TY - JOUR A1 - Mandal, Subinay A1 - Dey, Satyaki A1 - Mukhopadhyay, Meghdeep T1 - A prospective study on early neonatal morbidities in early term neonates Y1 - 1972/7/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 158 EP - 158 VL - 20 IS - 4 UR - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=1972;volume=20;issue=4;spage=158;epage=158;aulast=Mandal N2 - Aims & Objective :The objectives of this study were to examine how the neonatal morbidities, related to prematurity, persist into early term gestation in our set up. Aim was also to know the early neonatal (within first 7 days of life) morbidities, in early terms infants in comparison to their full term counterparts. Materials and Methods : It was a prospective, observational & comparative study. Consecutively born, 1000 intramural newborns were examined and only term babies were included in the study. They were observed for any morbidity for first 7 days of life. Multiple birth, congenital malformations, genetic disorders, inborn metabolic disorders and pre and post term infants were excluded. Results : 761 term babies were included in the study, out of which 244 were early term & 517 were full term. NICU/SNCU admission rates were higher for babies born at an earlier gestational age (14.69% v/s 8.53%) than babies born later. Incidence of morbidities like jaundice requiring phototherapy (4.9% v/s 1.6%), need for resuscitation (6.9% v/s 3.3%), hypoglycemia on admission (4.9% v/s 1.6%), respiratory morbidities (2.9% v/s 1.6%), need for mechanical ventilation (1.2% v/s 0.4%), clinical sepsis (6.9% v/s 3.4%), confirmed sepsis (4.5% v/s 1.7%), need for intravenous antibiotics (10.6% v/s 6.0%), need for intravenous fluid (12.7% v/s 6.8%) were significantly higher in early terms than full terms during the first one week of life. Conclusion : Neonatal morbidity decreases with delivery at later gestational ages and that infants delivered at 37 and 38 weeks' gestation, are at increased risk for morbidity compared to infants delivered at 39 weeks or later. So, to reduce early term deliveries and its influence on health care system we should carefully consider the optimal timing and route of delivery ER -