Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India
Abstract
Background: Neonatal outcome is a sensitive indicator of availability, utilization and effectiveness of obstetrics and neonatal health care in the community. Review of hospital based mortality and morbidity pattern is critical to improve the quality of health care delivery system in that hospital.
Objectives: To study the morbidity and mortality pattern of neonates admitted to neonatal intensive care unit (NICU) of a rural medical college hospital.
Material and methods: All the neonates admitted to NICU from July 2013 to June 2015 were retrospectively analysed for demographic profile, short term morbidity and outcome.
Results: 1580 neonates were admitted in the study period. 59.5% were Males, 63% were inborn, 75% were term babies and 59.5% had normal birth weight. 89.8% were admitted in early neonatal period. Important causes for admission were sepsis (24%)), birth asphyxia (23.6%), prematurity and low birth weight care (18.5%), Respiratory problems (13.9%) and hyperbilirubinemia (10.3%). The outcome of the admitted babies showed 83% discharges, 3.7% deaths, 12.2% discharge against medical advice and 1.96% referred to another centre. The major causes of mortality were birth asphyxia including hypoxic ischemic encephalopathy (45%), sepsis (27.5%) and respiratory problems (27.5%). The survival of term as well as inborn babies was better than that of preterm and out born neonates respectively.
Conclusion: Birth asphyxia, neonatal sepsis, prematurity and respiratory problems were major causes of both mortality and morbidity. There is need to strengthen services to address these problems more effectively.
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References
2. NFHS-3: Ministry of Health and Family Welfare, Govt. of India. Available at URL: http://www.mohfw.nic.in/NFHS-PRESENTATION. htm. (Accessed on 3rd September 2015).
3. UN Millennium Project. 2005. Investing in Development: A Practical Plan to Achieve the Millennium Development Goals. New York. (Accessed on 20th september2015)
4. Nahar J, Zabeen B, Akhter S, Azad K, Nahar N: Neonatal morbidity and mortality pattern in the special care baby unit of BIRDEM. Ibrahim Med CollJ 2007; 1(2):1-4. doi: 10.3329/imcj.v1i2.2896
5. India Newborn Action Plan.Ministry of health and family welfare.Government of India. Available URL: http://www.newbornwhocc.org/INAP_Final.pdf. (Accessed on 20th September 2015).
6. Bhutta ZA, Das JK, Bahl R et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet. 2014 Jul 26; 384(9940):347-70. doi: 10.1016/S0140-6736(14)60792-3.
7. Elhassan EM, Hassanb AA, Mirghani OA, Adam I: Morbidity and mortality pattern of neonates admitted into nursery unit in Wad Medani Hospital, Sudan.Sudan J Med Science 2010; 5(1):1316.
8.Toma BO, Ige OO, Abok II, Onwuanaku C, Abah RO, Donli A. Pattern of neonatal admissions and outcome in a tertiary institution in north central Nigeria. Journal of Medicine in the Tropics.2013; 15(2): 121-125. doi: 10.4103/2276-7096.123590
9. Prasad V, Singh N. Causes of morbidity and mortality in neonates admitted in government medical college, Haldwaniin, Kumaun region, (Uttarakhand) India. Journal of pharmaceutical and biomedical science. JPBS, 2011; 8(8):1-4.
10. Hussain S. Neonatal Morbidity and Mortality Pattern in a Tertiary Care Neonatal Unit of a Teaching Hospital. Ann. Pak. Inst. Med. Sci.2014; 10(1):7-11.
11. Patil R, Koppad R, Benakanal S. Clinical Profile and Outcome of Babies Admitted to Neonatal Intensive Care Unit (NICU), Mc Gann Teaching Hospital Shivamogga, Karnataka: A Longitudinal Study. Sch. J. App. Med. Sci.2014; 2(6G):3357-3360.
12. Bucens IK, Reid A, Barreto AC, Dwivedi V, Counahan M. Three years of paediatric morbidity and mortality at the national hospital in Dili, East Timor. JPaediatr Child Health.2013; 49:1004–9.
13.Mmbaga BT, Lie RT, Olomi R, Mahande MJ, Kvale G, Daltveit AK. Cause-specific mortality in a neonatal care unit in Northern Tanzania: A registry based cohort study. BMC Pediatr.2012; 12:116. doi:10.1186/1471-2431-12-116
14. Mani Kant, Thakur S, Singh B. Study of the Morbidity and the Mortality Patterns in the Neonatal Intensive Care Unit at a Tertiary Care teaching Hospital in Rohtas District, Bihar, India. Journal of Clinical and Diagnostic Research. 2012 April; 6(2): 282-5. doi: JCDR/3687:1994
15. Salve D,Sarawade S, Doibale M, Tambe S, Sahu P. Study of Profile and Outcome of the Newborns Admitted In Neonatal Intensive Care Unit (NICU) At Tertiary Care Hospital in a City Of Maharashtra. IJHSR. 2015, [cited October 14, 2015]; 5(10): 18-23.
Copyright (c) 2015 Author (s). Published by Siddharth Health Research and Social Welfare Society
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