Maternal antenatal profile and immediate neonatal outcome in VLBW and ELBW babies

被引：27

作者：

Roy K.K. ^{[1
,3
]}

Baruah J. ^{[1
]}

Kumar S. ^{[1
]}

Malhotra N. ^{[1
]}

Deorari A.K. ^{[1
]}

Sharma J.B. ^{[2
]}

机构：

[1] Department of Pediatrics, All India Institute of Medical Science, New Delhi

[2] Department of Obst. and Gynce., All India Institute of Medical Science, New Delhi

[3] Department of Obst. and Gynae., All India Institute of Medical Science, New Delhi

来源：

The Indian Journal of Pediatrics | 2006年 / 73卷 / 8期

关键词：

Antenatal profile; Preterm labour; VLBW; ELBW;

D O I：

10.1007/BF02898441

中图分类号：

学科分类号：

摘要：

Objective. To evaluate the antenatal profile of the mother and the immediate neonatal morbidity and mortality till discharge. Methods. The study was a retrospective analysis of 92 patients of preterm labour who delivered babies weighing < 1500 gms at 26 weeks to 34 weeks of gestation. The maternal demographic profile, causes of preterm labour, treatment profile and delivery outcome were recorded. Similarly, the immediate neonatal morbidity and mortality were recorded in our case file. Both these data of maternal and neonatal profile were pooled and analysed. Results. A total of 92 mothers in preterm labour at 26 to 34 weeks were admitted and subsequently delivered 70 VLBW babies (<1500 gms) and 36 ELBW babies (<1000 gms) including 8 pairs of twins and 3 triplets pregnancies. Majority of the patients (93.4%) were booked. Amongst the various high risk factors for preterm labour, anaemia during pregnancy (32.6%), bacterial vaginosis (26%), gestational hypertension (18.4%) and pervious history of preterm labour (18.4%) were common associations. Calcium channel blocker (Depin) tocolysis was effective in postponing labour from 48 hours to more than 2 weeks. The cesarean section rate was very high (67.3%) in our study. The commoner neonatal complications in both VLBW and ELBW babies were RDS, neonatal jaundice and sepsis. Features of IUGR were seen in both the groups (22.8% in VLBW and 22.2% in ELBW babies). The neonatal mortality rate till discharge was 15.7% in VLBW group and 33.3% in ELBW group. The morality rate was highest in 26 to 30 weeks gestation babies and in babies weighing <800 gms. Conclusion. Antenatal profile of preterm labour in our series showed a number of high risk factors. The identification of common high risk factors is important for appropriate prenatal care. A better neonatal survival rate was possible due to timely intervention, appropriate management and NICU care facility available in our tertiary care centre.

引用

页码：669 / 673

页数：4

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