NEONATAL MORBIDITY AND MORTALITY PATTERNS OF BABIES ADMITTED IN SNCU @ ACSR GOVERNMENT MEDICAL COLLEGE, NELLORE, ANDHRA PRADESH
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 2
Abstract
BACKGROUND According to the National Family Health Survey-3 (NFHS-3) report, the current neonatal mortality rate (NMR) in India of 39 per 1,000 live births, accounts for nearly 77% of all the infant deaths (57/1000) and nearly half of the under-five child deaths (74/1000). One of the millennium development goals (MDG-4) was to reduce child mortality (30/1000 live births) by up to twothirds. In Telangana and Andhra Pradesh, roughly 25 and 29 infants die for every 1,000 live births. The State target is to bring down NMR rate to less than 10 by 2030. This target can be achieved by setting up Special Newborn Care Units (SNCUs) in every district for better outcome of babies and reduce the mortality rate. The aim of the study is to assess the demographic profile and morbidity/mortality pattern of neonates admitted to SNCU and study the difference between Inborn and outborn infants. MATERIALS AND METHODS Study design- It was a descriptive, retrospective study observed during Jan. 2016 to Dec. 2016 (1 year). 1061 neonates were admitted during the study period. All data were collected from recorded case sheets as inborn or outborn admission, sex, gestational age, weight for gestation, referral centre, age at presentation, indications for admission, duration of hospitalisation, complications encountered, procedures done during hospitalisation and outcome. RESULTS Of 1016 admitted babies, Males were 577 (56.79%) and females were 439 (43.20%). Inborn babies were 594 (58.47%) and outborn were 422 (41.53%). Most of the babies admitted in SNCU were preterm 658 (64.82%) of which more babies were inborn than outborn (381 vs. 277). As per birth weight, most of the admitted babies were between 1500-2500 g of which inborn were 44.16% and outborn were 45.02%. The chief morbidity for admission was RDS 313 (30.80%) followed by birth asphyxia 229 (22.53%), Neonatal jaundice 148 (14.56%) and Sepsis 132 (12.99%). The mortality rate in our study was 12.35%. The major causes of mortality are prematurity related RDS 36 (28%) followed by Birth asphyxia 33 (26.4%), sepsis 23 (19.2%) and MAS 22 (17.6%). Deaths due to RDS were more in Inborn 24 (38.70%) than Outborn 12 (19.04%), but deaths due to Birth asphyxia (31.7% vs. 20.96%), MAS (22.22% vs. 12.90) were more in outborn than inborn babies. Deaths due to sepsis 23 (19.2%), CHD 4 (3.2%) and congenital malformations 5 (4%) were almost similar in both the groups. CONCLUSION According to our study, low birth weight and prematurity are the common causes for admission in the NICU. Respiratory distress syndrome, birth asphyxia, neonatal jaundice and meconium-aspiration syndrome are some important and leading causes of morbidity in newborn babies. Commonest causes for mortality were prematurity, respiratory distress syndrome, birth asphyxia and sepsis.
Authors and Affiliations
Chowdary Babu M, Satya Prakash P, Lakshmi Prasanna C
Keywords
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- EP ID EP284556
- DOI 10.14260/jemds/2018/45
- Views 80
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