Morbidity And Mortality of Low Birth weight Newborns Admitted in Sncu/Nicu in A Tertiary Care Hospital.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Aim of the present study is factors that affecting the morbidity and mortality in low birth weight (LBW) babies born with birth weight less than 2500gms. Study is a longitudinal, observational and intervention study done on babies weighing less than 2500 gms irrespective of gestational age admitted to SNCU / NICU, Government General Hospital, Kurnool, from January 2012 to December 2012. At admission Clinical details of all babies were recorded, investigated and managed as per the standard protocols, after exclusion criteria a total of 419 LBW babies (17.5% of all admissions) were included in the study, The incidence of LBW was 52.9% of total NICU admissions. Of the 419 cases 138 were died, mortality rate was 32.79%, mortality observed was more in ELBW and VLBW babies. In the study major constituents of morbidity was sepsis (45.1%) followed by RDS (20.4%). The remaining 281 cases followed up till 6 months regularly. The babies were periodically checked for weight, head circumference, developmental milestones. 9 cases out of 281 shown morbidity in the form of cerebral palsy (3/9, 33.3%), poor weight gain (2/9, 22.2%), post meningitis sequel (2/9, 22.2%), recurrent seizures (2/9, 22.2%) implicating birth asphyxia as a predominant factor causing morbidity. So we conclude that incidence of low birth babies is relatively high in male babies than females, survival rate improving with increased gestational age and increased weight of the babies. The mortality pattern in the study was in the following order, Sepsis (42%), RDS (31.1%) and Birth asphyxia (10.9%) etc.
Authors and Affiliations
Dr. G. V. Rama Devi, Dr. K. V. Ramana Rao, Dr. V. Veera Ratnakar Reddy
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