title: Maternal antenatal profile and immediate neonatal outcome in VLBW and ELBW babies.
abstract: OBJECTIVE
  To evaluate the antenatal profile of the mother and the immediate neonatal morbidity and mortality till discharge.
  
  
  METHODS
  The study was a retrospective analysis of 92 patients of preterm labour who delivered babies weighing
  
  
  RESULTS
  A total of 92 mothers in preterm labour at 26 to 34 weeks were admitted and subsequently delivered 70 VLBW babies (< 1500 gms) and 36 ELBW babies (< 1000 gms) including 8 pairs of twins and 3 triplets pregnancies. Majority of the patients (93.4%) were booked. Amongst the various high risk factors for preterm labour, anaemia during pregnancy (32.6%), bacterial vaginosis (26%), gestational hypertension (18.4%) and pervious history of preterm labour (18.4%) were common associations. Calcium channel blocker (Depin) tocolysis was effective in postponing labour from 48 hours to more than 2 weeks. The cesarean section rate was very high (67.3%) in our study. The commoner neonatal complications in both VLBW and ELBW babies were RDS, neonatal jaundice and sepsis. Features of IUGR were seen in both the groups (22.8% in VLBW and 22.2% in ELBW babies). The neonatal mortality rate till discharge was 15.7% in VLBW group and 33.3% in ELBW group. The morality rate was highest in 26 to 30 weeks gestation babies and in babies weighing < 800 gms.
  
  
  CONCLUSIONS
  Antenatal profile of preterm labour in our series showed a number of high risk factors. The identification of common high risk factors is important for appropriate prenatal care. A better neonatal survival rate was possible due to timely intervention, appropriate management and NICU care facility available in our tertiary care centre.
authors.affiliation: Department of Pediatrics, All India Institute of Medical Science, New Delhi, India. drkkroy2003@yahoo.co.in
authors.forename: K K
authors.initials: KK
authors.lastname: Roy
authors.forename: Jinee
authors.initials: J
authors.lastname: Baruah
authors.forename: Sunesh
authors.initials: S
authors.lastname: Kumar
authors.forename: Neena
authors.initials: N
authors.lastname: Malhotra
authors.forename: A K
authors.initials: AK
authors.lastname: Deorari
authors.forename: J B
authors.initials: JB
authors.lastname: Sharma
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007194:India; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology / Q000401:mortality*; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome; D047928:Premature Birth; D011295:Prenatal Care; D012189:Retrospective Studies; D012307:Risk Factors