Early outcome of Pre-term neonates delivered in Soba University Hospital

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A.Salam, Sarah A.Salam
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This study was conducted as a descriptive, longitudinal, hospital based study in Soba University hospital. The main objectives were to describe maternal and obstetric factors predisposing to pre-term delivery and to determine the early neonatal morbidity and mortality associated with the premature births population. The study was conducted over a seven months period, from December 2003 to June 2004. One hundred consecutively born premature infants, within this study period, were followed from the moment of delivery until the end of the first week of life. Maternal and obstetric factors predisposing to premature birth were described within the maternal population, mainly; pregnancy induced hypertension (38.1%), multiple pregnancy (29%) and maternal infection (42.9%). Morbidity, and mortality among the premature births study population were identified and respiratory distress syndrome was the main cause, accounting for 36 % and 46.2 % of the disease and deaths respectively. Neonatal jaundice, apnea and neonatal infection occurred in 46%, 16% and 14% of the premature infants respectively. However, respiratory distress syndrome and apnea have been strongly associated with early neonatal mortality (P< 0.05). A survival rate for the whole premature infant study population was 74%. Survival rates increased with increasing gestational age and increasing birth weight. At 28 weeks, none of the neonates survived but survival rates were 100% at 36 weeks. Survival rates were 20% in birth weights <1000 g and increased to 85.7% for birth weights >2500g. The study recommended assessment and improvement of prevailing medical practices for the care of premature infants; raising medical and public awareness to factors predisposing to pre-term delivery with special regard to fetal monitoring. Also, further studies should be conducted on respiratory distress syndrome.
Pre-term, neonates, delivered,Hypothermia,