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Journal of Rare Cardiovascular Diseases
ISSN: 2299-3711 (Print)
e-ISSN: 2300-5505 (Online)
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Short Term Nutritional Outcome and Morbidity of Healthy Late Preterm Babies
Dr Kriti Sharma
,  
Dr Bindu T Nair
,  
Dr Praneta Swarup
,  
Dr Rajeev Kumar Thapar
,  
Dr Satinder Aneja
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Abstract
Background: Latepreterm babies have significantly higher risks of adverse outcome than full-term newborns (37 weeks and 42 weeks). A study was done to study the specific needs of late preterm babies, analyse short-term nutritional outcomes and identify the risk factors and morbidity of stable late preterm babies compared to term babies. Materials and Methods: All singleton healthy babies born at gestational age from 34 completed up to 36+6 weeks and weighing > 1.8 kg were included as cases. The control group consisted ofhealthy term singleton babies’ with a weight >2.5 kg and no history of NICU admission at birth. Both groups were daily assessed for frequently occurring problems (e.g., hypoglycaemia, hypothermia, poor feeding, hyperbilirubinemia). Both the groups (term and late preterm babies) were followed up for feeding issues and anthropometry till 14 weeks of chronological age. Results: Most frequent feeding problems observed in late preterm infants during early days (Day1-3) of hospitalization was incorrect positioning, followed by sleepy baby and mothers not perceiving enough milk. In later days of hospitalization (day 7- 14), most frequent feeding problems in late preterm included a sleepy baby and incorrect positioning. Common causes of NICU admissions in late preterm babies on Day 1 & 2, were hyperbilirubinemia and clinical sepsis as compared to term babies. On Days 3-6, it was hyperbilirubinemia and inadequate weight gain. From Day 7th–14th, the most common cause of admission in late preterm babies was hyperbilirubinemia, followed by respiratory illness & suspected seizure. At 38weeks post-conceptional age of late preterm infants mean weight, mean length and mean head circumference were significantly lower than term infants at birth. (p-value <0.01) Conclusion: Late preterm babies face feeding problems, morbidity, and are at risk of early growth failure. There is a need of a continuum of care after discharge from the hospital as these babies are at risk of growth failure.
Keywords
Late preterm, feeding issues, growth failure, morbidity.
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Classification of Rare Cardiovascular Diseases anticoagulation atrial fibrillation atrial septal defect cardiomyopathy computed tomography congenital heart disease echocardiography electrocardiogram electrocardiography heart failure implantable cardioverter‑defibrillator magnetic resonance imaging pregnancy pulmonary arterial hypertension pulmonary hypertension rare cardiovascular disease rare disease right heart catheterization right ventricular failure
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