Comparison of clinical outcomes of late term preterm infant with full term infant in Nongbualamphu hospital

Abstract

Objectives: Late preterm infants are increasing rates at present and there were the most of preterm infants. Late preterm infants have increased rates of morbidity and mortality compared to term infants. Determining the risk factors in these infants leads to more preventive and early treatment.

Material and methods: This research is case-control study. collecting data on infants born in Nongbualamphu hospital from October 2018 to November 2019. The sample size was 100 cases per groups, the first group was the babies born between 34 weeks and 36 weeks, 6 days gestation, the first 100 cases and the second group was the full-term infants were born 37 to 40 weeks on the same day and at about the same time as the first 100 cases, including 200 cases from retrospective review medical records. Exclusion criteria was stillbirth, GA < 34 weeks, congenital anomaly and abnormal chromosome.

Results: Late preterm infant higher incidences of complication including jaundice (P-value < 0.001), hypothermia (P-value = 0.029), hypoglycemia (P-value = 0.002), sepsis (P-value <0.001), respiratory distress syndrome (P-value < 0.001) when compared with the full-term infants. In effect, late premature infants also need more resources for treatment than full term infants including surfactant therapy (P-value = 0.029), need intravenous fluid (P-value < 0.001), need NICU admission (P-value = 0.001), the length of stay (P-value < 0.001) and the care cost was significantly higher (p<0.001).

Conclusion: Significant clinical features and surveillance of late premature infants including jaundice and hypoglycemia. It must be developed into care map for late preterm infants to be decreased complication of this population and decided to inhibit in case late preterm with labor pain.