Table 2.
Case notes review—infant data
| 34–36+6 weeks N (%) | ≥ 37 weeks N (%) | |||
|---|---|---|---|---|
| Zambian sites | Indian sites | Zambian sites | Indian sites | |
| Total number of infants (N) | n = 74 | n = 16 | n = 102 | n = 44 |
| Livebirths | 72 (97.3) | 15 (93.8) | 99 (97.1) | 41 (93.2) |
| Antepartum stillbirths | 2 (2.7) | 1 (6.3) | 2 (2.0) | 2 (4.5) |
| Intrapartum stillbirths | 0 | 0 | 1 (1.0) | 1 (2.3) |
| Neonatal deaths (% of livebirths) | 2 (2.7) | 1 (6.7) | 2 (2.0) | 1 (2.4) |
| No birth outcome reported | 0 | 0 | 0 | 0 |
| Mode of delivery: | ||||
| Spontaneous vaginal delivery | 32 (43.2) | 3 (18.75) | 44 (43.1) | 12 (27.2) |
| Assisted vaginal delivery | 1 (1.4) | 0 | 5 (4.0) | 0 |
| Caesarean section | 41 (55.4) | 13 (81.3) | 52 (51.0) | 32 (72.7) |
| Not documented | 0 | 0 | 1 (1.0) | 0 |
| Median (IQR) gestation at delivery (days) | 249 (243–252) | 251 (245–255) | 269 (266–280) | 272 (266–282) |
| Median (IQR) birthweight (kg) | 2.2 (1.9–2.7) | 1.9 (1.8–2.3) | 2.8 (2.3–3.3) | 2.7 (2.5–3.0) |
| Median (IQR) birthweight centile* | 16 (5–73) | 5 (2–17) | 18 (3–49) | 11 (4–24) |
| Small for gestational age (birthweight < 10th centile) | 28 (38.3) | 10 (62.5) | 37 (36.3) | 22 (50.0) |
| Admission to neonatal unit N (% livebirths) | 37 (50.0) | 13 (86.7) | 32 (32.3) | 17 (41.5) |
| Primary indication for neonatal unit admission N (% livebirths): | n = 72 | n = 15 | n = 99 | n = 41 |
| Prematurity | 13 (18.1) | 0 | 3 (3.0) | 0 |
| Low birthweight | 3 (4.2) | 3 (20.0) | 1 (1.0) | 1 (2.4) |
| Respiratory distress | 3 (4.2) | 5 (33.3) | 1 (1.0) | 4 (9.8) |
| Birth Asphyxia/Cyanosis | 5 (6.9) | 0 | 7 (7.1) | 2 (4.9) |
| Jaundice | 0 | 5 (33.3) | 0 | 8 (19.5) |
| Other | 0 | 0 | 1 (1.0) | 2 (4.8) |
| No clinical indication (healthy lodger) | 7 (9.7) | 0 | 14 (14.1) | 0 |
| Not documented | 6 (8.3) | 0 | 5 (5.1) | 0 |
| Respiratory support required (and type): | 9 (12.5) | 5 (33.3) | 5 (5.1) | 8 (19.5) |
| Oxygen | 4 (5.6) | 2 (13.3) | 4 (4.0) | 5 (12.1) |
| Continuous positive airway pressure | 5 (6.9) | 2 (13.3) | 1 (1.0) | 1 (2.4) |
| Intubation and ventilation | 0 | 1 (6.7) | 0 | 2 (4.9) |
| Antibiotics given (and indication): | 9 (12.5) | 3 (20.0) | 6 (6.1) | 6 (14.6) |
| Presumed sepsis | 8 (11.1) | 1 (6.7) | 5 (5.1) | 5 (12.2) |
| Prematurity | 1 (1.2) | 0 | 0 | 0 |
| Confirmed infection | 0 | 2 (13.3.) | 1 (1.0) | 1 (2.4) |
| Additional clinical outcomes: | ||||
| Neonatal hypoglycaemia | 0 | 2 (13.3) | 2 (2.0) | 3 (7.3) |
| Neonatal seizures | 0 | 1 (6.7) | 0 | 2 (4.9) |
| Nasogastric feeding required | 4 (5.6) | 6 (40.0) | 1 (1.0) | 13 (31.7) |
| Hypoxic ischaemic encephalopathy | 0 | 5 (33.3) | 1 (1.0) | 6 (14.6) |
| Necrotising enterocolitis | 0 | 0 | 0 | 0 |
| Outcome of NICU admission N (% admissions) | n = 37 | n = 13 | n = 32 | n = 17 |
| Discharged alive | 28 (75.7) | 12 (92.3) | 30 (93.8) | 13 (76.5) |
| Died | 2 (5.4) | 1 (7.7) | 2 (6.3) | 1 (5.9) |
| No outcome recorded | 7 (18.9) | 0 | 0 | 1 (5.9) |
| Left against medical advice | 0 | 0 | 0 | 2 (5.9) |
| Hospital length of stay | ||||
| Median (IQR) length of stay (days) | 4 (2–7) | 6 (1–7) | 3 (2–5) | 6 (4–8) |