Preterms in the Neonatal Care Unit at Babylon Maternity and Children Hospital: Prevalence, Morbidity, Mortality, and Risk Factors
Kerbala Journal of Medicine,
Volume 8, Issue 2, Pages 2214-2221
Abstractbackground: Prematurity and its complications are the major cause for neonatal
morbidity and mortality. Often, the cause of preterm labor is unknown, but several
etiological risk factors have been identified
Objective: Regardless the causes for hospitalization, this study was designed to determine
the prevalence, mortality, morbidity (determined by duration of hospitalization and referral to
pediatric intensive care unit PICU) of preterm baby among patients admitted into the neonatal
care unit, and some of the possible underlying risk factors for preterm births.
Method: During a period of seven months from 2 December 2012 to 28 June 2013, a
nonrandomized sample consisted of 200 neonates that had been admitted into neonatal care
unit “NCU” at Babylon Maternity and Children Hospital was involved in this cross sectional
descriptive study. Same questionnaire was applied for all cases, then patients were divided
into 2 groups according to gestational age (<37w and ≥37). Test of proportion and chi-square
were used to determine significant differences between the groups.
Results: Prematurity and its complications are responsible for 72/200 (36%) of neonatal
hospitalization and 3/6 (50%) of neonatal death. Females constitute 35/72 (48.61%) of
preterms and 44/138 (34.37%) of terms with p value < 0.05. 8/48 (16.66%) of preterms and
7/95 (7.36%) of terms need referral to PICU with p value > 0.05. Regarding hospitalization,
preterms had longer duration than term neonates (p value <0.05). 51/187 (27.27%) of neonate
had been discharged on their parents’ responsibility, and 20/51 (39.21%) was preterm.
Multiple gestation is a risk factor for death in preterm babies, while obstetrical factors had a
correlation with the occurrence of preterm births (p value <0.05), with premature rupture of
membrane being at the top of the list.
Conclusion: Prematurity and its complications are the major causes for neonatal
hospitalization and death and need longer duration of hospitalization than terms. For preterm
birth, females are at greater risk and the presence of obstetrical factors increase its
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