Department of Pediatrics, Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal.
Manipal College of Medical Sciences, Phulbari, Pokhara, Nepal.
JNMA J Nepal Med Assoc. 2022 Apr 15;60(248):364-368. doi: 10.31729/jnma.7240.
Preterm babies are born before 37 completed weeks of gestation. It is an important cause of neonatal morbidity and mortality. This study aimed to find out the prevalence of neonatal intensive care unit admissions among preterm babies in a tertiary care centre.
A descriptive cross-sectional study on a total of 133 preterm infants was conducted in a tertiary care centre from November, 2020 to April, 2021 with ethical approval from the Institutional Review Committee (Reference number: 380). Preterm babies who met the eligibility criteria were included in the study. Convenience sampling was done. Data were analysed using the Statistical Package for the Social Sciences version 20.0. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data.
Out of 133 preterm babies, 54 (40.60%) (32.25-48.95 at 95% Confidence Interval) had neonatal intensive care unit admissions. Hyaline membrane disease was the most common illness in preterm neonates 34 (62.96%) followed by neonatal sepsis 20 (37.03%).
The prevalence of neonatal intensive care unit admissions among preterm babies in our study was similar to other studies done in similar settings. Preterm newborns are significantly vulnerable and maternal risk factors should be taken into account. Anticipated preterm deliveries should have mandatory institutional delivery and adequate postnatal care is needed to improve the outcomes of preterm babies.
morbidity; mortality; neonatal intensive care unit; preterm infants.
早产儿是指在妊娠满 37 周前出生的婴儿。这是导致新生儿发病率和死亡率的一个重要原因。本研究旨在了解三级保健中心早产儿入住新生儿重症监护病房的情况。
本研究为 2020 年 11 月至 2021 年 4 月在三级保健中心进行的一项描述性横断面研究，得到了机构审查委员会的伦理批准（参考编号：380）。符合入选标准的早产儿被纳入研究。采用便利抽样法。使用社会科学统计软件包 20.0 版分析数据。计算了 95%置信区间的点估计值以及二项数据的频率和百分比。
在 133 名早产儿中，54 名（40.60%）（95%置信区间为 32.25-48.95）需要入住新生儿重症监护病房。透明膜病是早产儿最常见的疾病，有 34 例（62.96%），其次是新生儿败血症 20 例（37.03%）。
本研究中早产儿入住新生儿重症监护病房的比例与在类似环境中进行的其他研究相似。早产儿非常脆弱，应考虑产妇的危险因素。预计早产分娩应进行强制性机构分娩，并需要充分的产后护理，以改善早产儿的结局。
发病率；死亡率；新生儿重症监护病房；早产儿。
