Predictors of Survival in Preterm Neonates Exposed to Antenatal Corticosteroids at Bugando Medical Centre. (Record no. 20928)

MARC details
000 -LEADER
fixed length control field 03176nam a22002777a 4500
001 - CONTROL NUMBER
control field CUHAS/BP/3000287/T/15
003 - CONTROL NUMBER IDENTIFIER
control field CUHAS/BP/3000287/T/15
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193840.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210809b |||||||| |||| 00| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Phone: +255 28 298 3384
Source Fax: +255 28 298 3386
Source Email: vc@bugando.ac.tz
Source Website: www.bugando.ac.tz
040 ## - CATALOGING SOURCE
Transcribing agency DLC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
Language code of text/sound track or separate title Kiswahili
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Aron, Valentine
Dates associated with a name CUHAS/BP/3000287/T/15
9 (RLIN) 20926
Relator term Undergraduate Ethical Clearance Certificate No. 913/2019
245 ## - TITLE STATEMENT
Title Predictors of Survival in Preterm Neonates Exposed to Antenatal Corticosteroids at Bugando Medical Centre.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS - Bugando] :
Date of publication, distribution, etc. ©02.09.2019
300 ## - PHYSICAL DESCRIPTION
Extent viii; 19 Pages
Extent Includes References and Appendices
520 ## - SUMMARY, ETC.
Summary, etc. Abstract:<br/><br/>Background: Preterm birth is the leading cause of perinatal and neonatal mortality and of approximately 10.6 million children under five who die each year worldwide, close to 4 million are new born infants. The main reasons for neonatal deaths worldwide are infections (36%), prematurity (28%), and birth asphyxia (23%). A single course of antenatal corticosteroids treatment had become the standard of care for women at risk of imminent or anticipated preterm delivery, particularly before 32-34 weeks gestation by improving lung maturation. Several factors predict the survival rate in preterm neonates exposed to antenatal corticosteroids which are birth weight, gestational age, neonatal infection, symptoms of respiratory distress syndrome, temperature, and maternal factors such as mode of delivery, maternal infections, dose received and mothers age. <br/><br/>Objective: This study investigated the predict survival rate in preterm neonates exposed to antenatal corticosteroids and prevalence of their survival. <br/><br/>Method: A retrospective cross section was employed. The files of premature neonates and either mothers were reviewed and data was analysed using STATA version 13. <br/><br/>Results/discussion: Among 167 files reviewed; 53 (31.7%) died and 114 (68.3%) survived. The survival rate of preterm neonates with birth weight ≥150g was significantly greater compared to those with birth weight <1500g with p<0.001. Whereas survival rate in preterm neonates with gestation age of <34 weeks was lower compared to those with gestation age ≥34 weeks with p=0.041. The survival rate in preterm neonates who had symptoms of RDS was also lower compared to those who had no symptoms of RDS with p=0.003. Other factors such as gender, temperature, mode of delivery and dose received had no significant association with survival rate. <br/><br/>Conclusion: The survival rate was greater in preterm neonates exposed to antenatal corticosteroids. Despite of using antenatal corticosteroids to improve the survival rate in preterm neonates, the factors that significantly predicted the survival rate were birth weight, gestational age and symptoms of RDS. <br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Pharmacy
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 19753
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type UNDERGRADUATE DISSERTATIONS
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Price effective from Koha item type
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