| المستخلص: |
دراسة حول الأطفال ناقصي الوزن داخل قسم حديثي الولادة. هدف البحث هو معرفة عدد ونسبة الأطفال ناقصي الوزن والمضاعفات المصاحبة التي قد تحدث والنتيجة النهائية لهؤلاء الأطفال. الدراسة شملت كل الأطفال ناقصي الوزن الذين ولدو من تاريخ 01/04/2007 وحتى 31/12/2007 وكان عددهم 375 طفلاً. عدد الولادات خلال الفترة المذكورة بمستشفى مصراته المركزي بلغ 5568 ولادة، عدد الأطفال ناقصي الوزن خلال الفترة 375 بالنسبة 6.7%. المحصلة النهائية لهؤلاء للأطفال كانت كالتالي: عدد 57 طفل بنسبة 28% توفوا، مع ملاحظة أن معظم الأطفال الذين كانت أوزانهم أثناء الولادة أقل من 1.5 كيلو قرام توفوا والسبب الرئيسي للوفاة هو الالتهاب بكترية معقدة.
Objectives: To calculate the incidence of low birth weight birth In Misurata hospital, to identified the major associated risk factors, and to determine mortality rate in this group of patients and major cause of death. Patients and Methods: A descriptive retrospective study was done in S.C.B.U in Misurata central hospital, including all LBW babies delivered from period 1/4/2007 to 31/12/2007. We have certain criteria for LBW hospital admission. Data collected from hospital medical files and registration books. All discharged LBW were followed for one years. preterm babies advised for breast milk, premature formula, oral vitamin D, folic acid and iron supplements (at 6wks of age). All discharged LBW especially preterm must be seen by ENT specialist and ophthalmologist at age 8 wks. Results: The total number of delivery in Misurata teaching hospital were 5568 births in study period, 375 babies were LBW representing 6.7 %. The commonest maternal risk factor associated with LBW was multiple pregnancy. Out of 375, 204 were admitted, 57 babies were expired representing 28 % most of them are extreme preterm babies and common cause of death was sepsis. 89.5 % of expired babies were preterm babies. Conclusions and Recommendation: The study shows that the majority of mortality and morbidity in neonate unit were LBW and most of those are preterm babies especially extreme preterm babies, So we recommend to treat maternal medical condition which causing LBW delivery clean safe delivery, clean wide with many room neonatal unit, good antibiotic choices for treating LBW babies with sepsis.
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