CHARACTERISTICS OF PRETERM NEONATES AT THAI NGUYEN NATIONAL HOSPITAL

Nguyen Thi Tam1, Nguyen Mai Huong2, Nguyen Thi Hien3
1 Department of Pediatrics, Vinmec Times City International Hospital, Vinmec Healthcare System
2 YK 14-01 Class, Dai Nam University, Hanoi, Vietnam
3 Department of Family Medicine, Thai Nguyen University of Medicine and Pharmacy

Main Article Content

Abstract

Objective: To describe the clinical characteristics of preterm neonates treated at Thai Nguyen National Hospital.


Methods: A cross-sectional descriptive study was conducted on 110 preterm neonates (<37 weeks of gestation) admitted to the Pediatric Center, Thai Nguyen National Hospital.


Results: Male infants accounted for 69.1%. The mean gestational age was 33.3 ± 1.52 weeks. Late preterm infants represented the highest proportion (64.5%), followed by moderate preterm (19.1%), very preterm (9.1%), and extremely preterm (7.3%). Birth weight >2500 g accounted for 63.6%, while 1500–2500 g accounted for 19.1%. The mean body length was 42.5 ± 2.1 cm and mean head circumference was 31.1 ± 2.2 cm. Respiratory rhythm disturbances were observed in 45.5% of cases. Tachycardia occurred in 54.3% and bradycardia in 4.4%. Body temperature ranged from 36.0–37.4°C, equally distributed between 36.0–36.7°C and 36.7–37.4°C (50% each). Delayed primitive reflexes were noted in 18.2%, and 26.4% had hypotonia.


Conclusion: Preterm infants in this study were predominantly late preterm, with several postnatal adaptation disorders, including respiratory abnormalities, heart rate instability, and altered muscle tone. These findings highlight the need for close monitoring and appropriate neonatal care tailored to the degree of prematurity.

Article Details

References

[1] W. H. Organization, Born too soon: decade of action on preterm birth. World Health Organization (in eng), 2023.
[2] H. Blencowe et al., "National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications," (in eng), The lancet, vol. 379, no. 9832, pp. 2162-2172, 2012. doi: 10.1016/S0140-6736(12)60820-4
[3] UNICEF and W. H. Organization, "Levels and trends in child mortality: report 2023," (in eng), 2024.
[4] Q. H. Điệp and N. T. X. Hương, "Tỷ lệ, đặc điểm lâm sàng, cận lâm sàng trẻ sơ sinh non tháng thiếu máu tại bệnh viện sản nhi Ninh Bình năm 2025," (in VI), Tạp chí Y học Việt Nam, vol. 556, no. 1, 2025.
[5] Bộ Y Tế (2015). Quyết định số 315/QĐ-BYT Hướng dẫn chẩn đoán và điều trị các bệnh Sản Phụ khoa.
[6] Bộ Y Tế "Hướng dẫn quốc gia về các dịch vụ chăm sóc sức khỏe sinh sản," (in Vi), Chảy máu trong nửa đầu thai kỳ, pp. 87-91, 2016.
[7] T. Gera, D. Shah, P. Garner, M. Richardson, and H. S. Sachdev, "Integrated management of childhood illness (IMCI) strategy for children under five," (in eng), Cochrane Database of Systematic Reviews, no. 6, 2016.
[8] H. T. Thắm, "Kết quả chăm sóc trẻ sơ sinh non tháng và một số yếu tố liên quan tại Bệnh viện Vinmec Times City.(Luận văn thạc sĩ chuyên ngành: Điều dưỡng)," TLU, 2022.
[9] T. B. T. Đặng and T. T. Hoàng, "Kết quả chăm sóc toàn diện trẻ sinh non, nhẹ cân bằng phương pháp Kangaroo tại Bệnh viện Đa khoa Quốc tế Vinmec Times City," (in vi), Tạp chí khoa học Điều dưỡng, vol. 3, no. 5, pp. 208-215, 2020. DOI: 10.54436/jns
[10] W. A. Engle and M. A. Kominiarek, "Late preterm infants, early term infants, and timing of elective deliveries," (in eng), Clinics in perinatology, vol. 35, no. 2, pp. 325-341, 2018. https://doi.org/10.1016/j.clp.2008.03.003
[11] A. Conde-Agudelo and R. Romero, "Vaginal progesterone to prevent preterm birth in pregnant women with a sonographic short cervix: clinical and public health implications," (in eng), American journal of obstetrics gynecology, vol. 214, no. 2, pp. 235-242, 2016. https://doi.org/10.1016/j.ajog.2015.09.102
[12] K. Y. W. Lok et al., "Increase in weight in low birth weight and very low birth weight infants fed fortified breast milk versus formula milk: a retrospective cohort study," (in eng), Nutrients, vol. 9, no. 5, p. 520, 2017. doi: https://doi.org/10.3390/nu9050520
[13] J. J. Volpe, "Brain injury in premature infants: a complex amalgam of destructive and developmental disturbances," (in eng), The Lancet Neurology, vol. 8, no. 1, pp. 110-124, 2019, doi: https://doi.org/10.1016/S1474-4422(08)70294-1.