Online ISSN: 2515-8260

Keywords : Preterm birth

Assessment of early neonatal morbidity in late preterm

Dr. Mandar N Karanjkar, Dr. Aditi Bakare .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 8895-8898

Background:Compared with term infants, infants born late preterm are at increased risk for neonatal intensive care unit (NICU) admission. The present study was conducted to assess early neonatal morbidity in late preterm.
Materials & Methods: 54 all live inborn late preterm infants (34 0/7 to 36 6/7 weeks) and term infants (37 0/7 to 41 6/7 weeks) of both genders were included. Group I comprised of late pre- term and group II had term infants. In all infants, mode of delivery, APGAR score, hypoglycemia, morbidity, jaundice, weight loss >10% and sepsis etc. was recorded
Results: Group I had 17 boys and 10 girls and group II had 14 boys and 13 girls. Weight loss >10% was seen in 2 in group I and 1 in group II, sepsis was seen 1 in group I, respiratory morbidity 2 in group I and 1 in group II, hypoglycemia was seen in 2 in group I and 3 in group II and jaundice in 1 in group I and 0 in group II. The difference was significant (P< 0.05). The mean gestation weeks in group I was 35.0 weeks and in group II was 38.2 weeks, mode of delivery was vaginal in 22 in group I and 15 in group II, cesarean in 5 in group I and 12 in group II, APGAR score at 1 minute was 7.32 in group I and 7.95 in group II, at 5 minute was 8.41 in group I and 8.68 in group II. The difference was significant (P< 0.05).
Conclusion: Incidence of hypoglycemia, sepsis, respiratory morbidity and jaundice and weight loss >10% was more among late preterm infants.

Vaginal Progesterone For Maintenance Of Tocolysis In A Sample Of Iraqi Women

Dr. DalyaThamer Ahmed; FadiaThamer Ahmed

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 10, Pages 172-184

OBJECTIVE: Assess the effectiveness of vaginal progesterone for maintenance tocolysis and preterm labor prevention in singleton gestations and preterm uterine contraction in a sample of Iraqi women. STUDY DESIGN: This is a prospective randomized study included 143 singleton gestation (gestational ages range from 30(0/7) to 34(6/7) weeks at enrollment, intact membrane, and without any contraindication for expectant management. Consenting women wererandomized to receive vaginal progesterone (400mg) daily.The data was collected from women who attend the outpatient clinics in different areas of Baghdad including Hay Aljameaa and AL Noaman teaching hospital from the beginning of 2017 to the end of 2018. RESULTS: Data were collected from143 women (75 assigned to vaginal progesterone, 68 designated to control) with a single gestation,Vaginal progesterone has been correlated with a substantial decrease in preterm birth <35 weeks of gestation (95% confidence interval (0.7552% to 24.8754%);( P = 0.0359); high-quality evidence). In fact, vaginal progesterone reduce the incidence of preterm birth (35- 37 weeks) substantially (95% confidence interval (4.6025% to 35.1764%); (P = 0.0117)and the percentage of Live born delivered before 34 weeks (95% confidence interval (3.4821% to 24.6707%); (P = 0.0081), there is a statistical difference in the birth weight (≤ 1500 gm) (P = 0.0388). There were 1(1.33%) fetal deaths in the vaginal progesterone group and 3 (4.41%) in the control group (confidence interval, -3.4383% to 10.9315%, P = 0.2661 low-quality evidence). CONCLUSION: Maintenance tocolysis with vaginal progesterone suppositories is associated with reduced frequency of uterine contractions and the percentage of preterm birthand improve outcome in perinatalperiodfor singleton pregnancy.

The Relationship Between Child Infant Mortality And Air Pollution

Rabab Hajwal Al-Zamily

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 17-25

Objectives: This paper points to verify the influences of motherly exposure the basic air depressions off infant mortality. For further investigation of these relationships, we used vital registry data to retroactively build (2907) deaths occurred between 2009 and 2013 at Children's Medical City Hospital for children younger than one year and (1167) of them less than a month Previous investigates have concerned air contamination in raised mortality and disease, mainly in the aged populace and childish person. Extra in recent times, relations with death in newborns then through several generative reproductive effects have also been registered
The purpose from such study is to analysis the relationship relating revealing to open-air pollution for the period of gestation then infant mortality, airborne contamination is linked to poor pregnancy.
Elevation indication has exposed that population’s physical and mental health be able to be influenced air study by several contaminations.
Then, this investigate
Purposes to examine the correlate between air pollutions (O3, SO2, NO2, CO, Pb, PM2.5 or PM10) and Born prematurely. For the interval period (2009-2013).
Method: Totally Infant mortality information besides child birth information since (first January 2009 to end December 2013) be there recorded Children’s Hospital in Medical City in Baghdad Iraq
And Daily data on air quality from The Iraqi Ministry of Health and the Environment, The reality of the environment report (2010 ...) report on the status of the status of the Iraqi Environment