COMPARATIVE ANALYSIS OF EARLY NEONATAL MORBIDITY IN LATE PRETERM VERSUS FULL-TERM BABIES BORN IN A RURAL AREA OF JHARKHAND
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Keywords
Neonates, late preterm, full term, newborns, infants, morbidity
Abstract
Introduction- Neonatal health complications are a major concern, particularly among late preterm infants who are physiologically less developed than full-term newborns. This study focuses on early neonatal morbidity in a rural area of Jharkhand, highlighting the importance of timely medical care and improved healthcare infrastructure to reduce complications in resource-constrained settings.
Material and method- This observational study was carried out in Laxmi Chandravansi Medical College and Hospital, Jharkhand. It included 32 late preterm (34–36 weeks) and 32 full-term (≥37 weeks) neonates. Data on neonatal complications were gathered through clinical evaluations and medical records. Statistical methods were used to analyze and compare morbidity patterns between the two groups.
Result- Morbidity was significantly higher in late preterm neonates. Late preterm neonates had significantly higher rates of hypoglycemia, hypothermia, jaundice, feeding difficulties, and respiratory morbidities compared to full-term neonates. While hypocalcemia and sepsis were more frequent in late preterm neonates, the differences were not statistically significant. Additionally late preterm neonates had significantly lower birth weight, higher weight loss, lower APGAR scores, and require longer hospital stays compared to full-term neonates.
Conclusion- The increased morbidity risk among late preterm neonates was observed, emphasizing the need for improved perinatal and postnatal care strategies in rural healthcare settings. These findings highlight the need for improved neonatal care, early detection of complications, and better healthcare strategies tailored to rural settings.
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Dr Sanjay Kumar
Assistant Professor, Department of Pediatrics, Laxmi Chandravansi Medical College and Hospital, Palamu, India
Dr Nutan
Assistant Professor, Department of Pediatrics, Laxmi Chandravansi Medical College and Hospital, Palamu, India