the beach evolution is taken into consideration. It is ascertained that construction of coastal protection structures at the northern part of the beach in 80’s resulted in cessation of natural beach area growth. The strengthen of a breakwater in the main port and illegal building also contributed to considerable coast recession and beach volume reducing. Because of this a recreational potential of the Central beach is gradually decreasing. New method named “cross-shore sediment bypassing” is suggested to reduce the negative trend.


2018 ◽  
Vol 39 (6) ◽  
pp. 592-597 ◽  
Author(s):  
Abdulrahman Al-Nemri ◽  
Fahd Alsohime ◽  
Asfaq Shaik ◽  
Ghasan El-Hissi ◽  
Mohammed Al-Agha ◽  
...  

2021 ◽  
Vol 17 ◽  
Author(s):  
Shuchi M. Jain ◽  
Ketki. Thool ◽  
Manish A. Jain ◽  
Poonam V. Shivkumar

Background : Caesarean section is often perceived to be safer than vaginal delivery for mothers and neonates, and thus has become increasingly common around the globe. However, it may actually be detrimental to maternal and neonatal health while consuming valuable resources. Objective : The objective of this study was to categorize the caesarean sections performed in our rural institute into various categories using NICE classification and to study the maternal and neonatal outcome in them. Method : This was a prospective study of all women who underwent caesarean section over a period of 18 months. Data was retrieved from the files of women for morbiditiy and mortality in mothers and babies. Data was entered in MS excel sheet and analyzed with percentages and chi square test using SPSS ver.17. Results: Caesarean section rate (CSR) was 36.88%. All CS were classified into four categories based on urgency as per NICE guidelines. There were 22.62% women in Category I, 38.61% in category II, 28.37% in category III and 10.40% in Category IV. Adhesions, extension of angle, lacerations in lower segment, scar dehiscence, atonic PPH and bladder injury were noted in (12.83%), 11.81%, 6.83%, 4.08% , 1.53% and 0.08% CS respectively. Caesarean hysterectomy was done in 0.24% cases. Postoperative morbidity was febrile morbidity (11.93%), postdural puncture headache (13.85%), paralytic ileus (11.49%), wound infection (8.83%), ARDS (0.70%), sepsis (0.78%), pulmonary edema (0.47%) and pulmonary embolism (0.03%). Maternal mortality was 0.03%. Neonates born were 2577 (29 were twin deliveries). 82.46% neonates were healthy, 16.80% had morbidities and 0.74% were still born. Apgar score of less than 7 was in 10%. 16.80% neonates were admitted in NICU during their hospital stay. Neonatal mortality was 1.47%. Conclusion : Intraoperative and post-operative complication were more in caesarean sections of category I and II as compared to category III and category IV. Neonatal morbidity, mortality and admissions to NICU were more in caesarean sections of category I and II as compared to category III and category IV. Thus though caesarean section is an emergency lifesaving procedure for mother and baby it may prove detrimental to their health.


2015 ◽  
Vol 36 (1) ◽  
pp. 35-42
Author(s):  
Grazielle Cavalcante de Souza Carneiro ◽  
Lívia Maria Correia de Morais ◽  
Leidiane Francis de Araújo Costa ◽  
Talita Helena Monteiro de Moura ◽  
Marly Javorski ◽  
...  

This study aimed to describe the growth during the introduction of complementary feeding to infants assisted in the nursing appointment in childcare. It is a descriptive, cross-sectional, quantitative study developed through research in 51 medical records of children aged 4-8 months, from September to October 2012 in a university hospital in the city of Recife, PE. Data were analyzed using Epi Info software, version 6.04 and described in simple and relative frequencies. It was found that for 33% of the children. complementary foods were introduced at six months. Of these, 88.2%, 69.2% and 57.1% showed ascending weight-for-age growth curves, and 88.2%, 66.7% and 71.4% ascending length-for-age growth curves at six, seven and eight months respectively. Children with appropriate and timely introduction of complementary feeding showed upward growth curves and adequate nutritional status.


2013 ◽  
Vol 62 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Renata Teles Vieira ◽  
Norami de Moura Barros ◽  
Leonardo Caixeta ◽  
Sergio Machado ◽  
Adriana Cardoso Silva ◽  
...  

OBJECTIVE: This study aims to estimate the prevalence of dementia subtypes and to assess the socio-demographic data of patients attending the outpatient clinic of dementia at Hospital das Clínicas from January 2008 to December 2009, in the city of Goiânia-GO, Brazil. METHODS: Procedures provided for diagnosis included physical and neurological examination, laboratory tests, neuroimaging and DSM-IV. The functional capacity and level of cognitive deficit were assessed by Pfeffer Functional Activities Questionnaire (Pfeffer-FAQ) and Mini-Mental State Examination (MMSE), respectively. RESULTS: Eighty patients met the criteria for dementia. The mean age was 63.48 (± 16.85) years old, the schooling was 3.30 (± 3.59) years old, the MMSE was 13.89 (± 7.79) and Pfeffer 17.73 (± 9.76). The Vascular Dementia (VD; 17.5%) was the most frequent cause of dementia, followed by Lewy body dementia (LBD) and Alzheimer's disease (AD) (12.25%). CONCLUSION: Considering entire sample and only the elderly over 60 years, VD, AD and LBD are the most common subtypes observed at both groups. Further epidemiological studies are necessary to confirm such rates, which may have a considerable impact on the organization and planning of healthcare services in our country.


2017 ◽  
Vol 37 (1) ◽  
pp. 45-50
Author(s):  
Merina Shrestha ◽  
Luna Bajracharya ◽  
Laxman Shrestha

Introduction: With increasing survival of high risk babies, children with different developmental disabilities have emerged as a challenge for the baby, family as well as for physicians. With limited awareness and resources, follow-up and interventions for these babies are difficult. The study was carried out to find out the development of high risk babies in different developmental domains at one year of age.Material and Methods: NICU graduates who visited high risk clinic at one year of age were assessed. ASQ-3 was used to screen development. Children with major congenital anomalies and syndromes were excluded from the study.Results: Out of 28 high risk babies, about 29% had global delay. Those babies who had seizure during neonatal period could not score even in single item of ASQ-3. Conclusion: All high risk babies are at risk of developing delay hence should be followed up regularly. Timely early intervention needs to be started to minimize delay.  


10.3823/2465 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Rosana Alves de Melo ◽  
Flávia Emília Cavalcante Valença Fernandes ◽  
Ana Kariny Costa Araújo ◽  
Nadja Maria dos Santos ◽  
Maria Elda Alves de Lacerda Campos ◽  
...  

Objective: To evaluate the neonatal morbidity due to congenital malformations in the city of Petrolina-PE, from 2008 to 2013. Methods: A descriptive study with data from the Information System on Live Births (Sinasc). The analyzes were carried out through frequency distribution and measures of central tendency and dispersion. The associations were tested by the Pearson and Kruskal Wallis chi-square tests. Significance was set at 5% and 95% confidence. Results: 436 cases of congenital malformations were recorded in the study period, with 2011 being the highest occurrence year. The mothers of the newborns were young (25.2 years old), single, upper level of education and household. In general multiparous, with single gestation, vaginal delivery and performed up to six prenatal visits. The newborns were males, at 39 weeks or more of gestation and with normal weight (> = 2500g). The malformations of the musculoskeletal system were the most frequent followed by the genitourinary system. Congenital malformations were especially associated with neonatal characteristics such as gender and weight. In all causes the mean weight was greater than 2500g (p <0.05). The causes of malformation of greater occurrence in both sexes were osteomuscular (p <0.05). The aspects of the mother did not present significant differences in the present study (p> 0.05). Conclusion: The present study evidenced relevant aspects in the occurrence of morbidities due to congenital malformations, directing to a greater attention the occurrence of these diseases especially in relation to the newborn.


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