Original Articles
Early morbidities of the late preterm and early term infants compared to full term infants: A prospective cohort study from a tertiary care centre | |
Sumit Kumar Singhi, Apurva Kawadiya, Pragya Mehta, Swati Mulye, Gaurav Mogra | |
Introduction– Prematurity accounts for about 10.6% of neonates worldwide. It is also the main cause of an estimated one million neonatal deaths globally every year. Studies have shown increased risk for poor neonatal and developmental outcomes associated with late preterm birth. Another vulnerable group that has been identified is that of the infants born between 37 to 38 completed weeks i.e. the early term infants. This study aims to compare these two groups with the full term infants. Aims and objectives - To identify and compare the early morbidities in late preterm, early term and full-term neonates including hypoglycemia, hypothermia, oxygen requirement, need for resuscitation, hyperbilirubinaemia , sepsis, feeding difficulties and duration of hospital stay. Method– This was a prospective cohort study conducted in Paediatric department at tertiary care centre from central India. Study was undertaken for a period of 18 months after approval from the ethical committee i.e.; from 1st April 2021 to September 2022. All inborn late preterm, early term and full term neonates were included. Neonates with major congenital anomalies and parents not giving consent were excluded. Results - A total of 271 neonates with 119 late preterm, 90 were early term and 62 were full term. Morbidities like hypoglycemia, hypothermia, hyperbilirubinemia, sepsis, requirement for NICU admission, oxygen requirement, need for resuscitation, prolonged duration of hospital stay, feeding difficulties were significantly associated with the late preterms than term infants. Hypothermia and hypoglycemia were reported with early term compared to full term infants. Conclusion - Late preterm and even early term births should be avoided whenever possible. These at-risk babies should be closely monitored for comorbidities, to ensure timely intervention and prevention of complications. |
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