Maternal and neonatal profile and immediate outcome in extremely low birth weight babies in Delhi.

Abstract:

:We studied the maternal and neonatal profile and outcome of extremely low birth weight (ELBW) babies at the level III neonatal intensive care unit (NICU) in Delhi. Case records of ELBW inborn babies delivered between August 2000 and August 2001 were analysed by using a pre-set proforma. A total of 52 ELBW babies were admitted to the NICU in the relevant period, of whom 30 (57%) survived. Maternal anaemia, previous preterm delivery and pregnancy-induced hypertension (PIH) were the common predisposing factors for preterm delivery. Mean gestational age was 27.8 weeks and mean birth weight was 831 g. The highest mortality (55%) was seen in babies with 26-28 weeks'gestation and those in the birth weight category of < 800 g. Neonatal hyperbilirubinaemia (78%) and hyaline membrane disease/respiratory distress syndrome (65%) were the most common causes of morbidity. A total of 25 babies were mechanically ventilated while 24 (46%) received total parenteral nutrition. Sepsis, pulmonary haemorrhage, intracranial haemorrhage and necrotizing enterocolitis accounted for the deaths in the study population. Retinopathy of prematurity screening was performed in 35 babies (68%), of whom 22 were found to be normal. According to the International Classification of Retinopathy of Prematurity, most babies (72%) had involvement of zone 3 and stage I (63%). The incidence was highest in 26-28 weeks'gestation babies (71%) and the < 800 g birth weight category (62%). Maternal risk factors such as anaemia and PIH commonly predispose to preterm delivery. There is an alarmingly high mortality in this population. Effective steps are required not only to avoid extreme prematurity but also to reduce morbidity and mortality of all newborns weighing <1000 g at birth.

journal_name

Trop Doct

journal_title

Tropical doctor

authors

Sehgal A,Telang S,Passah SM,Jyothi MC

doi

10.1177/004947550403400315

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

165-8

issue

3

eissn

0049-4755

issn

1758-1133

journal_volume

34

pub_type

杂志文章
  • Central nervous system involvement in scrub typhus.

    abstract::Scrub typhus is an emerging infectious disease in India. Among its protean clinical manifestations, central nervous system involvement is common. In this prospective observational study, altered sensorium, headache, seizures and aseptic meningitis were found to be common central nervous system manifestations. Prompt t...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475513512646

    authors: Boorugu H,Chrispal A,Gopinath KG,Chandy S,Prakash JJ,Abraham AM,Abraham OC,Thomas K

    更新日期:2014-01-01 00:00:00

  • Obstetric and gynaecological patients in an intensive care unit: a 1 year review.

    abstract::Management of the critically ill patient forms a significant proportion of obstetric and gynaecological (O & G) practice. There have however, been very few reports on the management of such patients in intensive care units (ICU). We review all O & G patients admitted to the surgical ICU at King Edward VIII Hospital, D...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559702700406

    authors: Platteau P,Engelhardt T,Moodley J,Muckart DJ

    更新日期:1997-10-01 00:00:00

  • Scrub typhus and leptospirosis in rural and urban settings of central India: a preliminary evaluation.

    abstract::Scrub typhus and leptospirosis are bacterial zoonotic diseases reported from different parts of India, whose prevalence in Chhattisgarh is unknown. Our study was carried out to delineate the prevalence of these illnesses there and to assess the clinical profiles of rural and urban patients. A total of 169 patients wit...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475519889712

    authors: Vikram K,Agarwala P,Bhargava A,Jain Y,Jagzape T,Wasnik P

    更新日期:2020-04-01 00:00:00

  • Duodenal strongyloidiasis - Our 15-year histopathological experience at a tertiary gastrointestinal centre.

    abstract::In order to emphasise the importance of histopathology in the clinically unsuspected diagnosis of duodenal strongyloidiasis, we report six cases diagnosed on duodenal biopsies identified from the database over a period of 15 years, and clinical, endoscopic and histopathological findings were analysed retrospectively. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520962744

    authors: Gupta L,Gaur K,Sakhuja P,Sharma BC,Saran RK,Batra VV

    更新日期:2020-10-12 00:00:00

  • Scrotal skin nodule: sebaceous cyst or tuberculosis? A lesson learnt!

    abstract::Tuberculosis (TB) is a great mimic of many diseases and may present a dilemma in diagnosis. Sebaceous cyst is the commonest swelling that occurs in the scrotal skin. We present a 23-year-old patient who presented with a painful hard scrotal skin nodule, clinically diagnosed to be an infected calcified sebaceous cyst, ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518768957

    authors: Joseph J,Menon A,Ramanathan R,Misra D,Rodrigues G

    更新日期:2018-07-01 00:00:00

  • High prevalence of multidrug-resistant strains of Vibrio cholerae, in a cholera outbreak in Tehran-Iran, during June-September 2008.

    abstract::Following the occurrence of suspected cases of Vibrio cholerae in Karaj in 2008, this study was conducted in order to determine whether or not the cases were infected with cholera and, if so, to describe the prevalence of serotypes, route of transmission and the antimicrobial resistance profile. In this cross-sectiona...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2010.100015

    authors: Ranjbar M,Rahmani E,Nooriamiri A,Gholami H,Golmohamadi A,Barati H,Rajabifar D,Barati S,Sabet MS,Zamiri A,Haghighi S,Taifehashemi P,Nojomi M

    更新日期:2010-10-01 00:00:00

  • Knowledge of the risks associated with skin bleaching among Togolese users.

    abstract::We examined the extent of Togolese users' knowledge of the health risks associated with the regular use of bleaching agents. A massive underestimation of some of the main risks was discovered. The more frequent the use of bleaching agents, the higher the underestimation. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.060151

    authors: Kpanake L,Sastre MT,Sorum PC,Mullet E

    更新日期:2008-01-01 00:00:00

  • The epidemiology and clinical spectrum of infections of the central nervous system in adults in north India.

    abstract::Infections of the central nervous system (CNS) are a leading cause of mortality in low- and middle-income countries. We studied the spectrum, aetiology and outcome of CNS infections in 401 consecutive patients aged ≥12 years admitted at the medical emergency centre of PGIMER, Chandigarh, India. An aetiological diagnos...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520959905

    authors: Kumar D,Pannu AK,Dhibar DP,Singh R,Kumari S

    更新日期:2021-01-01 00:00:00

  • Brucellosis: a retrospective evaluation.

    abstract::One hundred and sixty-six presumed brucellosis patients were included in the study. These patients were classified as primary (91), relapse (18) and suspected (57) cases according to their clinical presentations, and serologic and microbiologic test results. Primary and relapse cases were evaluated retrospectively acc...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550303300310

    authors: Tasbakan MI,Yamazhan T,Gökengin D,Arda B,Sertpolat M,Ulusoy S,Ertem E,Demir S

    更新日期:2003-07-01 00:00:00

  • Tuberculosis prevalence at autopsy: a study from North India.

    abstract::Tuberculosis (TB) is an important cause of morbidity and mortality. This study attempts to determine the prevalence of TB in autopsies. Of 768 autopsies, 39 cases were diagnosed as TB. These were retrieved and re-examined. It was noted that in a significant number of patients with TB was only revealed after autopsy. T...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2011.110314

    authors: Punia RS,Mundi I,Mohan H,Chavli KH,Harish D

    更新日期:2012-01-01 00:00:00

  • Pre-hospital care and its association with clinical outcome of snakebite victims presenting at a tertiary care referral hospital in South India.

    abstract::Most snakebite victims in low- and middle-income countries continue to seek many forms of first aid therapy before reaching hospital, the commonest being the application of a tourniquet. Our study looked at a prospective cohort of 382 such patients to ascertain the association of pre-hospital care with clinical outcom...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520966958

    authors: Singaravelu KP,Pandit VR,Chinnakali P,Bammigatti C

    更新日期:2021-01-01 00:00:00

  • Genitourinary melioidosis: a descriptive study.

    abstract::Melioidosis is the disease caused by the soil and water bacterium, Burkholderia pseudomallei. Our study aimed to delineate its genitourinary manifestations. Over a 10-year period (2006-2016), 20 adults with culture-confirmed genitourinary melioidosis were identified. The patients were all men with a mean age of 45.3 ±...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518817416

    authors: Koshy M,Sadanshiv P,Sathyendra S

    更新日期:2019-04-01 00:00:00

  • An unusual presentation of post-kala-azar dermal leishmaniasis.

    abstract::An atypical presentation of post-kala-azar dermal leishmaniasis is reported to highlight the importance of suspecting dermatosis in patients from areas endemic for kala-azar. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/004947507781524809

    authors: Ramesh V,Kumar J,Salotra P

    更新日期:2007-07-01 00:00:00

  • Isolated cold abscess of the thigh in an immunocompetent infant.

    abstract::Isolated cold abscess of the thigh without active tuberculosis elsewhere in the body is a rare entity, and only a few cases have been reported in the literature. We report a case of isolated cold abscess of the thigh following DPT vaccination in an immunocompetent child. The association with DPT vaccination is intrigu...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475514524200

    authors: Sharma J,Sharma T,Bhatt GC,Bhargava R

    更新日期:2014-10-01 00:00:00

  • The value of the mini mental state examination in Nigerian epileptics.

    abstract::This study assessed the role of the Mini Mental State examination (MMSE) in detecting cognitive impairment in Nigerian epileptics. The performance of 65 epileptics on the MMSE was compared with that in 65 age- and education-matched controls. There were significantly more epileptics than controls with cognitive dysfunc...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/0049475054037057

    authors: Imam I,Ogunniyi A

    更新日期:2005-04-01 00:00:00

  • The use of misoprostol for mid-trimester therapeutic termination of pregnancy.

    abstract::Extra-amniotic prostaglandin F2alpha (PG F2alpha) is probably the most widely used medical method for mid-trimester termination of pregnancy. The method is highly effective but is financially costly, particularly for poor countries faced with restricted health budgets. The aim of this study was to establish whether mi...

    journal_title:Tropical doctor

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/004947550103100315

    authors: Munthali J,Moodley J

    更新日期:2001-07-01 00:00:00

  • Abdominal cocoon in an adolescent male patient.

    abstract::Abdominal cocoon is a rare cause of bowel obstruction. The condition was first described three decades ago and is found mainly among adolescent females in tropical and sub-tropical countries. It is characterized by a thick fibrous membrane encapsulating the small intestines partially or completely. Patients present wi...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2009.090104

    authors: Ibrahim NA,Oludara MA

    更新日期:2009-10-01 00:00:00

  • Clinico-histopathological concordance in leprosy.

    abstract::Histopathological examination of biopsies from 111 patients with clinically diagnosed leprosy was carried out in order to observe the clinico-histopathological correlation. Clinical diagnosis was based on Ridley and Jopling (R-J) classification and World Health Organization (WHO) classification. The concordance rate b...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550003000418

    authors: Singh PA,Agarwal R,Misra V,Gupta SC,Bajaj AK

    更新日期:2000-10-01 00:00:00

  • Camel injuries.

    abstract::Camels use their teeth to bite, lift and throw their enemies, their feet to kick, paw or trample over, their whole body to knock over, press and squeeze, and their spit or regurgitated food to cover their perceived adversaries. Camel injuries can be very serious, resulting in fractures and severe lacerations of skin, ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947558401400417

    authors: Tahzib F

    更新日期:1984-10-01 00:00:00

  • Thyrotoxic hypokalemic periodic paralysis: a life-threatening disorder in Asian men.

    abstract::Thyrotoxicosis can present as a sporadic form of hypokalaemic periodic paralysis. The condition is associated with massive intracellular shift of potassium, mainly in skeletal muscles. As the total body stores of potassium remain normal, overzealous potassium supplementation targeting serum potassium level results in ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475518803251

    authors: Pannu AK,Sharma N

    更新日期:2019-01-01 00:00:00

  • Cervical cancer in developing countries: how can we reduce the burden? Awareness raising, screening, treatment and palliation.

    abstract::Cervical cancer is an important health problem in developing countries. Most women present with advanced disease, resulting in low cure rates. Screening by Visual Inspection with the Aid of Acetic Acid and optionally HPV DNA detection as a second test is technically feasible. However, the majority of women appear to b...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550703700202

    authors: Ansink AC

    更新日期:2007-04-01 00:00:00

  • Marked elevation of serum lipase in scrub typhus without pancreatitis: a report of three cases.

    abstract::Scrub typhus, a re-emerging acute febrile zoonosis can present as an undifferentiated fever often complicated by potentially fatal systemic involvement. Acute pancreatitis is a rare complication of scrub typhus which can result in a marked elevation of serum lipase. We report three cases of scrub typhus who presented ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475519855536

    authors: Bhargava A,Ali S,Rajeevan R,Udyavara R

    更新日期:2019-10-01 00:00:00

  • Appendicitis versus genital disease in young women in tropical Africa.

    abstract::The differential diagnosis in women between acute appendicitis and acute gynaecological conditions on clinical examination is often difficult. A plea is made for the more widespread use of ultrasound and laparoscopy in the differential diagnosis of these conditions. ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:

    authors: Ameh EA

    更新日期:2000-04-01 00:00:00

  • Adi Quala: application of solar photovoltaic generation in rural medical centres.

    abstract::Adi Quala is an Eritrean agricultural town of 14,000 people, and is situated about 70 km south of the capital, Asmara and 30 km from the border with Tigray, Ethiopia. On good days electricity was received from Asmara between 0600 h and 2300 h with nothing available outside these hours. These conditions meant the elect...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559402400108

    authors: Allen P,Welstead J

    更新日期:1994-01-01 00:00:00

  • Post-malaria neurological syndrome: a rare manifestation of common disease.

    abstract::Several systemic and neurological complications can occur with Plasmodium falciparum malaria, of which cerebral malaria is well known and is the most serious. Rarely, patients may suffer a neurological disorder that occurs after complete recovery from P. falciparum infection, an entity known as post-malaria neurologic...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475513486643

    authors: Nayak R

    更新日期:2013-04-01 00:00:00

  • Tubercular longitudinally extensive transverse myelitis with lower motor neuron paralysis.

    abstract::Transverse myelitis typically extends two or less spinal segments, whereas longitudinal extensive transverse myelitis (LETM) extends three or more spinal segments in length and may occasionally span all the segments of the spinal cord. We present a case of spinal tuberculosis presenting with LETM with true lower motor...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475520956448

    authors: Goyal MK,Lal M

    更新日期:2021-01-01 00:00:00

  • An experience in the control of plague in Botswana.

    abstract::In October 1989, cases of human plague started to occur in Boteti district of Botswana. One hundred and seventy cases were recorded in total from 15 October 1989 to 6 April 1990. There were 12 deaths, giving a case fatality rate of 7%. All cases were of the bubonic type. A concerted control strategy based on sentinel ...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947559102100403

    authors: Kumaresan JA,Grova JB,Mmatli PK,Maganu ED

    更新日期:1991-10-01 00:00:00

  • Epidemiological features of tularaemia in Central Anatolia, Turkey.

    abstract::Tularaemia has become a public health threat in Turkey. Our aim was to examine the epidemiological characteristics of 154 tularaemia cases reported from Kayseri, Central Anatolia, between 2010 and 2017. Clinical diagnosis was confirmed by micro-agglutination test (≥1/160 titres). Most patients (56.5%) were residing in...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/0049475519855288

    authors: Borlu A,Benli AR,Doganay M

    更新日期:2019-10-01 00:00:00

  • Clinical and biochemical profile of dengue haemorrhagic fever in children in Delhi.

    abstract::The clinical and biochemical profile of dengue haemorrhagic fever (DHF) varies from epidemic to epidemic. We studied children hospitalized with DHF from September 2003 to December 2003. All were diagnosed, managed and monitored according to a standard protocol. Of the 34 who fulfilled the World Health Organization cri...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1258/td.2007.006158

    authors: Faridi MM,Aggarwal A,Kumar M,Sarafrazul A

    更新日期:2008-01-01 00:00:00

  • Compressive peroneal neuropathy during harvesting season in Indian farmers.

    abstract::Thirty patients (34 limbs) with compressive peroneal neuropathy induced by prolonged squatting of more than 5 h during harvesting season were treated conservatively and followed-up to an average of 28.2 months. A marked preponderance of involvement of the left side was noticed. We attribute this to the intermittent ex...

    journal_title:Tropical doctor

    pub_type: 杂志文章

    doi:10.1177/004947550403400424

    authors: Sangwan SS,Marya KM,Kundu ZS,Yadav V,Devgan A,Siwach RC

    更新日期:2004-10-01 00:00:00