Morbidity profile of admitted neonates and their outcome in Neonatal Intensive Care Units (NICUs) of urban Allahabad (original) (raw)
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Context: World over, four million newborn babies die in the first month of life out of which India contributes to about 1.2 million deaths every year. India thus accounts for a quarter of global neonatal deaths and thus faces the biggest newborn health challenge of any country in the world. Aims: The study was under taken with the objective to determine the morbidity and mortality pattern of among the neonates admitted to a NICU. Settings and design: The study was conducted at Neonatal Intensive Care Unit of Sher-i-Kashmir Institute of Medical Sciences Srinagar (Jammu & Kashmir). This NICU is a level-III NICU center is a tertiary health care institute, where most of the babies referred are high-risk babies. Methods and material: For the objective a descriptive case series, hospital based prospective study was conducted at NICU of SKIMS Srinagar w.e.f. 1 st Jan-31 st Dec 2013 by following neonates from admission to discharge, LAMA or death collecting the data by using a predesigned standardized proforma. Statistical analysis used: The data collected was analyzed by SPSS version 20 and the frequency and percentages of various parameters of morbidity and mortality were calculated. Results: 1017 neonates were admitted in the NICU during the year 2013. Neonatal Jaundice (NNJ) (26.7%) was the most common cause of admission to NICU followed by Septicemia (19.1%) and Prematurity (12.5%) whereas Prematurity (24.2%) was the most common cause of death followed by Septicemia (18.2%), Birth Asphyxia (11.1%) and Meconium Aspiration Syndrome (10.1%). Conclusions: The Neonatal Jaundice (NNJ) was the commonest causes of admission and Prematurity was the most common cause of death and Meconium Aspiration Syndrome was the most common cause of case fatality in NICU in a Tertiary Care Teaching Hospital in Jammu and Kashmir.
Pediatric Review: International Journal of Pediatric Research, 2017
Background: Neonatal mortality rate contributes significantly tounder five mortality rates. Data obtained from pattern of admission and outcome may uncover various aspects and may contribute andhelp in managing resources, infrastructure, skilled hands for better outcome in future. Method: This was a retrospective study done in NICU at MM Institute of Medical Sciences. and Research, Ambala, India. Data of all admitted neonates were analyzed with regard toageof babies, sex, weight, cause of admissions and their outcome. Results: During study period a total of 175 neonates were analyzed. Male were predominant over female with maleto female ratio 1.21:1. Majority of newborns were to belonged to low birth weight (46.28%) followed bynormal birth weight (30.28%), very low birth weight (18.28%) and ELBW babies. Maximum number of babies were premature (54%) followed by neonatal sepsis (12.57%), meconium aspiration syndrome (9.17%) and birth asphyxia (9.14%). Out of 175 babies 29 (17.14%) were died. Highest mortality were found with prematurity (62%) followed bybirth asphyxia (20.69%) and neonatal sepsis (10.34%). Conclusion: Prematurity, neonatal sepsis, birth asphyxia and meconium aspiration syndrome were the major indications of admissions. Prematurity, birth asphyxia and neonatal sepsis were major causes of mortality in my study. These mortalities can be reduced with improved management of antenatal and perinatal period, early recognition of conditions, timely intervention and early referral to higher centre.
International Journal of Contemporary Pediatrics, 2018
Background: Globally, 2.6 (2.5-2.8) million newborns died in 2016-i.e. nearly 7,000 every day. Neonatal deaths accounted for 46 % of all under-five deaths, increasing from 41 % in 2000. Five countries accounted for half of all newborn deaths including India. NFHS 4 data suggests that neonatal mortality rate (NMR) declined to 30 deaths per 1,000 live births.Methods: Present observational study was conducted at district hospital, Parbhani. Study period was Jan 2017 to Dec 2017. All the admitted babies to NICU were included into study. Data was collected by interview method using a predesigned, semi-structured questionnaire. Various morbidities and reasons for mortality were included.Results: There were total 2471 admission during year of 2017. There was slightly higher admission rate for Males 1432 (57.95%) than females 1039 (42.05%). Pre-term admissions were 501 (20.28%). Majority of admissions were due to low birth weight 1170 (47.35%).Conclusions: In the year of 2017, total 2472 NI...
Asian Journal of Medical Sciences, 2023
Pre-maturity is one of the major health problems and associated with high morbidities and mortality. According to the WHO every year, an estimated 15 million babies are born pre-term and this number is rising. Aims and Objectives: The objectives of the study were to know the various morbidity pattern developed during the clinical course and to identify the cause of mortality of pre-term babies admitted in neonatal intensive care unit (NICU). Materials and Methods: This prospective, observational study was conducted in the Neonatal Intensive Care Unit of Gauhati Medical College and Hospital, Assam, over a period of 1 year. A sample size of 150 pre-term babies selected randomly as per inclusion and exclusion criteria. Results: The total number of cases studied in the present study were 150 pre-term babies admitted in NICU. Male pre-term babies were 82 (54.6%) and female pre-term babies were 68 (45.3%). The various morbidities observed among the pre-term babies during the study period were neonatal hyperbilirubinemia (48%) followed by respiratory distress syndrome (RDS) (30%), neonatal sepsis (22%), hypocalcemia (16%), hypothermia (14.7%), necrotizing enterocolitis (NEC) (5.3%), and intraventricular hemorrhage (4.7%). The overall mortality among the studied cases was 12.6%. Out of 150 cases, 19 cases were expired (12.6%). The present study shows that RDS (36.8%), neonatal sepsis (26.3%), birth asphyxia (21.1%), and NEC (15.7%) were the major causes of mortality among pre-term babies. Conclusion: The survival rate increases significantly with increase in birth weight and gestational age. RDS, birth asphyxia, and neonatal sepsis were the leading causes of death.
IOSR Journals , 2019
Introduction: Child health in a population has traditionally been assessed by monitoring two key rates-Infant mortality rate and neonatal mortality rate.There is lack of data in respect to morbidity and mortality pattern in NICU of the state of Assam. Hence, this study was undertaken to know the morbidity and mortality profile of newborns admitted in NICU of a tertiary care hospital. Methods: This retrospective study was conducted in neonatal intensive care unit, Tezpur Medical College Hospital over a period of two years. All newborns who were admitted in neonatal intensive care unit during study period were included in the study. Newborns admitted in pediatrics ward were excluded. Data of the newborns were collected from medical record file and monthly reporting format. Result: In this study,out of 2042 newborns admitted in NICU, 65.8% were inborn babies and 34.2% were out born babies. Low birth weight babies were more (51.9%) than normal birth weight babies. The common morbidities were neonatal jaundice (30.06%), birth asphyxia (26.2%) and sepsis (10.8%) respectively. Birth asphyxia cases were seen more in outborn unit (30.5%) .The mortality rate were 9.07% in inborn unit and 11.9% in outborn unit. The overall mortality rate was10.03%. The commonest cause of mortality was birth asphyxia (43.9%) followed by RDS (19.02%) and sepsis (14.6%) respectively. Out of total deaths , 57.6% babies were low birth weight. Conclusion: Birth asphyxia, low birth weight and sepsis are the leading causes of neonatal mortality. This neonatal mortality can be brought down by providing adequate antenatal care, improving maternal nutritional status, close monitoring of fetal wellbeing in pregnancy, timely intervention of delivery , good neonatal resuscitation care and early referral of sick newborns to neonatal intensive care unit.
IAR Consortium, 2021
Background: SNCUs have reduced the mortality& morbidity along with increased the survival of sick newborns. But the limited knowledge on the magnitude of neonatal morbidity patterns and its associated factors is hampering the early intervention in these SNCUs. This study was undertaken to study the disease pattern and its associated factors among neonates admitted to the inborn sick neonatal intensive care unit of Kamla Nehru Hospital Shimla district of Himachal Pradesh, India. Methods: Retrospective review of five years medical records of all neonates admitted to the Inborn Specialized Neonatal Care Unit of Kamla Nehru Hospital, Shimla covering the period January 2016 to December 2020 was conducted. The most important causes of admissions and its related factors were analyzed. Results: A total of 6607 neonates were admitted in the Inborn SNCU of Kamla Nehru Hospital Shimla in 5 years from Jan 2016 to Dec 2020. Among the total admissions, 3655(55.32%) were males while 2952 (44.68%) were females. Among the total admission in the SNCU in the study period, 3208 (48.55%) neonates were >2500 gm, 2483(37.58%) were1500-2499 gm, 752(11.38%) were 1000-1499gm and 164(2.48%) were <1000gm. Among the total admission 2877(43.54%) were >37 weeks of age, 2392 (36.20%) were 34-37 weeks, 1338(20.25%) were <34 weeks age. Among the total admission at SNCU,maximum 2840 (42.98%) were neonates having Jaundice which required phototherapy followed by Respiratory Distress syndrome 1420(21.49%), moderate &severe Birth Asphyxia 530 (8.02%), Others 463(7.01%), Sepsis 390(5.90%), Other causes of respiratory distress335(5.07%), Major congenital malformation 242(3.66%), Hypoglycemia 242(3.66%), Meconium aspiration syndrome 49(0.74%), Pneumonia 34(0.51%), Meningitis 26(0.39%), Hypothermia 20(0.30%) and HIE 16(0.24%). Conclusion :More centers with neonatal intensive care facilities in the hilly statesshould beestablished up by the government keeping in mind the difficult geographic terrain in Himachal Pradesh.
International Journal Of Community Medicine And Public Health, 2017
Background: The early neonatal period (birth to 7 days of life) is the most critical period of life. Usually, the lower the infant mortality, the greater of it is concentrated in neonatal period. The present study was carried out with the objectives to study the profile of sick neonates & compare their survival outcome admitted in Government and Private NICUs of Allahabad.Methods: The cross-sectional study was conducted in the NICUs of Government & Private sector of comparable admission rates in Allahabad. The study was time bound conducted from September 2015-August 2016. The data were collected from the medical records of the admitted neonates.Results: There were a total of 1442 neonates admitted during the given time frame in both the Government and Private NICUs and 1409 were included in the study. The Government NICU had 63.21% admissions within 24 hour of birth more than Private NICUs (55.03%). The Private NICU had 36.58% neonates admitted within 1-7 day while Government secto...
IAR Consortium, 2021
Background: Due to various problems, theneonatal period is one of the most vulnerable periods of life. Despite many advances in perinatal and neonatal care, neonatal mortality is still very high in developing countries. This study was undertaken to study the disease pattern and outcome of neonates admitted to the sick neonatal intensive care unit (SNCU) of tertiary care hospital of Shimla district of Himachal Pradesh, India. Methods: Retrospective review of medical records of alloutborn neonates admitted to the Specialized Neonatal Care Unit of pediatric ward of IGMC (Indira Gandhi medical colleges), Shimla covering the period from January 2016 to December 2020 was conducted. The most important causes of mortality and its associatedfactors were analyzed. Results: A total of 4018 outbornneonates were admitted in the SNCU of IGMC Shimla in 5 years from Jan 2016 to Dec 2020.Among them 3034 (75.51%) were discharged after recovery, 305 (7.59%) were referred to higher institution, 372(7.90%) left against medical advice and 307(7.64%) died in SNCU. Among the total of 307 neonatal deaths,maximum 110(35.83%) were due to sepsis/Pneumonia/Meningitis, followed by 60(19.54%) due to respiratory distress syndrome,50(16.29%) due to HIE/Moderate-severe Birth Asphyxia, 36(11.73%) due to other causes, 24(7.84%) due to prematurity, 13(4.23%) due to un-established causes, 12(3.91%) due to Meconium aspiration syndrome, and 2(0.65%) due to major congenital malformation. Maximum neonate 118(38.44%) had weight between 1500-2499 gm, 102(33.22%) had >2500gm, 71(23.13%) had between 1000-1499 gm while 16(5.21%) had weight <1000gm. Among the total of 307 neonatal death, 131(42.67%) were preterm while 176(57.33%) were having term birth. Conclusion: Sepsis, birth asphyxia and RDS are important preventable causes of mortality, which must be urgently addressed, if India hopes to achieve itsSustainable Development Goals.
Journal of Ayub Medical College, Abbottabad : JAMC
Perinatal as well as neonatal mortality record in our country is one of the highest in the world. Home deliveries, lack of adequate facilities, poverty and lack of education are sonme of the important known causes. The present study was planned to determine neonatal mortality in Hazara. Hospital records of neonatal admissions at Ayub Teaching Hospital (ATH) Abbottabad from 1st January 2007-31st December 2007 were analysed retrospectively. Percent neonatal mortality was calculated from the record, along with the causes of neonatal mortality. A total of 1705 neonates were admitted in the study period at the department of neonatology Ayub Teaching Hospital Abbottabad. Out of 1,705 neonates 947 (56%) were males while 857 (44%) were females with a male to female ratio of 1.24:1 . Majority, 1,411 out of 1,705 (83%), of the neonates was admitted during the 1st week of their life, mean age 6 days. Asphyxia, sepsis and prematurity were the three most common causes of neonatal admissions cont...
IAR Consortium, 2021
Background: Every year, millions of newborn babies die in the first month of life. It is important to study the mortality and morbidity pattern as it helps to implement new treatment protocols, interventions, planning and policy making which helps in better survival and improvement in the quality of life among survivors. This study was undertaken to study the disease pattern and outcome of neonates admitted to the sick neonatal intensive care unit (SNCU) of Kamla Nehru Hospital Shimla district of Himachal Pradesh, India. Methods: Retrospective review of five years medical records of all neonates admitted to the Specialized Neonatal Care Unit of Kamla Nehru Hospital, Shimla covering the period January 2016 to December 2020 was conducted. The most important causes of mortality and its related factors were analyzed. Results: A total of 6607 neonates were admitted in the SNCU of Kamla Nehru Hospital Shimla in 5 years from Jan 2016 to Dec 2020.Among them 5593 (84.65%)were discharged after recovery, 313(4.74%) were referred to higher institution, 335(5.07%) were left against medical advice and 366(5.54%) were died in SNCU.Among the total of 366 neonatal death maximum 115(31.42%) were due to Respiratory distress syndrome, followed by 93(25.41%) due to sepsis/Pneumonia/Meningitis,69(18.85%) due to HIE/Moderate-severe Birth Asphyxia, 35(9.56%) due to prematurity, 27(7.38%) due to other causes, 23(6.28%) due to major congenital malformation and 4(1.09%) due to Meconium aspiration syndrome. Conclusion: In the present study, Respiratory distress syndrome, Neonatal sepsis, Pneumonia, Meningitis, Birth Asphyxia and Prematurity are leading causes of mortality in newborns. Government should take necessary initiative keeping in mind the difficult geographic terrain in Himachal Pradesh.