Short-term Outcomes of Preterm Infants in a Medical Center at Banyumas Regency, Indonesia: A Preliminary Study

Main Article Content

Haryatiningsih Purwandari
Mei-Chih Huang


Introduction: Short-term outcomes of preterm infants refers to any preterm infants’ conditions after birth including medical diagnosis or morbidity, length of stay at the hospital, and readmission to hospital after discharge. A high number of preterm births were identified as the major case in the year of 2015 in a medical center at Banyumas Regency, Indonesia. However, limited evidence showed the preterm infants’ short-term outcomes in this medical center. This study was intended to investigate the short-term outcomes of preterm infants in a medical center, Banyumas Regency, Indonesia.

Methods: The study used a retrospective design with a case-control study involving a convenience sampling of data set from 50 preterm and 50 term infants who were born from January to December 2015 in a medical center, Banyumas Regency, Indonesia. Any preterm infants’ outcomes from the hospital medical record were collected. Chi-Square, T-test, and Mann-Whitney U were used for statistical analysis.

Results: The study showed that preterm infants experienced low birth weight (LBW), respiratory distress syndrome (RDS), jaundice, and longer length of stay at the hospital compared to term infants (p<0.01; p=0.027; p<0.01; p<0.01, respectively). Surprisingly, the study found there was no significant difference in readmission to the hospital between two groups.

Conclusion: Healthcare professionals can use the data as considerations for improving preterm infants’ optimal care.

Article Details

How to Cite
H. Purwandari and M.-C. Huang, “Short-term Outcomes of Preterm Infants in a Medical Center at Banyumas Regency, Indonesia: A Preliminary Study”, Babali Nurs. Res., vol. 1, no. 2, pp. 47-57, Jul. 2020.


[1] H. Blencowe, S. Cousens, D. Chou, M. Oestergaard, L. Say, A.-B. Moller, et al., "Born too soon: the global epidemiology of 15 million preterm births," Reproductive health, vol. 10, p. S2, 2013.

[2] W. A. Engle, K. M. Tomashek, and C. Wallman, "“Late-preterm” infants: a population at risk," Pediatrics, vol. 120, pp. 1390-1401, 2007.

[3] I. H. Celik, G. Demirel, F. E. Canpolat, and U. Dilmen, "A common problem for neonatal intensive care units: late preterm infants, a prospective study with term controls in a large perinatal center," The Journal of Maternal-Fetal & Neonatal Medicine, vol. 26, pp. 459-462, 2013.

[4] C. L. Hermansen and K. N. Lorah, "Respiratory distress in the newborn," American family physician, vol. 76, pp. 987-994, 2007.

[5] S. Ü. Sarici, M. A. Serdar, A. Korkmaz, G. Erdem, O. Oran, G. Tekinalp, et al., "Incidence, course, and prediction of hyperbilirubinemia in near-term and term newborns," Pediatrics, vol. 113, pp. 775-780, 2004.

[6] H. M. Aslam, S. Saleem, R. Afzal, U. Iqbal, S. M. Saleem, M. W. A. Shaikh, et al., "Risk factors of birth asphyxia," Italian journal of pediatrics, vol. 40, p. 94, 2014.

[7] K. M. Tomashek, C. K. Shapiro-Mendoza, M. J. Davidoff, and J. R. Petrini, "Differences in mortality between late-preterm and term singleton infants in the United States, 1995–2002," The Journal of pediatrics, vol. 151, pp. 450-456. e1, 2007.

[8] S. K. Laughon, U. M. Reddy, L. Sun, and J. Zhang, "Precursors for late preterm birth in singleton gestations," Obstetrics and gynecology, vol. 116, p. 1047, 2010.

[9] R. Baer, E. Rogers, J. Partridge, J. Anderson, M. Morris, M. Kuppermann, et al., "Population-based risks of mortality and preterm morbidity by gestational age and birth weight," Journal of Perinatology, vol. 36, pp. 1008-1013, 2016.

[10] S. Kirkby, J. S. Greenspan, M. Kornhauser, and R. Schneiderman, "Clinical outcomes and cost of the moderately preterm infant," Advances in Neonatal Care, vol. 7, pp. 80-87, 2007.

[11] M. Paul, J. Partridge, B. Barrett-Reis, K. A. Ahmad, P. Machiraju, H. Jayapalan, et al., "Metabolic Acidosis in Preterm Infants is Associated with a Longer Length of Stay in the Neonatal Intensive Care Unit," PharmacoEconomics-Open, pp. 1-7, 2020.

[12] M.-J. Kim, "Readmission of late preterm infants after discharge from nursery," Korean Journal of Pediatrics, vol. 52, pp. 888-892, 2009.

[13] M. Underwood, B. Danielsen, and W. Gilbert, "Cost, causes and rates of rehospitalization of preterm infants," Journal of Perinatology, vol. 27, pp. 614-619, 2007.

[14] A. J. Vachharajani and J. G. Dawson, "Short-term outcomes of late preterms: an institutional experience," Clinical pediatrics, vol. 48, pp. 383-388, 2009.

[15] L.-A. Papile, J. E. Baley, W. Benitz, J. Cummings, and W. A. Carlo, "Levels of neonatal care," Pediatrics, vol. 130, pp. 587-597, 2012.

[16] D. F. Polit and C., T. Beck, "Nursing Research: Generating and Assessing Evidence for Nursing Practice," vol. 9. Lippincot Williams & Wilkins: Philadelphia, 2012.

[17] M. Elfil and A. Negida, "Sampling methods in clinical research; an educational review," Emergency, vol. 5, 2017.

[18] J. Martínez-Mesa, D. A. González-Chica, R. P. Duquia, R. R. Bonamigo, and J. L. Bastos, "Sampling: how to select participants in my research study?," Anais brasileiros de dermatologia, vol. 91, pp. 326-330, 2016.

[19] M. S. Dahlan, "Statistik kedokteran dan kesehatan," Salemba Medika: Jakarta, 2013.

[20] A. L. Kent, I. M. Wright, and M. E. Abdel-Latif, "Mortality and adverse neurologic outcomes are greater in preterm male infants," Pediatrics, vol. 129, pp. 124-131, 2012.

[21] W. H. James, "Why are boys more likely to be preterm than girls? Plus other related conundrums in human reproduction: Opinion," Human Reproduction, vol. 15, pp. 2108-2111, 2000.

[22] D. J. Owen, L. Wood, B. Tomenson, F. Creed, and J. P. Neilson, "Social stress predicts preterm birth in twin pregnancies," Journal of Psychosomatic Obstetrics & Gynecology, vol. 38, pp. 63-72, 2017.

[23] W. Wang, L. Wen, Y. Zhang, L. Wang, L. Wang, Z. Chen, et al., "Maternal prenatal stress and its effects on primary pregnancy outcomes in twin pregnancies," Journal of Psychosomatic Obstetrics & Gynecology, pp. 1-7, 2019.

[24] C. Lau, E. Smith, and R. Schanler, "Coordination of suck‐swallow and swallow respiration in preterm infants," Acta Paediatrica, vol. 92, pp. 721-727, 2003.

[25] H. Sun, F. Xu, H. Xiong, W. Kang, Q. Bai, Y. Zhang, et al., "Characteristics of respiratory distress syndrome in infants of different gestational ages," Lung, vol. 191, pp. 425-433, 2013.

[26] S. M. Barlow, "Oral and respiratory control for preterm feeding," Current opinion in otolaryngology & head and neck surgery, vol. 17, p. 179, 2009.

[27] M. F. B. de Almeida and C. M. Draque, "Neonatal jaundice and breastfeeding," NeoReviews, vol. 8, pp. e282-e288, 2007.

[28] M. W. Kuzniewicz, S.-J. Parker, A. Schnake-Mahl, and G. J. Escobar, "Hospital readmissions and emergency department visits in moderate preterm, late preterm, and early term infants," Clinics in perinatology, vol. 40, pp. 753-775, 2013.

[29] M. A. Underwood, "Human milk for the premature infant," Pediatric Clinics, vol. 60, pp. 189-207, 2013.