STUDY OF NEONATAL MORBIDITY PROFILE IN NICU AT A TERTIARY CARE TEACHING HOSPITAL (KGH, VISAKHAPATNAM)
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 67
Abstract
CONTEXT (BACKGROUND) India accounts for highest number of annual births (25.6 million) and neonatal deaths (0.76 million or 30% global burden). There is paucity of published data on new born health care from our country. We studied the morbidity profile of newborns admitted in our NICU. MATERIAL AND METHODS This retrospective study on the morbidity profile of newborns was conducted at Neonatal Intensive Care Unit (NICU) of a tertiary care teaching hospital - King George Hospital, Visakhapatnam between May 2014 and April 2016 (2 years). All neonates admitted in our NICU during the above period were reviewed regarding place of birth, gestational age, birth weight, primary diagnosis at admission and other associated comorbidities. AIM To study the morbidity profile in our NICU, a tertiary care teaching hospital during 2 years study period. RESULTS In the present study, the data of 5755 neonates who were admitted in our NICU were analysed. Out of them 2994 (52.02%) were inborn and 2761 were out-born (47.98%). In our study population slight male preponderance, more number of pre-term babies (3513, 61.05%) that too gestational age between 34-37 weeks (2299, 39.95%) occupied the major share. In our study, the major cause of morbidity was RDS 1127 (19.58%) followed by HIE/birth asphyxia 1053 (18.30%), neonatal jaundice 920 (15.99%), sepsis 673 (11.70%) and miscellaneous causes 784 (13.62%) out of 5755. In our study, about 81 babies (1.41%) had major congenital malformations. CONCLUSION Our study identified pre-term babies (57.57%), respiratory distress syndrome (19.58%), HIE (18.30%), neonatal jaundice (15.99%) and sepsis (11.70%) as major causes of neonatal morbidity out of 5755 NICU admissions. Most of these morbidities are preventable up to some extent if detected and intervened in time, so as to reduce the morbidity and mortality.
Authors and Affiliations
Ramaganeshan , Ramu , Ravi , Vidya Sagar K
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