Short - Term Neonatal Outcome in Singleton , Late Preterm Deliveries a Three - Year Experience at a Single Lebanese Center

Nawfal I. Nawfal; Mohamad K. Ramadan; Ahmad Salah El Dine Naja; Mariam A. Rajab

doi:10.12816/0008286

Article Details

Short - Term Neonatal Outcome in Singleton , Late Preterm Deliveries a Three - Year Experience at a Single Lebanese Center

Authors:

Nawfal I. Nawfal | Mohamad K. Ramadan | Ahmad Salah El Dine Naja | Mariam A. Rajab

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2014 Vol.62 Issue 4, pp.191-197

Document Type:

Article

Publication Date:

10/2014

Document Language:

English

Document ID (Org No.):

56204

Frequency:

Quarterly

pISSN:

00239852

DOI:

10.12816/0008286

Descriptors:

Keywords:

Abstract:

 Background : There has been a decrease inthe mean gestational age at delivery worldwide mostly due toan increase in deliveries occurring at late preterm period (LPP)with a concomitant rise in the rate of morbidities among newbornsdelivered at this period. Objectives : To report the frequencyof common short-term neonatal morbidities in infantsborn at LPP (between 340/7 and 36 6/7 weeks’ gestation) andto compare these frequencies with those of full-term infantsborn at our institution. Materials & Methods : A descriptivecohort study (2008-2010) at Makassed General Hospital.All deliveries occurring at LPP constituted the study group(n = 361), while births at or beyond 37 weeks’ gestation wereconsidered as controls (n = 2814). Results : The averagerate of deliveries in LPP was 11.4% for the entire study period.The rate of Neonatal Intensive Care Unit admissions,respiratory morbidities, sepsis, jaundice, hypothermia, hypoglycemiaand overall neonatal morbidity were all significantlyhigher in LPP infants when compared to those at term(p-value < 0.013). Conclusion : In our cohort of Lebanesenewborns delivered at LPP, significantly higher morbiditieswere encountered when compared to full-term newborns.Every possible effort should be exerted to avoid electivedeliveries during LPP in order to curb the incidence of neonatalmorbidities.

 Contexte : Une baisse de la moyenne de l’âgegestationnel à l’accouchement a été signalée mondialement ;ceci est dû à l’augmentation du nombre d’accouchementsprématurés tardifs. Objectifs : Étudier la fréquence de lamorbidité à court terme chez les nouveau-nés issus d’accouchementsprématurés tardifs (340/7-366/7 semaines d’aménorrhées).Matériels & Méthodes : Une étude descriptive,réalisée à Makassed General Hospital pendant la période2008-2010, a porté sur les accouchements prématuréstardifs (n = 361) et les accouchements à terme pris commegroupe témoin (n = 2814). Résultats : Le taux d’accouchementsprématurés tardifs a été de 11,4%. Les admissionsaux soins intensifs en néonatologie, les problèmes respiratoires,les septicémies, l’ictère, l’hypothermie et les hypoglycémiesont été rapportés avec un taux plus élevé chez lesprématurés tardifs que chez les nouveau-nés issus d’unaccouchement à terme (p < 0,013). Conclusion : La morbiditéélevée dans le groupe de nouveau-nés issus d’unaccouchement tardif nous incite à éviter, dans la mesure dupossible, les accouchements prématurés tardifs.

Article Details

Short - Term Neonatal Outcome in Singleton , Late Preterm Deliveries a Three - Year Experience at a Single Lebanese Center

Authors:

Nawfal I. Nawfal | Mohamad K. Ramadan | Ahmad Salah El Dine Naja | Mariam A. Rajab

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2014 Vol.62 Issue 4, pp.191-197

Document Type:

Article

Publication Date:

10/2014

Document Language:

English

Document ID (Org No.):

56204

Frequency:

Quarterly

pISSN:

00239852

DOI:

10.12816/0008286

Descriptors:

NEONATAL DISEASES

RESPIRATORY DISEASES

PARTURITION COMPLICATIONS

MORBIDITY

THERAPY

CHILDREN

Late Preterm Period

Neonatal Morbidity

Respiratory Morbidity

Issues

Article Details

Authors: Nawfal I. Nawfal | Mohamad K. Ramadan | Ahmad Salah El Dine Naja | Mariam A. Rajab

Publisher: Lebanese Order of Physicians : Scientific Committee

Main Topics: Medicine

Journal: Lebanese Medical Journal 2014 Vol.62 Issue 4, pp.191-197

Document Type: Article

Publication Date: 10/2014

Document Language: English

Document ID (Org No.): 56204

Frequency: Quarterly

pISSN: 00239852

DOI: 10.12816/0008286

Descriptors:

Issues

Authors:

Nawfal I. Nawfal | Mohamad K. Ramadan | Ahmad Salah El Dine Naja | Mariam A. Rajab

Publisher:

Lebanese Order of Physicians : Scientific Committee

Main Topics:

Medicine

Journal:

Lebanese Medical Journal 2014 Vol.62 Issue 4, pp.191-197

Document Type:

Article

Publication Date:

10/2014

Document Language:

English

Document ID (Org No.):

56204

Frequency:

Quarterly

pISSN:

00239852

DOI:

10.12816/0008286