A study of pattern of admission and outcome in a neonatal intensive care unit at Rural Haryana, India

  • Dr. Raghvendra Narayan Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala, Haryana, India
  • Dr. Shivani Singh Maharishi Markandeshwar College of Dental Sciences and Research, Mullana, Ambala, Haryana, India
Keywords: Prematurity, Birth Asphyxia, Neonatal Sepsis, Low Birth Weight

Abstract

Background: Neonatal mortality rate contributes significantly to under 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 studydone 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 birthweight (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%) andbirth asphyxia (9.14%). Out of 175 babies 29 (17.14%) were died. Highest mortality were found with prematurity (62%) followed bybirth asphyxia (20.69%) andneonatal 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, time lyintervention and early referral to higher centre.

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References

1. World Health Organization. Perinatal mortality. A listing of available information.Geneva,WHO 1996:32-6. (WHO\FRH/MSM/96-7).

2. Black RE, Morris SS, Bryce J.Where and why are 10 million children dying every year? Lancet. 2003 Jun 28;361(9376):2226-34. [PubMed]

3. World Health Organization. Mother –baby package: implementing safe motherhood in countries. Maternal Health and Safe Motherhood Programme. Geneva, WHO 1994.(WHO/FHE/MSM/94.11).

4. Saving Newborn Lives. State of World’s Newborns. Save the Children Federation2001;1-49.

5. World Health Organization. Management of Sick Newborn. Report of a Technical Working Group, Ankara.

6. Narayan R . A study of the pattern of admissions and outcome in a neonatal intensive care unit at high altitude. Sri Lank J Child Health 2012;41(2):79-81.

7. Veena Prasad and Nutan Singh. Causes of morbidity and mortality admitted in Government Medical College Haldwani in Kumoun Region Uttarakhand India. JPBMS (Journal of Pharmaceuticals and Biomedical Sciences) 2011;9(23):1-4.

8. Bang AT, Bang RA. Diagnosis of causes of childhood deaths in developing countries by verbal autopsy : suggested criteria. The SEARCH Team. Bull World Health Organ 1992;70((4):499-507.

9. Ike Elizabeth U, Modupe O, Oyetunde. Pattern of Diseases and Care Outcomes of Neonates Admitted in Special Care Baby Unit of University College Hospital, Ibadan, Nigeria from 2007 To 2011, IOSR J Nursing Health Science 2015;4(3):62-71.

10. Saleem M, Raghib I, Shahjad B, Mubarak Ali, Zahid K. Pattern of neonatal admissions and its outcome in a tertiary care hospital of Southern Punjab(a 5 years study). PJMHS 2014;8(4):916-21.

11. Roy RN, Nandy S, Srivastava P, Chakraborty A, Dasgupta M, Kundu TK. Mortality Pattern of Hospitalized Children in a Tertiary Care Hospital of Kolkata. Ind J Community Med2008;33(3):187-89. [PubMed]

12. Baghel B, Sahu A, VishwanadhamK.Pattern and Admission and Outcome of Neonates in NICU of Tribal Region Bastar, India.Int J Med Res Prof 2016;2(6):147-50.

13. Parkash J, Das N. Pattern of admissions to neonatal unit. J Coll Physicians Surg Pak. 2005 Jun;15(6):341-4. [PubMed]

14. MS Hoque, S Alam et al. Pattern of Neonatal Admissions and Outcome in an Intensive care Unit of a Tertiary Care Paediatric Hospital in Bangladesh – A One – year Analysis. Journal of Bangladesh College of Physicians and Surgeons 2013;31(3):134-39.

15. Syed R. Ali, Shakeel Ahmed et al. Disease Patterns and Outcomes of Neonatal Admissions at a Secondary Care Hospital in Pakistan Sultan Qaboos Univ Med J 2013;13(3):424-428. [PubMed]

16. Bose O.Toma, Olukemi O Ige, Ibrahim I Abok, Carol O, Rose O,Amina D. Pattern of neonatal admissions and outcome in a tertiary institution in north central Nigeria. J . of Medicine in the Tropics2013;15(2):121-25.

17. Walana W, Acquash EKS, Abdul MA, NaafuB, Aruk E, Vicar KE et al. Pattern, causes and treatment outcomes of neonatal admission in the Tamale Teaching Hospital. Clinics Mother Child Health 2016;13(4).DOI: 10.4172/2090-7214.1000252.

18. AhmedASMNU, Rob MA, Rahman F, Rahman R, Huda N. Preterm Very Low Birth Weight Babies: Outcome of Admitted Newborns at a Community-Level Medical College Hospital in Bangladesh. J of Bangladesh College of Physicians and Surgeons 2008;26(3):128-34.

19. Olowonyo T, Oshin S, Obansanjo-Bello I. Some factors associated with low birth weight in Ogun State, Nigeria. Niger Med Pract 2006;49(6):154-7.

20. Stoll BJ, Hansen N.Infections in VLBWinfants: studies from the NICHD Neonatal Research Network. SeminPerinatol. 2003 Aug;27(4):293-301. [PubMed]

21. Stoll BJ , Hansen NI Adams-Chapmani, Fanaroff AA, Hintz HR,VohrB,Higgins RD. Neuro developmental and growth Impairment among Extremely Low-Birth-Weight infants with Neonatal infections. JAMA2004;292:2357-65.doi:10.1001/jama.292.19.2357.

22. Ahmed ASMNU, Chowdhury MAKA, Hoque MM,Darmstadt GL. Clinical and Bacteriological Profile of Neonatal Septicemia in a Tertiary level Pediatric Hospital in Bangladesh. Indian Pediatrics2002;39(11):1034-9.

23. Lawn J, Shibuya K, Stein C. No cry at birth: globalestimates of intrapartum stillbirths and intrapartum-relatedneonatal deaths. BullWorld Health Organ. 2005 ;83(6):409-17. [PubMed]
A study of pattern of admission and outcome in a neonatal intensive care unit at Rural Haryana, India
CITATION
DOI: 10.17511/ijpr.2017.i10.05
Published: 2017-10-31
How to Cite
Dr. Raghvendra Narayan, & Dr. Shivani Singh. (2017). A study of pattern of admission and outcome in a neonatal intensive care unit at Rural Haryana, India. Pediatric Review: International Journal of Pediatric Research, 4(10), 611-616. https://doi.org/10.17511/ijpr.2017.i10.05
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Original Article