Prevalence of bad outcome among VLBW In Tikrit city and its associated maternal risk factors

Abstract

Objectives:-To know the maternal risk factors that affect the VLBW and to determine the outcome of the VLBW infants. Patients and methods: - A cross sectional study extended from january 2013 to June 2014. During which, about 100 mother with their babies were collected from delivery room, theatre and neonatal care unit of Tikrit teaching hospital. The data were taken by direct
interview with the mothers by a special questionnaire include variables in the maternal history considered as a major risk factors for VLBW infants like mothers age,parity, systemic
disease...etc..
Results:- A total sample of 100 singleton mothers with their babies were studied according to maternal and environmental factors, maternal past and recent obstetric histories and according to the characteristics of the newborns and their outcome.The sample distribution according to the general characteristics show that most of theVLBW babies were
born to mothers aged 26-35 years old,35(35%). Most of the VLBW born to non-smoker mothers, 44(44%) of babies born to mothers with drug supplement. About 76(76%) of the mothers were multiparous.About 63(63%) women were have no PTL, about 26(26%) of mothers had history of leaking liquor, while 33(33%) had history of fever, 76(76%) had NVD. The most common systemic disease was hypertension found among 25(25%) of mothers. The prevalence of died babies amongVLBW babies was43(43%),as compared with 57(57%) those who discharged well.
Conclusion: - The results of our study showed that variables which are regarded as maternal risk factors for VLBW are younger maternal age, maternal systemic diseases especially hypertension, maternal fever.