Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2015, Vol 2, Issue 4
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.
Authors and Affiliations
Chandrakala R. Iyer, Vinod Kumar Gornale, Harsha PJ, Nagendra Katwe, 5Suhas Prasad. V, 6Keerthivardhan Y
Variation in platelet count with gestational age, weight and sex in hospitalized newborns
Introduction: Platelet count & CRP are diagnostic markers of neonatal sepsis. Though the platelet count remains the same throughout the neonatal period, variations in platelet count have been noted based on gestational a...
An assessment of liver function test in typhoid fever in children
Background: Liver involvement is common in typhoid and may be in the form of hepatomegaly, jaundice, biochemical and histopathological changes. Isolated hepatomegaly is of no clinical significance, but its occurrence wit...
Prevalence of hypertension among adolescents
Introduction: Adolescence is a significant period of growth and maturation. The emergence of obesity and its sequel as public health problems has renewed interest in the adolescents as Overweight and obesity act as risk...
Role of cord blood bilirubin and albumin levels as predictors of subsequent hyperbilirubinemia in newborns
Introduction: Neonatal hyperbilirubinemia is one of the most common problems in term and preterm babies. Development of hyperbilirubinemia in neonates is fretful for the parents and a concern for the pediatrician too. He...
Evaluation of diagnostic role of IP-10 (Interferon Gamma Inducible Protein) and anti PGL-1 antibody in pediatric leprosy
Background: Leprosy is among the world’s oldest and most dreaded diseases and it has been synonymous with stigma and discrimination due to the hideous deformities it produced, mystery around its aetiology and transmissio...