Publication:

A study on fetomaternal outcome in late preterm labour (34 weeks – 36 weeks 6 days) in a tertiary care centre, Rajkot

Background Preterm birth, defined as birth before 37 completed weeks of gestation, presents significant risks for short- and long-term health outcomes. This study evaluates risk factors, delivery modes and feto-maternal outcomes in late preterm labor.

Methods This 1.5 years prospective observational study was conducted on 300 women delivering between 34 weeks and 36 weeks 6 days at P.D.U Medical College, Rajkot, from February 2023 to July 2024. Inclusion criteria involved spontaneous labor; induced labors and specific co-morbidities were excluded.

Results The majority of patients were under 25 years (62%) and nulliparous (39.3%). Common risk factors included Gestational HTN (14.6%), UTI (11.3%) and prior abortions (17.33%). Most deliveries were vaginal (85.3%). Neonatal jaundice was the leading cause of NICU admission (8.33%). Low APGAR scores (<7) at 5 minutes were observed in 23.66% of neonates.

Conclusions Late preterm labor is significantly associated with nulliparity and hypertensive disorders. While vaginal delivery is common, there is a high requirement for NICU care, particularly for jaundice and respiratory support. Collaboration between obstetricians and neonatologists is essential to improve outcomes.