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ORIGINAL ARTICLE
Year : 2018  |  Volume : 7  |  Issue : 2  |  Page : 75-79

Late and moderately preterm babies in a Tertiary Childrens' Hospital in India: Its time we took a closer look


NICU, Rainbow Childrens Hospital, Hyder Nagar, Hyderabad, Telangana, India

Correspondence Address:
Dr. Rajasri Rao Seethamraju
Rainbow Childrens Hospital, Opp Chermas, Hyder Nagar, Hyderabad - 500 072, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_5_18

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Objectives: The late and moderate preterm (LMPT) babies form a significant proportion of Neonatal Intensive Care Unit (NICU) admissions. The aim of this study is to determine the disease patterns and outcomes of LMPT babies admitted to a tertiary childrens' hospital between January 1, 2017 and July 31, 2017. Material and Methods: This is a retrospective, observational study. Medical records of all neonates admitted during the study period were reviewed. The LMPT infants were analyzed for demographics and outcomes. Results: Of a total of 690 deliveries in the specified period in our hospital, 102 were LMPT neonates (14.8%). Of these, 39 (38.2%) were girls and 63 (61.7%) were boys. In this period, a total of 192 babies were admitted to our NICU of which 82 were LMPT babies (42.7%). 62 of the 82 were inborn (75.6%). Median weight among LMPT babies born in our hospital was 2.27 kg (interquartile range [IQR] 1.95–2.56) and median weight of the LMPT babies at admission to NICU was 2 kg (IQR 1.76–2.32). Preterm care was the most common reason for admission to NICU (67%). Respiratory distress was the main morbidity immediately after admission (28%) to NICU. Jaundice (59.75%) and hypoglycemia (10.9%) formed other main concerns. Median age for discharge was 35 weeks corrected gestational age (IQR 34–36). There was no mortality in the LMPT subgroup in the period specified. Conclusions: Researching and benchmarking our LMPT data have improved the confidence of our unit and will help develop guidelines specific to our population and health practices.


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