Prevalence of Preterm Birth Rate During COVID-19 Lockdown in a Tertiary Care Hospital, Riyadh

Abstract Introduction Preterm birth-related complications are the leading cause of under-5 mortality globally. Bhutan does not have a reliable preterm birth rate or data regarding outcome of preterm babies. Aim To determine the preterm birth rate at the Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) in Thimphu, Bhutan, and assess their outcomes. Methods All live preterm births at JDWNRH from 1 January 2017 to 31 December 2017 were followed from birth till hospital discharge. Maternal demographic data, pregnancy details and delivery details were collected. Morbidity and mortality information as well as discharge outcome were collected on babies admitted to neonatal intensive care unit (NICU). Results Preterm birth rate among live births was 6.4%. Most mothers were younger than 30 years, housewives and had secondary education. Pregnancy registration rate and adequacy of antenatal visits were high. Most preterm births were singleton and the predominant mode of delivery was cesarean section. More than half of the births were initiated spontaneously, and the male:female ratio was 1.2:1. Most babies were late preterm and low birth weight. Half of them required NICU admission. Overall mortality rate was 11% and 21.6% for admitted preterm neonates. Preterm small-for-gestational-age neonates, and those born after provider-initiated preterm birth had significantly increased risk of mortality. Most preterm neonates were discharged without complications. The rate of extrauterine growth restriction was high. Conclusion This is the first study on the prevalence of preterm births and their outcomes in the largest tertiary-care hospital in Bhutan.

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Assessment of risk factors and its fetal outcome of preterm birth: in rural tertiary care hospital, Karad, Maharashtra

Medical Research Journal ◽

10.5603/mrj.a2019.0019 ◽

2019 ◽

Vol 4 (2) ◽

pp. 80-84

Author(s):

Dhirajkumar A. Mane ◽

Rahul Hanmant Pujari ◽

Jyoti Salunkhe ◽

Mahendra M. Alate

Keyword(s):

Risk Factors ◽

Preterm Birth ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Fetal Outcome ◽

Care Hospital

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COMPARISON OF MICRONIZED PROGESTERONE (CYCLOGEST PESSARY) AND PLACEBO IN PREVENTION OF PRE-TERM BIRTH IN TERTIARY CARE HOSPITAL

Pakistan Armed Forces Medical Journal ◽

10.51253/pafmj.v70i6.2450 ◽

2020 ◽

Vol 70 (6) ◽

pp. 1859-63

Author(s):

Nighat Afridi ◽

Ambreen Fatima ◽

Amna Fareed ◽

Saifullah Khan ◽

Shah Gul Khan

Keyword(s):

Preterm Birth ◽

Tertiary Care Hospital ◽

Positive Impact ◽

Controlled Trial ◽

Tertiary Care ◽

Length Of Hospital Stay ◽

P Value ◽

Care Hospital ◽

Gynecology And Obstetrics ◽

Micronized Progesterone

Objective: To compare efficacy of micronized per rectal progesterone (cyclogest pessary) and placebo inprevention of preterm birth in tertiary care hospital. Study Design: Randomized controlled trial (RCT). Place and Duration of Study: Study was conducted at department of gynecology and Obstetrics, CombinedMilitary Hospital Nowshera, Khyber Pakhtunkhwa, from Jan 2018 to Jun 2018. Methodology: A sample size of 140 patients was calculated using WHO calculator. Non probability consecutivesampling was used for recruitment of participants. Ethics approval and consent forms were taken. Women weredivided into two groups randomly. Group A was given micronized progesterone (cyclogest pessary) per rectalusage and group B was given placebo. Patients were followed for maternal and neonatal outcomes. Data wasanalyzed using SPSS version 23. Independent t-test was applied. p-value ≤0.05 was considered significant. Results: Total 140 patients were included in study. Mean age of women was 29.4 years ± 4.6SD. Patients in micronized progesterone (cyclogest pessary) was more effective in increasing birth weight (p=0.00), Apgar score maintenance at 1st (p=0.00) and 5th minute (p=0.000) and reduction in length of hospital stay (p=0.000) as compared to placebo. Patients were more satisfied with micronized progesterone (cyclogest pessary) per rectal as compared to placebo (p=0.00). Conclusion: Preterm birth is remained as significant issue in health care system of Pakistan. However, micronized progesterone (cyclogest pessary) per rectal usage had positive impact in improving maternal and neonatal health outcomes. Effective strategies for prevention of preterm birth in Pakistan are required.

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Effect of Lunar Cycle on Delivery Rates in a Tertiary Care Hospital in India - A Retrospective Study

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/64 ◽

2021 ◽

Vol 8 (06) ◽

pp. 332-336

Author(s):

Abirbhab Pal

Keyword(s):

Birth Rate ◽

Tertiary Care Hospital ◽

Biological Activities ◽

Tertiary Care ◽

Lunar Cycle ◽

Instrumental Delivery ◽

Normal Vaginal Delivery ◽

Care Hospital ◽

Human Beings ◽

The Moon

BACKGROUND From ancient period, moon has been held responsible for many biological activities. The lunar cycle has long been thought to have many chemical & physical effects on human beings especially women. The menstrual cycle, conception, delivery and even fertility have been closely linked to the moon’s cycles. The relation of lunar phases to the birth rate has been the focus of considerable research with still controversial results. We wanted to study the moon phases with regard to birth rate, relationship between lunar position and the time of delivery, preterm delivery, intrauterine fetal death (IUFD), instrumental delivery, normal vaginal delivery (NVD), lower segment Caesarean section (LSCS) and multiple pregnancy. METHODS Retrospective data from daily antenatal mother admissions, and delivery rates present in the public domain of a tertiary care hospital of Midnapore Medical College, Midnapore, India from 1st Oct 2019 to 30th Sept 2020 was evaluated with one-way analysis of variance (ANOVA). RESULTS Delivery rates were not related to lunar 1 st quarter, full moon, new moon, and last quarter of lunar cycle with total delivery (P < 0.05), LSCS (P > 0.05), NVD (P > 0.05), instrumental delivery (P > 0.05), twin delivery (P > 0.05), and IUFD (P > 0.05). CONCLUSIONS Birth rates do not correlate with phases of the moon. KEYWORDS Lunar Cycle, Birth, Delivery, Pregnancy, Obstetrics

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A prospective study comparing the morbidities of late preterm and term infants in the neonatal period in a tertiary care hospital

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20211666 ◽

2021 ◽

Vol 8 (5) ◽

pp. 803

Author(s):

Sirajuddin Nazeer ◽

Sivagurunathan Panchanathan ◽

Karthikeyan Soundararajan

Keyword(s):

Preterm Birth ◽

Prospective Study ◽

Preterm Infants ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Late Preterm ◽

Care Hospital ◽

Term Infants ◽

Late Preterm Infants ◽

Increased Risk

Background: In obstetric practice, 34 completed weeks is considered as maturational milestone for the fetus. Despite relatively large size and apparent functional maturity, late preterm infants are at increased risk for neonatal morbidity compared with full term infants. Aim of the study was to study the incidence of late preterm births in a tertiary care hospital in Trichy, Tamil Nadu and to study the pattern of neonatal morbidities in late preterm infants and to compare it with term infants.Methods: Hospital based prospective study was conducted from April 2019 to March 2020. Total 470 late preterm infants were included in our study. All infants enrolled in the study were followed up daily till discharge and after discharge, all infants were than reviewed at 15 and 28 days in a well-baby clinic.Results: There were a total of 1941 live births during the study period. Of these, 470 (24.2%) were late preterm and 1263 (65%) were term births. Late preterm infants accounted for 71.1% of preterm birth. Late preterm infants were at significantly higher risk for overall morbidity due to any cause, respiratory 22.1%, neonatal jaundice 62%, sepsis 4%, hypoglycemia 8.9%, hospital readmission 8.1%. 63% of late preterm infants were readmitted for jaundice.Conclusions: The incidence of late preterm birth was 24%. Late preterm infants had a higher incidence of jaundice, sepsis and respiratory morbidities. Late preterm infants had a longer hospital stay. They were also more likely to get readmitted in the hospital when compared to term infants.

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