Pre-Admission Factors Influencing Neonatal Mortality
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Every year 70% of neonatal deaths take place because simple yet effective interventions do not reach the needy. Objective: To study the pre-admission factors affecting neonatal outcome. Materials And Methods: This was a hospital based study of 500 neonates admitted to NICU at Niloufer Hospital for Children, Osmania Medical College, a tertiary care centre. Results: Among the 500 neonates, only 66% of the babies were stabilized prior to referral. Referral letter was given for 82% referrals and only 10% were accompanied by trained paramedic or doctor. Ninety four percent (94%) were brought without proper warm care. At admission 60% were hypothermic, 50% hypoxemic, 10% hypoglycemic and 26% babies had prolonged capillary filling time. There was a significant decrease in mortality among the neonates where intervention was done before transport and when the duration of transport was less than one hour. Hypothermia, hypoxia, hypoglycemia and prolonged capillary refill time at the time of admission were significant predictors of neonatal mortality. Conclusions: Low birth weight, prematurity, pre-referral stabilization, untrained person accompanying the baby, lack of awareness of danger signs and duration of transport >1hour were significant predictors of neonatal mortality thus emphasising the need for proper regionalization of peripheral care, appropriate pre referral stabilization and transport care of neonates.
Authors and Affiliations
Dr. B. Shalini, Dr. C. V Nikhila, Dr. M. Alimelu
Keywords
Related Articles
- EP ID EP238339
- DOI 10.9790/0853-1611051319
- Views 110
- Downloads 0
Incidence of Serious Side Effects of First-Line Anti-tuberculosis Drugs amongst Patients treated for Active Pulmonary Tuberculosis in a tertiary care hospital in Goa over a period of 2 years.
.
Evaluation of Modified Alvarado Score in the Diagnosis of Acute Appendicitis In Patients Admitted At Rajendra Institute of Medical Sciences, Ranchi
Introduction: Acute appendicitis, the most common surgically correctable cause of abdominal pain, the diagnosis of which remains difficult in many instances and is essentially clinical. However a decision to operate base...
“A Comparative study to estimate the efficacy of Diacerein and Diclofenac given alone or in combination to Osteoarthritic population with respect to pain alleviation and regaining joint function”.
Introduction: Osteoarthritis (OA) is a heterogeneous group of conditions that lead to joint symptoms and signs which are associated with defective integrity of articular cartilage, in addition to related changes in the u...
Study of Endo tracheal Tube Culture in Ventilated Infants and its Role in Diagnosis of Sepsis in a Level III NICU
.
Interdisciplinary Dentistry – Practice Made Perfect With Scientific Aids
Dentistry has evolved a lot since its inception. There has been a gradual transition from a general dental practitioner to a specialized dentist and now to an interdisciplinary approach. The dental treatment now aims for...