دورية أكاديمية
Characteristics of Pregnant Women and Risk Factors of Their Newborn for Admission to a Neonatal Intensive Care Unit in Nepal.
| العنوان: | Characteristics of Pregnant Women and Risk Factors of Their Newborn for Admission to a Neonatal Intensive Care Unit in Nepal. |
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| المؤلفون: | Pokhrel S; Siddhi Memorial Hospital (For Women and Children), Bhaktapur, Nepal., Shrestha D; Siddhi Memorial Hospital (For Women and Children), Bhaktapur, Nepal., Shrestha RK; Siddhi Memorial Hospital (For Women and Children), Bhaktapur, Nepal., Budhathoki S; Siddhi Memorial Hospital (For Women and Children), Bhaktapur, Nepal., Sah AK; Siddhi Memorial Hospital (For Women and Children), Bhaktapur, Nepal., Parajuli P; St. Xaviers College, Department of Microbiology, Kathmandu, Nepal., Raya GB; Siddhi Memorial Hospital (For Women and Children), Bhaktapur, Nepal., Morimoto K; Department of Respiratory Infections, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan., Dhoubhadel BG; Department of Respiratory Infections, Institute of Tropical Medicine, Nagasaki University, Nagasaki 852-8523, Japan. |
| المصدر: | Journal of Nepal Health Research Council [J Nepal Health Res Counc] 2022 Nov 02; Vol. 20 (2), pp. 289-295. Date of Electronic Publication: 2022 Nov 02. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Nepal Health Research Council Country of Publication: Nepal NLM ID: 101292936 Publication Model: Electronic Cited Medium: Internet ISSN: 1999-6217 (Electronic) Linking ISSN: 17275482 NLM ISO Abbreviation: J Nepal Health Res Counc Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kathmandu : Nepal Health Research Council, 2002- |
| مواضيع طبية MeSH: | Pregnant Women* , Intensive Care Units, Neonatal*, Infant, Newborn ; Infant ; Adolescent ; Child ; Pregnancy ; Female ; Humans ; Adult ; Nepal/epidemiology ; Prospective Studies ; Risk Factors |
| مستخلص: | Background: Nepal has progressed gradually in reducing under-5 mortality and neonatal mortality; however, they are still high at 30.8 and 19.8 per 1000 live births, respectively. Neonatal mortality constituted about 64% of the under-5 mortality in 2019, higher than the global average of 47%. Methods: This is a prospective study among pregnant women and their newborn babies in Siddhi Memorial Hospital, Bhaktapur, Nepal, from October 2017 to April 2018. Demographic and clinical data, high vaginal swabs of pregnant mothers, and umbilical cord blood were collected. High vaginal swabs were cultured, and umbilical cord blood samples were cultured and tested for inflammatory markers. After discharge to home, neonates were followed for 28 days of life by weekly phone calls. Results: Total number of pregnant mothers enrolled was 151. The median age was 26 years (IQR: 18-40), and the proportion of adolescent mothers was 4.7%. Half of the deliveries were done by the caesarian section, and 8.6% had gestational age <37 weeks. High vaginal swab cultures were positive in 8.2% of the samples (n=135), and Escherichia coli was the most common bacteria. Out of 153 newborn babies (2 were twins), 8 (5.2%) were admitted to the neonatal intensive care unit. The proportion of low birth weight was 13%, and it was independently associated with neonatal intensive care unit admission (adjusted OR=9.4, 95%CI 1.8-50.1; P value= 0.009). Conclusions: Adolescent pregnancies and Low Birth Weight babies were commonly observed. Both of these issues need to be addressed by effective measures that would improve the current situation of maternal and child health in Nepal. |
| فهرسة مساهمة: | Keywords: Maternal health; morbidity neonates; Nepal; risk factors; morbidity. |
| تواريخ الأحداث: | Date Created: 20221223 Date Completed: 20221226 Latest Revision: 20221226 |
| رمز التحديث: | 20240628 |
| DOI: | 10.33314/jnhrc.v20i02.3824 |
| PMID: | 36550702 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1999-6217 |
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| DOI: | 10.33314/jnhrc.v20i02.3824 |