A STUDY ON VERY LOW BIRTH WEIGHT BABIES ADMITTED IN NICU

Author:

Prajapati Janki1,Munshi Sucheta2,Chauhan Ankit3

Affiliation:

1. 3 year resident, Department of Pediatrics, BJMC, Ahmedabad.

2. Associate Professor and Head or Unit, Department of Pediatrics, BJMC, Ahmedabad.

3. Full Time Pediatrician, Department of Pediatrics, BJMC, Ahmedabad.

Abstract

Background: Very low birth weight (VLBW) neonates are at high risk for morbidity and mortality. Preterm birth is one of the major clinical problems in Obstetrics and Neonatology. Aim & Objective: To study morbidity and mortality pattern of VLBW neonates admitted to NICU at Department of Pediatrics, Civil hospital, Ahmedabad. Methodology: This cross-sectional prospective observational study was performed on all hospitalized VLBW neonates. Their course during hospitalization and relevant was documented in pre designed performa. Results: In the present study, out of 1748 neonates, 374 (21.39%) were VLBW with 69% males. Mean gestational age was 31.3±1.8 weeks; mean birth weight 1279±193 grams. Common morbidities in VLBW neonates are Neonatal jaundice, Probable sepsis, Apnea of prematurity and RDS. Mortality rate is improved with increasing gestational age and weight. Conclusion: Birth weight and mechanical ventilation are the 2 major factors responsible for mortality. A decline in the mortality and morbidity of these newborns (especially the ELBW neonates) can only be made possible through optimizing perinatal care including regionalization, CPR at birth, early NCPAP and quality improved collaborative (QIC) in our NICU.

Publisher

World Wide Journals

Reference9 articles.

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2. 2. Goldenberg RL. The management of preterm labour. High risk pregnancy series-an experts view. Obstet Gynaecol. 2002;100:1020-34.

3. 3. Ballot DE, Chirwa TF, Cooper PA. Determinants of survival in very low birth weight neonates in a public sector hospital in Johannesburg. BMC Pediatr. 2010;10:30.

4. 4. South East Asia Regional Neonatal-Perinatal Database. SEAR-NPD; 2007-08.

5. 5. Odendaal ES, Steyn DW, Odendaal HJ. Obstetric causes for delivery of very low- birth-weight babies at Tygerberg Hospital. SAMJ. 2003;93(1):61-4.

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