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 neonata...

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Veröffentlicht in:BMJ paediatrics open 2024-07, Vol.8 (Suppl 5), p.A100-A100
Hauptverfasser: Mapindra, Muhammad Pradhika, Mahindra, Muhammad Pradhiki, Marizni, Shinda, Putri, Vania Permata, Widjaja, Felix Firyanto, Al-Fattah, Adly Nanda, Kusuma, Raden Aditya
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container_end_page A100
container_issue Suppl 5
container_start_page A100
container_title BMJ paediatrics open
container_volume 8
creator Mapindra, Muhammad Pradhika
Mahindra, Muhammad Pradhiki
Marizni, Shinda
Putri, Vania Permata
Widjaja, Felix Firyanto
Al-Fattah, Adly Nanda
Kusuma, Raden Aditya
description 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
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fullrecord <record><control><sourceid>proquest_9YT</sourceid><recordid>TN_cdi_proquest_journals_3080000760</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3080000760</sourcerecordid><originalsourceid>FETCH-LOGICAL-b680-dd08c13cca5a422ea3d1965046d1ed656518c6df6fad417d1df1c74db8d064d23</originalsourceid><addsrcrecordid>eNpF0EFLwzAUB_AgCI65T-Al4EUP2ZI0TVNvo0wdDN1hnkuapJCxJTNJB968ePY7-klsneLpweP__jx-AFwRPCUk47Nmvz14RDFlaLGeV1NKxRkY0awsUVkU9AJMYtxijEkpSpbTEfhcrxEW7Ov948l4J5PcwVaq5EOE1sFkwh42srEmQqn3NiWjYfLQ_WWtS8ZFezRQyWBg52yCN0_L6uUWHk2IXYTOOzQshrql096ZaOUdlDCYFHw8GJWGc-nk7i3aeAnOW7mLZvI7x2Bzv9hUj2j1_LCs5ivUcIGR1lgokiklc8koNTLTpOQ5ZlwTo3nOcyIU1y1vpWak0ES3RBVMN0JjzjTNxuD6VHsI_rUzMdVb34X-h1hnWPRAuOC4T81OqZ71P0BwPVjXP9b1YF0P1nVvnX0DXTJ3NQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3080000760</pqid></control><display><type>article</type><title>PP-084 Neonatal factors in term babies admitted to neonatal intensive care unit (NICU) versus non-NICU in Indonesia: a retrospective analysis</title><source>BMJ Open Access Journals</source><creator>Mapindra, Muhammad Pradhika ; Mahindra, Muhammad Pradhiki ; Marizni, Shinda ; Putri, Vania Permata ; Widjaja, Felix Firyanto ; Al-Fattah, Adly Nanda ; Kusuma, Raden Aditya</creator><creatorcontrib>Mapindra, Muhammad Pradhika ; Mahindra, Muhammad Pradhiki ; Marizni, Shinda ; Putri, Vania Permata ; Widjaja, Felix Firyanto ; Al-Fattah, Adly Nanda ; Kusuma, Raden Aditya</creatorcontrib><description>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&lt;0.05).ConclusionsThe clinical presentations of term neonates who received NICU care were associated with lower neonatal birth weight, respiratory distress syndrome, neonatal sepsis, and history of surgical delivery. Perinatal care to reduce the risk of these morbidities should be addressed to prevent the associated harm.</description><identifier>EISSN: 2399-9772</identifier><identifier>DOI: 10.1136/bmjpo-2024-EPAC.228</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Birth weight ; case-control ; Intensive care ; Neonatal care ; Newborn babies ; NICU ; Pediatrics ; perinatal care ; Poster Presentation ; Respiratory distress syndrome ; retrospective ; Sepsis ; term neonates</subject><ispartof>BMJ paediatrics open, 2024-07, Vol.8 (Suppl 5), p.A100-A100</ispartof><rights>Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2024 Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://bmjpaedsopen.bmj.com/content/8/Suppl_5/A100.1.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://bmjpaedsopen.bmj.com/content/8/Suppl_5/A100.1.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>314,776,780,860,27903,27904,55328,77406,77432</link.rule.ids><linktorsrc>$$Uhttps://bmjpaedsopen.bmj.com/content/8/Suppl_5/A100.1.full$$EView_record_in_BMJ_Publishing_Group_Ltd$$FView_record_in_$$GBMJ_Publishing_Group_Ltd</linktorsrc></links><search><creatorcontrib>Mapindra, Muhammad Pradhika</creatorcontrib><creatorcontrib>Mahindra, Muhammad Pradhiki</creatorcontrib><creatorcontrib>Marizni, Shinda</creatorcontrib><creatorcontrib>Putri, Vania Permata</creatorcontrib><creatorcontrib>Widjaja, Felix Firyanto</creatorcontrib><creatorcontrib>Al-Fattah, Adly Nanda</creatorcontrib><creatorcontrib>Kusuma, Raden Aditya</creatorcontrib><title>PP-084 Neonatal factors in term babies admitted to neonatal intensive care unit (NICU) versus non-NICU in Indonesia: a retrospective analysis</title><title>BMJ paediatrics open</title><addtitle>bmjpo</addtitle><addtitle>BMJ Paediatrics Open</addtitle><description>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&lt;0.05).ConclusionsThe clinical presentations of term neonates who received NICU care were associated with lower neonatal birth weight, respiratory distress syndrome, neonatal sepsis, and history of surgical delivery. Perinatal care to reduce the risk of these morbidities should be addressed to prevent the associated harm.</description><subject>Birth weight</subject><subject>case-control</subject><subject>Intensive care</subject><subject>Neonatal care</subject><subject>Newborn babies</subject><subject>NICU</subject><subject>Pediatrics</subject><subject>perinatal care</subject><subject>Poster Presentation</subject><subject>Respiratory distress syndrome</subject><subject>retrospective</subject><subject>Sepsis</subject><subject>term neonates</subject><issn>2399-9772</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpF0EFLwzAUB_AgCI65T-Al4EUP2ZI0TVNvo0wdDN1hnkuapJCxJTNJB968ePY7-klsneLpweP__jx-AFwRPCUk47Nmvz14RDFlaLGeV1NKxRkY0awsUVkU9AJMYtxijEkpSpbTEfhcrxEW7Ov948l4J5PcwVaq5EOE1sFkwh42srEmQqn3NiWjYfLQ_WWtS8ZFezRQyWBg52yCN0_L6uUWHk2IXYTOOzQshrql096ZaOUdlDCYFHw8GJWGc-nk7i3aeAnOW7mLZvI7x2Bzv9hUj2j1_LCs5ivUcIGR1lgokiklc8koNTLTpOQ5ZlwTo3nOcyIU1y1vpWak0ES3RBVMN0JjzjTNxuD6VHsI_rUzMdVb34X-h1hnWPRAuOC4T81OqZ71P0BwPVjXP9b1YF0P1nVvnX0DXTJ3NQ</recordid><startdate>20240711</startdate><enddate>20240711</enddate><creator>Mapindra, Muhammad Pradhika</creator><creator>Mahindra, Muhammad Pradhiki</creator><creator>Marizni, Shinda</creator><creator>Putri, Vania Permata</creator><creator>Widjaja, Felix Firyanto</creator><creator>Al-Fattah, Adly Nanda</creator><creator>Kusuma, Raden Aditya</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20240711</creationdate><title>PP-084 Neonatal factors in term babies admitted to neonatal intensive care unit (NICU) versus non-NICU in Indonesia: a retrospective analysis</title><author>Mapindra, Muhammad Pradhika ; Mahindra, Muhammad Pradhiki ; Marizni, Shinda ; Putri, Vania Permata ; Widjaja, Felix Firyanto ; Al-Fattah, Adly Nanda ; Kusuma, Raden Aditya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b680-dd08c13cca5a422ea3d1965046d1ed656518c6df6fad417d1df1c74db8d064d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Birth weight</topic><topic>case-control</topic><topic>Intensive care</topic><topic>Neonatal care</topic><topic>Newborn babies</topic><topic>NICU</topic><topic>Pediatrics</topic><topic>perinatal care</topic><topic>Poster Presentation</topic><topic>Respiratory distress syndrome</topic><topic>retrospective</topic><topic>Sepsis</topic><topic>term neonates</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mapindra, Muhammad Pradhika</creatorcontrib><creatorcontrib>Mahindra, Muhammad Pradhiki</creatorcontrib><creatorcontrib>Marizni, Shinda</creatorcontrib><creatorcontrib>Putri, Vania Permata</creatorcontrib><creatorcontrib>Widjaja, Felix Firyanto</creatorcontrib><creatorcontrib>Al-Fattah, Adly Nanda</creatorcontrib><creatorcontrib>Kusuma, Raden Aditya</creatorcontrib><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>BMJ paediatrics open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Mapindra, Muhammad Pradhika</au><au>Mahindra, Muhammad Pradhiki</au><au>Marizni, Shinda</au><au>Putri, Vania Permata</au><au>Widjaja, Felix Firyanto</au><au>Al-Fattah, Adly Nanda</au><au>Kusuma, Raden Aditya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PP-084 Neonatal factors in term babies admitted to neonatal intensive care unit (NICU) versus non-NICU in Indonesia: a retrospective analysis</atitle><jtitle>BMJ paediatrics open</jtitle><stitle>bmjpo</stitle><stitle>BMJ Paediatrics Open</stitle><date>2024-07-11</date><risdate>2024</risdate><volume>8</volume><issue>Suppl 5</issue><spage>A100</spage><epage>A100</epage><pages>A100-A100</pages><eissn>2399-9772</eissn><abstract>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&lt;0.05).ConclusionsThe clinical presentations of term neonates who received NICU care were associated with lower neonatal birth weight, respiratory distress syndrome, neonatal sepsis, and history of surgical delivery. Perinatal care to reduce the risk of these morbidities should be addressed to prevent the associated harm.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><doi>10.1136/bmjpo-2024-EPAC.228</doi></addata></record>
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source BMJ Open Access Journals
subjects Birth weight
case-control
Intensive care
Neonatal care
Newborn babies
NICU
Pediatrics
perinatal care
Poster Presentation
Respiratory distress syndrome
retrospective
Sepsis
term neonates
title PP-084 Neonatal factors in term babies admitted to neonatal intensive care unit (NICU) versus non-NICU in Indonesia: a retrospective analysis
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