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SUMMARY Author name: Sidra Malik Title: Outcomes of late preterm newborn Aim: The aim of the study is to evaluate morbidities, weight’s variations during the first 5 days of life and a feeding pattern in the late preterm newborns and evaluate admission to NICU. Objectives: 1. to evaluate the rate of the major morbidities: respiratory, jaundice, hypoglycemia, hemorrhages, infections and to compare morbidities among gestational ages: 34-35-36 weeks of gestation. 2. to evaluate weight’s change during first 5 days of life and to compare among gestational ages. 3. to evaluate the pattern of feeding at a discharge time and to compare among gestational ages. Methods: This was a retrospective cohort study of all late preterm live births (340/7 to 366/7 weeks of gestation) during the 1-year period between January 2015 and December 2015 in LUHS Department of Neonatology. Late preterm newborns were divided in 3 sub-groups according to gestational age: 340/6, 350/6, 360/6 weeks of gestation. The incidence of major clinical outcomes was evaluated. Statistical analysis was performed by using Chi-Square test and Kruskal wallis test. Results: Jaundice and respiratory morbidity occurred significantly more often in the newborn’s group of 34th GA compare with 35th GA and 36th GA. We compared morbidities, mode of delivery and gestational age and found that only newborns of 34th GA and 35th GA after vaginal delivery significantly more often had jaundice then newborns delivered by cesarean section. Significantly higher weight loss was in group 34th week. Comparing the weight loss with group 35th-36th GA, it was significantly highest weight loss on the 2nd day in the group 34th week. Breastfeeding rate was significantly higher in the group of newborns not admitted to NICU. Infants who were admitted to NICU were significantly more fed by formula. Conclusion: Result demonstrated an increased risk of respiratory morbidity and jaundice is associated with lower gestational age and mode of delivery. Newborns of 34th GA had higher weight loss on 2nd day. Admission to NICU, lower gestational age and cesarean section significantly reduced breastfeeding rate. |
