DOI: 10.36347/sjams.2022.v10i09.011

Pages: 1485-1491

Introduction: Last two decades have witnessed a steady improvement in the quality of perinatal care in Bangladesh. Around 4-8% of all live births are very low birth weight (VLBW) & low birth weight (LBW) is 10.6%. The present study was done to determine risk factors, complications, and immediate outcomes in VLBW babies. Aim of the study: The study aimed to find out the Risk Factors, Complications, and Immediate Outcomes of Very Low Birth Weight Neonates in NICU, Tertiary Care Hospital. Methods: A prospective observational study was conducted in the NICU of Tertiary Care Hospital, Dhaka, Bangladesh. A total of 162 low birth weight neonates (birth weight <1500 g) were assessed for the study from January 2020 to December 2020. The American Academy of Pediatrics protocol for neonatal resuscitation was followed for the management of VLBW. Data were entered in predetermined proforma and statistical analysis was done. Result: A total of 162 patients were enrolled and analyzed in this study. The study was done into two groups; 1st is Appropriate for Gestational Age (AGA) and 2nd is Small for Gestational Age (SGA). The relational outcome with antenatal steroids of the study. The antenatal steroid proportion is divided into given (N=69) and not given (N=93), the p-value of the incidence is 0.51 for RDS, 0.17 for NEC and 0.54 for IVH which are not significant. The last table of the result is describing the relative risk of complications in AGA and SGA babies; from the outcomes, 127 babies survived and 35 babies expired and the p-value was 0.059 which was a significant change. Conclusion: Appropriate birth weight, gestational age, female sex, and antenatal steroids improved survival amongst babies. Antenatal steroids reduced the incidence of RDS, NEC, and IVH when preterm delivery was inevitable.