Pattern of Morbidity and Mortality in LBW Neonates: A Study from Jaipur (original) (raw)
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International Journal of Contemporary Pediatrics, 2019
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 distre...
International Journal of Contemporary Pediatrics, 2019
Background: Preterm birth is one of the major clinical problems in neonatology as it is commonly associated with perinatal mortality, serious neonatal morbidity and in some cases, it leads to childhood disability. The objective of this study was to find out the outcomes of VLBW and ELBW babies in the form of mortality and morbidity in neonatal period.Methods: A cross sectional study was conducted in SNCU, MKCG Medical College, Berhampur, Odisha between 2011 to 2013. All babies with birth weight less than 1500gm, admitted between days 1 to day 7 of life were enrolled in the study. Babies were broadly divided in to two groups i.e.VLBW group (weight 1000-1499gm) and ELBW group (weight<1000gm). Details of antenatal history, sociodemographic profile and birth history including significant events were noted. Outcome measures included were death, cured and with sequelae.Results: Total number of babies enrolled in this study were two hundred twelve (n=212) and following observations were...
International Journal of Contemporary Pediatrics
Background: Low birth weight (LBW) has been defined as a birth weight of <2.5 kilogram regardless of gestational age. In India, every 3rd born child is of LBW. LBW is associated with increased neonatal mortality and morbidity, compromised growth and cognitive development.Methods: This is a retrospective cohort study using previously collected data from January 2015 to December 2015.Results: Out of 1238 live births, 485 (39.17%) were LBW. 456(94.01%) were LBW weighing >1500 grams (LBW), 22(4.53%) were VLBW, and 07(1.44%) were ELBW. 361(74.43%) were LBW2 (birth weight ≥2000 - <2500 grams), 95(19.58%) were LBW1 (birth weight ≥1500 - <2000 grams). 289(59.58%) of LBW neonates were full term. SNCU admission is significantly higher in LBW neonates (25.8% vs 9.61%). Morbidities were higher in LBW neonates compared to normal birth weight neonates. Difference was more significant in incidence of sepsis (3.72% vs 0.83%), RDS (2.19% vs 0%), TTN (5.48% vs 2.36%), hypoglycemia (1.31% ...
Journal of Bangladesh College of Physicians and Surgeons, 2010
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...
Faridpur Medical College Journal, 2016
Very low birth weight (VLBW) is an important cause of infant mortality and still a challenge for achieving Millennium Development Goal (MDG) in Bangladesh. Our study was to see the risk factors and its outcome of VLBW neonates in a tertiary level Faridpur Medical College Hospital (FMCH), outside capital Dhaka. This prospective cross sectional study was conducted in neonatal Unit of pediatric department in FMCH. All neonates who were admitted here had been selected and we find out the very low birth weight neonates for our study purpose. All anthropometric measurements were taken by us in our department. We took all the informations about neonates within our study period of six months (November 2013 to April 2014) through a prescribed protocol. Total 1126 neonates admitted within our study period of 6 months. Among 1126 neonates 76 of them were VLBW. Among 76 VLBW neonates 38 (50%) were male and 38 (50%) were female, but 22 of them were expired, which was 28.94% of total VLBW neonates. Most expired on month of March which was 38.46%. Among expired VLBW neonates 10 (45.45%) of them were male and 12 (54.55%) of them were female. Total 48 (63.15%) mothers of VLBW neonates delivered at hospital of them Caesarean section occurs in 40 (52.63%) mothers of VLBW neonates and normal vaginal delivery (NVD) occurs in 36 cases (47.37%). Home delivery occurs in mothers of 28 VLBW neonates. Among them 15 (53.57%) were done by traditional birth attendance (TBA), 8 (28.57%) by local dai and 5 (17.86%) by relatives of the family of VLBW neonates. We found mothers of 41 (53.95%) VLBW neonates had premature rupture of membrane (PROM), 8 (10.53%) had eclampsia, 4 (5.26%) had leaking membrane and 4 (5.26%) had history of accident. Maternal age of VLBW neonates are more common between 18 to 24 years of age that was 53.95% (41 in number) but 27 mothers (35.52%) were below 18 years of age. We found in our study that the survival rate of VLBW neonates in our institute is not like developed countries but it is better than many developing countries around the world.
2019
1 Assistant Professor, Department of Pediatrics, Gouri Devi Institute of Medical Sciences & Hospital, G.T. Road, Rajbandh, Durgapur, West Bengal, 713212 India 2 Associate Professor, Department of Pediatrics, Gouri Devi Institute of Medical Sciences & Hospital, G.T. Road, Rajbandh, Durgapur, West Bengal 713212 India 3 Associate Professor, Department of Pediatrics, MKCG Medical College Hospital, Berhampur, Odisha 760004 India
Journal of Nepal Paediatric Society
Introduction: Low birth weight (LBW) is one of the major determinants of neonatal morbidity and mortality. The survival and outcomes of LBW infants varied from hospital to hospital within a country. The objective of the study is to identify the clinical patterns and hospital outcome of LBW babies in a Tertiary care centre, Pokhara. Methods: A descriptive cross-sectional study conducted in a tertiary hospital after taking ethical approval from the institutional review board. Data on all the LBW babies admitted in Neonatal Intensive Care Unit from 15th May 2019 to 16th October 2020 were retrospectively reviewed. Data entered in excel and descriptive analysis were done in SPSS version 25. Results: Of 198 LBW babies, 120 (60.6%) were males and 78 (39.4%) females. Mean birth weight was 1.67 kg (± 0.42 SD), median 1.7 kg, ranging from 0.6 kg to 2.4 kg. Mean gestational age was 32.86 weeks (± 2.72 SD) and median was 33 weeks. 187 (94.4%) were preterm and 11 (5.6%) term. By birth weight, 17...
Low Birth Weight and First Week Neonatal Mortality in a Tertiary Level Hospital in Bangladesh
Journal of SAFOG with DVD, 2009
Objectives: The incidence of low birth weight babies and the perinatal morbidity and mortality is inter-related. An understanding of the risk factors can help us to reduce their incidence and studying their management and outcome could help us to evolve optimal management strategies. The aim of the study was to find out the incidence of low birth weight and first week neonatal mortality rate.
IP Innovative Publication Pvt. Ltd, 2017
Aim: Present study was conducted to know the maternal risk factors and outcome of low birth weight babies in Materials and Method: Two hundred cases of low birth weight babies irrespective of gestational age, without any congenital anomalies were included, after informed consent. Detailed histories regarding maternal risk factors were taken and clinical examination done in all cases. Mothers' height and weight were recorded. The babies were followed up during this hospital stay to determine the morbidity and mortality. Results: Low maternal weight, multiparity, low socio economic status, illiteracy, inadequate antenatal care, maternal anemia, maternal malnutrition, maternal hypertension and PROM were the maternal risk factors associated with low birth weight babies. The most common cause of morbidity and mortality in low birth weight babies were sepsis, MODS, HIE, RDS, NEC, hypoglycemia, PDA, IVH, meningitis and feeding difficulties. Conclusion: Identification of high risk factors and apprsopriate management can reduce neonatal morbidity and mortality.
Clinical profile of low birth babies in NICU: a rural tertiary care hospital based study
International Journal of Contemporary Pediatrics, 2017
Nearly 50% of all infant deaths occur in neonatal period and the common cause is LBW. 2 LBW neonates are of Paediatric priority because they have low chances of survival than babies weighing with birth weight more than 2500 grams. India being the most populous country in South East Asia, shares the major burden of LBW ABSTRACT Background: The low birth weight (LBW) infant remains at much higher risk of mortality than the infant at normal weight at birth. In the neonatal period when most infant deaths occur, the proportion of low birth weight infants is the major determinant of the magnitude of mortality rates. Mortality and morbidity among low birth weight babies are a major public health problem in our country. It is important to identify risk factors associated with LBW babies. Methods: Prospective observational study was conducted on 222 neonates with low birth weight admitted in Neonatal intensive care unit (NICU) of Acharya Vinoba Bhave Rural Hospital, Jawaharlal Nehru Medical College, Sawangi Meghe, Wardha from September 2015 to August 2017. Maternal risk factors and neonatal morbidities were recorded. The study was designed to assess the risk factors of LBW babies and their short-term outcome. Results: 222 low birth weight babies were studied, among which 36(16.22%) were weighed less than 1500 grams and 186 (83.78%) were 1500-2500 grams. The most common maternal risk factors which were associated with very low birth weight were low socioeconomic status, occupations with more strenuous activity, low maternal educational status, poor antenatal care, poor pregnancy weight gain and chronic illnesses. Anemia was present in 99 (44.595%) mothers. Among other risk factors during pregnancy oligohydramnios was present in 43 (19.369%) mothers, followed by preeclampsia in 42 (18.918%) mothers and pyrexia in 31 (13.963%) mothers. 166 (74.76%) babies are small for gestational age (SGA) babies. Overall mortality rate was 40.54%. Conclusions: Most of LBW babies are SGA babies. Low socioeconomic status, low maternal educational status and poor antenatal care were the important risk factors. Morbidity and mortality of low birth weight babies could be reduced considerably by proper health education, improved antenatal care, prompt identification of high risk pregnancies, proper referral, better nursing care and management.