Department of Pediatrics, National Medical College, Birgunj, Parsa, Nepal.
Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
JNMA J Nepal Med Assoc. 2024 Jul 31;62(276):516-520. doi: 10.31729/jnma.8715.
Prematurity is a significant cause of neonatal morbidity and mortality, especially in low-income and middle-income countries like Nepal. However, there is a paucity of data regarding its burden. This study aimed to determine the prevalence and outcomes of preterm neonates admitted to the neonatal intensive care unit of a tertiary care hospital.
This descriptive cross-sectional study was conducted among preterm neonates at a tertiary care hospital between July 15, 2022 to July 14, 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: F-NMC/557/078-079). Neonates with gestational age less than 37 weeks were included in the study. Total sampling method was used.
Among 980 neonates admitted to intensive care unit, preterm neonates were 112 (11.43%). A total of 69 (61.61%) preterm neonates were outborn, and 65 (58.04%) were male. The median gestational age and birth weight were 32 weeks (interquartile range: 30- 34 weeks) and 1500 gm (interquartile range: 1300-1800 gm), respectively. There were 60 (53.57%) neonates with sepsis, 51 (45.54%) with neonatal jaundice and 38 (33.93%) with respiratory distress. Death occurred in 12 (10.71%) preterm neonates in the hospital.
The prevalence of preterm neonates was similar to other studies done in similar settings.
早产是新生儿发病率和死亡率的一个重要原因，尤其是在尼泊尔等中低收入国家。然而，关于其负担的数据却很少。本研究旨在确定在一家三级保健医院新生儿重症监护病房收治的早产儿的患病率和结局。
本描述性横断面研究于 2022 年 7 月 15 日至 2023 年 7 月 14 日在一家三级保健医院进行，在获得机构审查委员会的伦理批准（参考编号：F-NMC/557/078-079）后，对早产儿进行了研究。纳入的新生儿胎龄小于 37 周。使用总抽样法。
在 980 名入住重症监护病房的新生儿中，早产儿有 112 名（11.43%）。共有 69 名（61.61%）早产儿为出生儿，65 名（58.04%）为男性。中位胎龄和出生体重分别为 32 周（四分位距：30-34 周）和 1500 克（四分位距：1300-1800 克）。有 60 名（53.57%）新生儿患有败血症，51 名（45.54%）患有新生儿黄疸，38 名（33.93%）患有呼吸窘迫。在医院有 12 名（10.71%）早产儿死亡。
早产儿的患病率与在类似环境中进行的其他研究相似。
