Short Term Outcome of Very Low Birth Weight Infants In a Tertiary Care Hospital In Kumaun Region

Dr.Vasu Saini; Dr.Ritu Rakholia; Dr.Ajay Kumar Arya

Volume : VII, Issue : V, May - 2018

Short Term Outcome of Very Low Birth Weight Infants In a Tertiary Care Hospital In Kumaun Region

Dr. Vasu Saini, Dr. Ritu Rakholia, Dr. Ajay Kumar Arya

Abstract :

Objectives:To Evaluate morbidity and mortality profile of Very Low Birth Weight Infants in our hospital and maternal risk factors associated with VLBW infants. Methods: In this prospective observational study of 1 year, all the inborn VLBW babies were admitted in SNCU. Demographic data included maternal history, maternal age, parity, gestational age, birth weight, sex, mode of delivery, as well as need for resuscitation, mechanical ventilation, and surfactant administration was recorded. Complications of prematurity during NICU admission were recorded. Management of neonatal illness was performed as per the standard protocol. Results:Out of 244 individuals 60(24.5%) expired. RDS is found to be the major cause of mortality i.e.172(70.49%) followed by MAS 80(32.78%), Sepsis 52(21.31%) and HIE 46(18.85%).Maternal risk facrtors causing maximum no. of VLBW babies is Antepartum hemorrhage 164(67.2%)(p value <0.001) followed by PROM 76(31.5%), Hypertension 50(20.49%) and Diabetes 8(3.28%).Conclusion:significant predictors of neonatal morbidity and mortality were extremes of maternal age(15–20yr and 31–35yr) is associated with p value <0.05),increased parity(G3) (mean±SD 1.53±0.63 with p value<0.039),increased gestational age(>35wks)(mean±SD 2.0±0.7 with p value <0.009),antepartum hemorrhage (p value<0.001).