1. G272(P) Characteristics and outcomes of small for gestational age (SGA) neonates at a tertiary hospital neonatal unit in rwanda: a cross-sectional study
- Author
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Peter Cartledge, Cliff O’Callahan, Raban Dusabimana, FU Iratubona, Faustine Agaba, Raissa Teteli, and Jaeseok Choi
- Subjects
medicine.medical_specialty ,Percentile ,business.industry ,Cross-sectional study ,Obstetrics ,Birth weight ,medicine.disease ,female genital diseases and pregnancy complications ,Primary outcome ,Gestation ,Medicine ,Small for gestational age ,Reference population ,Significant risk ,business ,reproductive and urinary physiology - Abstract
Aims To evaluate the prevalence, risk factors and outcomes of small for gestation age (SGA) neonates admitted to a neonatal unit born SGA and the impact of SGA on outcomes. Methods A prospective cross-sectional study was undertaken. The data was collected from July 2013 up to September 2017 using the Rwanda Neonatal Database (NDB). We defined SGA neonates as birth weight less than 10th percentile by gender using Alexander reference population US national reference. The primary outcome was mortality. Results 1184 admitted neonates have been included in the study, of which 444 (38%) were SGA. SGA neonates had increased the risks of mortality (16% vs 13%) (AOR=2.0, CI: 1.1–3.5, p=0.01). SGA neonates had a longer length-of-stay (LoS) (5.3 days versus 2.2 days, p=0.001). Conclusion SGA is a common indication for admission and is associated with significantly increased mortality and length of stay. Neonatal mortality continues to be significant in Rwanda and globally. Improved maternal antenatal care along with bespoke neonatal care could see improvements in outcomes for these high-risk neonates. Table 1: Significant risk factors and outcomes for SGA. more...
- Published
- 2019
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