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Morbidity and Mortality Pattern in Late Preterm Infants at a Tertiary Care Hospital in Jammu & Kashmir, Northern

Ghulam Nabi Rather1, Muzafar Jan2, Wasim Rafiq3

  • 1Registrar, Department of Pediatrics, Government Medical College , Srinagar, J&K, India .

Journal of Clinical and Diagnostic Research : JCDR
|January 28, 2016
PubMed

Insights

Late preterm infants (34-36 weeks) face higher risks of neonatal morbidity and mortality compared to full-term infants. This study highlights increased rates of respiratory issues, jaundice, hypoglycemia, and sepsis in this vulnerable group.

Area of Science:

  • Neonatal Medicine
  • Pediatrics
  • Public Health

Background:

  • Late preterm infants (34-36 6/7 weeks) exhibit higher morbidity and mortality rates than term infants due to physiological and metabolic immaturity.
  • Despite similar weight and size, late preterm infants are at increased risk for adverse neonatal outcomes.

Purpose of the Study:

  • To determine the incidence of late preterm births.
  • To investigate early neonatal morbidity and mortality within the first seven days of life in late preterm infants.

Main Methods:

  • A prospective, hospital-based study conducted from April 2012 to March 2013.
  • Inclusion of 4100 neonates in the study population.
  • Data collected from G.B. Pant General Hospital and associated hospitals in Srinagar.

Main Results:

  • The incidence of late preterm neonates was 11.58%.
  • Late preterm infants showed significantly higher risks for overall morbidity (76.8%) including respiratory morbidity, need for mechanical ventilation, jaundice, hypoglycemia, and sepsis compared to term infants (28.3%).
  • Early neonatal mortality rate in late preterm infants was 2.5% (25/1000 live births).

Conclusions:

  • Late preterm infants face substantially higher risks of neonatal morbidity, including respiratory distress, jaundice, hypoglycemia, and sepsis, compared to term infants.
  • The study confirms a higher early neonatal mortality rate in late preterm infants.
  • These findings underscore the need for targeted monitoring and care for late preterm neonates.
Abstract

Keywords:
HypoglycaemiaJaundiceSepsis

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