Maternal, social and health factors influencing admission of newborns to the special newborn care unit at Kakinada, India (original) (raw)
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2023
Introduction and aim. Reduction in child morbidity and mortality is result of upgradation of infrastructure and quality of public health care services. India alone accounts for 30% of the global neonatal deaths occur in India that occurs due to preventable cause. So, the aim of this study was to assess the pattern and status of neonatal mortality observed in SNCUs of Uttar Pradesh, India. Material and methods. Descriptive study was conducted based on secondary data obtained from sick new born care units (SNCU) online database from 89 Government-supported SNCUs of Uttar Pradesh, from April 2014 to March 2016. Data obtained included age, weight, sex, diagnosis, and outcome. Results. 22933 neonates admitted in SNCU were included in study with 14269 (62.2%) were males and 8664 (37.8%) females. Majority of the subject (20070; 87%) were in 0-5 days old age group. Most (72.5%) of admitted new-born improved and discharged. Low birth weight was significantly (χ2 = 1334.2, p<0.001) related with outcome. Birth asphyxia contributed to maximum (36.11%) number of deaths, followed by respiratory distress syndrome (25.21%), sepsis (15.38%), prematurity and extremely low birth weight (5.8%). Conclusion. Improved antenatal care, improved access to health facility, timely referral of high-risk cases, capacity building, intensive interventional management can reduce neonatal mortality and its complications. Study also warrants, in-depth community-based qualitative study to identify gender specific, equity issues
International Journal of Research in Medical Sciences
Background: India accounts for 24% of global neonatal mortality. 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. The aim of the project study was to determine the causes of morbidity and mortality in neonates admitted in our hospital.Methods: This study was conducted at Special Newborn Care Unit (SNCU) of Veer Chandra Singh Garhwali Government Institute of Medical Science and Research providing level II neonatal care. This is a retrospective hospital based observational study. Data from admission and discharge registers were extracted, compiled and analyzed from March 2016 to February 2018. Neonates taken against medical advice and those referred to tertiary care centers were excluded in calculation of survival outcome. Statistical analysis was done in form of percentage, proportions and chi sq...
International Journal of Research in Medical Sciences
Background: Globally, neonatal deaths constitute 44% of all deaths in less than 5 years age group .The concept of SNCU is based on the learning from the “Purulia model”. This research study was undertaken, to assess the profile of sick newborns admitted in the SNCU.Methods The investigators analyzed this data and establish the morbidity profile of newborns admitted in SNCU Hamirpur in 2019.Results: Total of 422 newborns were admitted 197 (46.7%) were females and 225 (53.3%) were males. Out of these 381 (90.3%) were inborn and 41(9.7%) were out born. In inborn 293 (76.9%) weighed more than 2.5 kg, 83 (21.8%) were low birth weight <2.5 kg to 1.5 kg and 2 (0.52%) were very low birth weight i.e < 1.5 kg to 1 kg and one newborn was extreme low birth weight i.e <1 kg. In the out born group, 23 (56.1%) weighed more than 2.5 kg and 13 (31.8%) were low birth weight <2.5 kg to 1.5 kg, 4 (9.8%) were very low birth weight < 1.5 kg to 1 kg. Jaundice was the most common neonatal co...
International Journal of Contemporary Pediatrics
Background: Low birth weight (LBW) has been defined as a birth weight of <2.5 kilogram regardless of gestational age. In India, every 3rd born child is of LBW. LBW is associated with increased neonatal mortality and morbidity, compromised growth and cognitive development.Methods: This is a retrospective cohort study using previously collected data from January 2015 to December 2015.Results: Out of 1238 live births, 485 (39.17%) were LBW. 456(94.01%) were LBW weighing >1500 grams (LBW), 22(4.53%) were VLBW, and 07(1.44%) were ELBW. 361(74.43%) were LBW2 (birth weight ≥2000 - <2500 grams), 95(19.58%) were LBW1 (birth weight ≥1500 - <2000 grams). 289(59.58%) of LBW neonates were full term. SNCU admission is significantly higher in LBW neonates (25.8% vs 9.61%). Morbidities were higher in LBW neonates compared to normal birth weight neonates. Difference was more significant in incidence of sepsis (3.72% vs 0.83%), RDS (2.19% vs 0%), TTN (5.48% vs 2.36%), hypoglycemia (1.31% ...
International Journal of Contemporary Pediatrics, 2019
Background: A baby’s weight at birth is a strong indicator of newborn health and nutrition. Low birth weight (LBW) babies are more susceptible to morbidities and mortality in early neonatal period than normal birth weight (NBW) babies. Among neonatal deaths, 80% occurs in LBW / preterm babies and 75% of total neonatal deaths occur in early neonatal period. The present study was undertaken to know the incidence and early neonatal outcome of LBW babies in rural area.Methods: Prospective observational study was conducted in babies born with <2.5 kg (LBW) birth weight.Results: The incidence of LBW babies was 25.07% with almost an equal contribution from preterm (50.46%) and Term Intra Uterine Growth Restricted (IUGR) (49.53%) babies. The most common morbidity found in LBW babies was Jaundice (40.09%) followed by respiratory distress (18.16%), sepsis (8.72%) and apnea (4.48%). Preterm-LBW babies had more morbidities in terms of apnea (100%), birth asphyxia (88.88%), respiratory distre...
IOSR Journals , 2019
Background-In the developing and under developed countriesincluding in India, LBW which is one of the significant determinants of infant and childhood mortality and morbidity, is one of the major public health problem. Good Antenatal care is one of the important factors that drastically reduce LBW. Objective-This study tried to focus the relationship between antenatal care and birthweight of the baby. Methodology-An institution based descriptive cross sectional study conducted by interviewing & reviewing health records of the 317 mother accompanying with their baby selecting by systemic random sampling in immunization clinic at CNMC, Kolkata .The data compilation and analysis was done by IBM SPSS 19 version. Result-The result shown that majority of study subjects were 20-29yrs age gr.(79.9%), Muslims(78.4%) , resided in urban area(90.9%), belonged to joint family(61.8%), educated up to middle school level(59.6%),lower socio economic strata(75.1%) as per Modified BG Prasad Scale 2017 and homemaker(97.9%) .From this study we found 41.6% mothers had low birth weight babies, 67.8% mothers had <4 antenatal visits, 5.3% mothers did not complete her immunization, 33.8% mothers had not increased diet in her antenatal period, 34.3% mothers taking insufficient rest at her antenatal period,6.7% mothers had addicted to smoking 12.9% mothers done strenuous activity, 6.6% mothers had danger sign and 30.3% had some types of morbidity in her last antenatal period. The study showed that increased outcome of LBW baby among mother who had lesser ANC visit (Chi sq-difference-10.
2023
Introduction: In the marginalised countries most neglected health issue is Newborn mortality. A study was undertaken to assess the influence of factors and newborn care practices influencing newborn health in the rural area of Bareilly district. Methodology: The Descriptive crosssectional study was organized in the rural areas of Bareilly. Study participants were selected based on the mothers who gave birth to a baby during the last six months. The mothers who delivered in that area within six months were included, and using the semi-structured questionnaire, data was collected. Data analyzed using Microsoft Excel and SPSS 2021 version for windows. Results: Mothers initiating early breastfeeding were more commonly 78 (52.3%) observed in the younger mothers at 24-29 years, followed by 48(32.3%) at 30-35 years, the difference was statistically significant (p<0.05). Delayed bathing was observed in nearly 125 (70.1%) three fourth in the age of 24-29 years, followed by 29 (16.8%) in the age period 30-35 years. It was observed that unsafe cord care practices were observed more among 8(53.4%) nuclear families than 7(46.6%) joint families, and it was found to be statistically insignificant. Conclusion: The practice of essential newborn care still needs to improve in Bareilly; there is a need to create awareness to the mothers and family members on newborn and early neonatal care aspects, such as promoting exclusive and early initiation of breastfeeding and delayed bathing practices.
Determinants of Low Birth Weight in a Tertiary Care Hospital in Eastern India
National Journal of Community Medicine, 2022
Introduction: In developing countries like India, low birth weight is a major public health issue. It is a leading cause of disease and mortality in infants. Low birth weight can be avoided by identifying at-risk pregnant women and taking the necessary precautions. Methods: From January to June 2019, a facility based retrospective case control study was conducted among pregnant women who gave birth at the hospitals. The information was gathered from the antenatal care files and the delivery room register and records. SPSS version 24.0 was used to process the data. To find an independent predictor of low birth weight, researchers used binary and multiple bivariate logistic regressions. Result: An aggregate of 450 neonatal birth records were reviewed in this study of which 150 were low birth weight babies and 300 were of normal birth weight. The mean ± SD and median [IQR] for birth weight of case group was [2.0±0.4kg, 2.2[1.8-2.4] kg] and that for control [3.1±0.4kg, 3.0[2.7-3.3] kg] ...
International Journal of Medical Science and Public Health, 2016
A baby's weight at birth is a strong indication of the health and nutrition of the mother and newborn. Being undernourished in the womb increases the risk of death in the early months and years of a child's life. [3] The risk factors involved in LBW are maternal age at pregnancy, pregnancy spacing, multiple pregnancies, infection, underlying chronic medical conditions, nutritional, lifestyle, work-related health and psychological health including early indication of labor. [4] Experts opine that the rates of LBW babies could be reduced to not more than 10% in all parts of the world. [5] Main attention is given in recent years to prevent LBW babies through good prenatal care and intervention programs. [6] It is, thus, very important to study the risk factors associated with LBW. This study aims to analyze various maternal, fetal, and social factors influencing birth weight of newborn. Background: Low birth weight (LBW) continues to be a significant public health problem globally and is associated with risk factors. A baby's weight at birth is a strong indicator of maternal and newborn health and nutrition. Objective: To study the influence of various maternal, fetal, and socioeconomic factors on the birth weight of babies. Materials and Methods: This is a hospital-based cross-sectional study. Of 2,966 babies born alive in the hospital, 1,062 babies were randomly selected for study. The relevant information of the sampled babies and their mothers were recorded on a pretested pro forma, and the results were analyzed. Result: Among the maternal factors, mother's age, nutritional status, antenatal care, birth order, hemoglobin level, physical activity during pregnancy, bad obstetric history, and pregnancy-induced complications are significantly associated with the incidence of LBW. Among the fetal factors, gestational period and multiple births are significantly associated with the incidence of LBW. Sex of the baby is not found as a factor for LBW babies. Socioeconomic status and education of mother have a significant role in the association of LBW babies. However, rural and urban areas were not found to be significant. Conclusion: Health education regarding proper maternal nutrition, antenatal care, and family and social support will reduce LBW in new born.
Low birth weight and its determinants in a teaching hospital of Karnataka, India
International Journal of Community Medicine and Public Health
Background: Low birth weight is prospective marker of future growth and development of children and retrospective marker of mother's nutritional and health status. The low birth weight is considered as sensitive index of nation's health and development. The low birth weight babies are at 20 time's greater risk of dying than normal birth weight babies. Lower the birth weight, lower the chances of survival. Objectives of the study was to find out the proportion of low birth weight babies delivered in Sri Chamarajendra district hospital, Hassan, India and to describe the influence of some maternal and socio demographic factors on the birth weight of baby. Methods: A cross sectional, hospital based study was designed in post natal care wards of Sri Chamarajendra district hospital, Hassan, India from February 2012 to June 2012. 630 post natal mothers were selected for the study based on sample size estimation. Post natal mothers who delivered single, live babies were included and babies with congenital malformations and twins were excluded from the study. Results: A number of factors like teenage pregnancy and mothers age above 30 years, illiteracy of the mothers, lower socioeconomic status, short birth spacing, lack of antenatal care, inadequate consumption of IFA tablets, anemia during pregnancy, improper dietary intake, tobacco consumption, bad obstetric history, obstetric complications during the present pregnancy were found to be significantly associated with low birth weight. Conclusions: Most of the determinants of low birth weight can be managed easily by providing adequate antenatal care.