IMMEDIATE OUTCOME OF PRETERM BABIES BORN IN A TERTIARY RURAL CARE CENTER

Abstract

Introduction. In neonatology preterm birth is one of the major issues as it leads to perinatal mortality and serious neonatal morbidity. Complications related to preterm birth are the leading cause of under ve 2 children death responsible for approximately 1 million death worldwide in 2015. Though Preterm births is a worldwide problem, >60% of preterm happen in South Asian countries and Africa. Since few studies have been done in rural setup this observational study of immediate outcome of preterm babies born in a rural tertiary care center has been taken up. Material and methods. This prospective observational study was done in Adichunchanagiri Institute of Medical sciences, st st Mandya from 1 August 2019 – 31 July 2020. Study sample comprised of 100 preterm babies who were born in the study period. Data was collected on a preformed Performa, it was complied and entered in a MS excel sheet. Results. Majority of preterm births in this study were in 32-36weeks which accounted for 86% of the babies. In this study male to female ratio was 0.81:1. More babies were AGA (71%) then SGA (29%). Common fetal morbidities were RDS (28%), NNH (28%), Birth asphyxia (17%), sepsis (13%). CPAP was required in 19 babies and majority of them had RDS. Ventilatory support was required in 7 babies. Mean duration of total stay was 10.64±7.65 days. In our study preterm mortality was 3% which was caused by RDS. Conclusion. Early recognition of preterm morbidities and prompt treatment can reduce preterm mortality.