PP-084 Neonatal factors in term babies admitted to neonatal intensive care unit (NICU) versus non-NICU in Indonesia: a retrospective analysis

AimNeonatal intensive care unit (NICU) admission is commonly associated with prematurity in which increased morbidity and mortality are more frequent, it therefore remains rare for NICU admission among term neonates in clinical settings. This study therefore aims to investigate the potential neonatal characteristics of term neonates contributing to NICU admission.Material and MethodThis retrospective study was conducted by reviewing the medical records of all the live births born to women who gave birth at the Kosambi Mother and Children Centre and Harapan Kita National Hospital between 2019 and 2022. Cases with preterm delivery, preexisting diabetes and hypertension were excluded. Study case group was neonates admitted to NICU and thus those not admitted to NICU was included in the control group.ResultsBetween 2019 and 2022 and 1959 deliveries of term neonates were recorded, in which 8 of them were admitted to NICU. Compared to control, there were higher proportions of NICU admitted neonates care to be reported with respiratory distress syndrome (8/8 vs 0/1951), neonatal sepsis (1/8 vs 0/1951), and those with a history of caesarean section delivery (8/8). NICU-admitted neonates also significantly had a lower birth weight than control (2575.33 ± 774.93 vs 3141.38 ± 403.56) (table 1).Abstract PP-084 Table 1Neonatal characteristics by NICU admission Variables NICU admission (N = 8) Not admitted to NICU (N = 1951) Maternal Characteristics Type of delivery Spontaneous vaginal delivery 0 (0) 818 (41.9) Assisted vaginal delivery 0 (0) 4 (0.2) Caesarean section 8 (8) 1125 (57.7) Type of conception Spontaneous 8 (100) 177/192 (92.2) IVF 0 (0) 96 (4.9) Ovulation drugs 0 (0) 5 (0.3) Maternal Smoking 0 (0) 16 (0.8) Gestational DM 1 (12.5) 11 (0.6) Gestational HT 0 (0) 22 (1.1) Neonatal Characteristics Birth Weight (g) 2575.33 ± 774.93* 3141.38 ± 403.56 Head Circumference (cm) 32.87 ± 3.06 33.64 ± 2.46 Male/Female 767/1519 71/142 Neonatal sepsis 1 (12.5) * 0 (0) Respiratory distress syndrome 8 (100) * 0 (0) Mode of deliveryCaesarean SectionSpontaneous 8 (100) *0 (0) 1130 (71%)814 (41.7%) Data is presented as n(%) or mean ± SD. Asterisk symbol (*) represents significant difference between groups (p