scholarly journals Audit of Human Breast-Milk Provision for Very Low Birth Weight Babies in a Tertiary Neonatal Unit Over A 10 Year Period

2011 ◽  
Vol 70 ◽  
pp. 835-835
Author(s):  
P Srihari Bhat ◽  
M Gupta ◽  
C Kingdon
Keyword(s):  
Birth Weight ◽  
Breast Milk ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Neonatal Unit ◽  
Human Breast Milk ◽  
Human Breast ◽  
Low Birth Weight Babies

scholarly journals FREQUENT BLOOD SAMPLING LEADS TO SIGNIFICANT IATROGENIC BLOOD LOSS IN VERY LOW BIRTH WEIGHT BABIES

2020 ◽  
pp. 32-34
Author(s):  
Prabodh Chandra Mondal ◽  
Dhruba Kumar Mahata ◽  
Rincy Mathew ◽  
Debarshi Jana
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Blood Loss ◽  
Critically Ill ◽  
Very Low Birth Weight ◽  
Birth Asphyxia ◽  
Neonatal Unit ◽  
Blood Sampling ◽  
Study Results ◽  
Low Birth Weight Babies

INTRODUCTION Newborns receiving intensive care require frequent determination of hematologic status, blood chemistry and arterial gas analysis. Anemia of prematurity (AoP) is common in preterm very low birth weight babies (<1.5 kg body weight).Nearly all extremely preterm infants develop AoP and up to 90% require atleast one red blood cell transfusion during their NICU stay. However, anotherim[ortant cause for AoP seems to be related to iatrogenic blood loss due to frequent laboratory investigations. Recently, several small studies reported that newborns especially preterm VLBW infants may lose more than half of their blood volume due to cumulative laboratory blood sampling in the first weeks after birth. OBJECTIVES To determine the total amount of blood sampled in VLBW new-borns during the stay in the neonatal unit (SNCU& NICU). The number and total amount of blood transfused in VLBW new-borns during the stay. The relationship between blood loss due to blood sampling and blood transfusion in VLBW. MATERIALS AND METHODS A prospective observational study is being planned to perform in all VLBW new-borns admitted in the neonatal unit of a tertiary care centre in eastern India. This study will be conducted for 6 months in all VLBW. Subjects will be subdivided into 1000gm (500gm to 999gm) and >- 1000gm- < 1500gm. Each group will be subdivided into critically ill or not. Babies with RDS requiring surfactant and/or ventilator treatment, birth asphyxia with HIE and/or in whom infection is strongly suspected or verified by blood investigation and culture will be considered as critically ill. Those babies with duration of stay more than 5 days will be considered for the study. RESULTS Our study showed that total of 214 babies (both VLBW, ELBW) admitted from 1/11/2019 to 30/4/2020.Among these, 130 babies admitted in the SNCU for more than 5 days. Out of this, 86 babies were eligible in the study satisfying all inclusion criteria. Baseline characteristics are mentioned in table 1.Table 2 presents the comorbidities like respiratory distress, birth asphyxia, sepsis. The total iatrogenic blood loss was 3ml (0.90- 11.89). The average blood loss was 3.4 ml/kg. CONCLUSION From our study we found that sampling related blood loss is higher among lower birth weight babies. As birth weight decreases, sampling related blood loss increases and further need for transfusion increase.

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