About the Journal-JSOGP                Editorial Board        Guidelines      Submission      Contact us
      About the Society (SOGP)             JSOGP Reviewers Video Gallery    Others              JSOGP undertaking
Maternal and Fetal Determinants of Morbidities in Term Neonates Admitted to SCBU Original Article
Author(s) Name:
Shabnum Sibtain, Aaleen Azeez, Prabha Sinha
Address of Correspondence
Dr Shabnum Sibtain, Specialist Reproduction Medicine, University hospital cross house, Kilmarnock.UK

Objective: To determine the morbidity and mortality patterns of patients admitted into the Special Care Baby Unit (SCBU) of district hospital.
Study Design:  Retrospective study.
Place and Duration:  From 2011 to 2013 at East Sussex Healthcare NHS Trust
Methodology: One hundred and five women and neonates record with gestational age ≥37 weeks admitted into the Special baby unit of the Conquest and Eastbourne hospital.
Main outcome measures: Neonatal outcome encompassing ethnicity , age of women, antenatal and intrapartum risk factors, mode and timing of delivery, Apgar score , reasons for admission ,outcome and length of stay and readmissions.
Results: Admissions were related to pregnancy and delivery complications like smoking 35%, associated medical problems 27%, prelabour rupture of membrane >24hrs 11.4% ,BMI >30 was 8.5%, small for dates 8.5%, vaginal bleeding in early pregnancy 5.7%, babies above 95 centile 4.7%, pre-eclampsia 3.8%, cardiotocographic abnormality (CTG) 46.6%, caesarean deliveries 46% and 54% vaginal. Birth of the first child born was associated with increased likelihood for admission (45%). The leading contributors to SCBU admission were hypoxia 40.9%, respiratory complications 31.4% and neonatal sepsis 29.5% .In 21% neonates Apgar score were less than 7 at 5 mins. Nearly one third of babies were admitted for 24-48 hours. 85% had good outcome. 13% had readmissions.
Conclusion: Term infant’s admissions are major contributors to workload.  Neonatal admissions can be reduced through enhancement of good antenatal and delivery care
Keyword: Adverse maternal and neonatal outcomes, Intrapartum interventions, Obstetric risk factors, SCBU.

Cite this article as: Sibtain S, Azeez A, Sinha P. Maternal and Fetal Determinants of Morbidities in Term Neonates Admitted to SCBU. J. Soc. Obstet. Gynaecol. Pak. 2016; 6(1):29-33.

[Download Complete Original Article]
Online Format File Size:120KB(PDF)
Printable Format File Size:4.83 MB(PDF)