Morbidity and mortality patterns of neonates admitted to neonatal intensive care unit in tertiary care hospital, Bhopal
Abstract
Introduction: Neonatal period is the most vulnerable period of life when morbidity and mortality is considered. Neonatal outcome is an important indicator in obstetric and neonatal health care. In developing countries, death during the newborn period accounts for 50-70% of infant mortality. In India 1 million babies die every year. This study was conducted to know the various causative factors leading to morbidity and mortality in neonate at a tertiary care hospital. Study
Design: Retrospective study.
Material and method: This retrospective study was done on 279 neonates who were admitted at Chirayu Medical College and Hospital, Bhopal in neonatal intensive care unit (NICU) in the Department of Paediatrics from May 2014 to May 2015.
Results: A total of 279 neonates were admitted in NICU during the study period. A total of 244 (87%) were inborn and 35 (13%) were out-born neonates. The major cause of morbidity was neonatal sepsis (25%), prematurity (19%), neonatal jaundice (18%), birth asphyxia ( 5 %) and cardiac anomaly= 4%. The overall mortality rate was 11 %. Most deaths were due to sepsis (28%), prematurity with RDS (18%) and birth asphyxia (9%).
Conclusion: Good antenatal care, proper nutrition to pregnant women, timely referral, prevention of preterm delivery are important steps to decrease neonatal morbidity and mortality.
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References
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