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Category: Volume 07 Issue 11 November 2019
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Title: Management and outcomes of the patients admitted in SNCU

Authors: Ankur Dharmani MD, Sonia Kashyap MD

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.176

Abstract

Introduction: The proliferation of secondary and tertiary level neonatal intensive care units (NICUs) has led to dramatic improvement in median survival rates of 58% and 88% among extremely low birth weight (LBW) and very LBW newborns, respectively.

Materials and Method: It was an observational study done at Regional hospital Bilaspur catering rural area population of Bilaspur, study includes both inborn and out born babies admitted in SNCU between 2015 to 2018.

Results: Most of the patient got discharge 1456 (87.8%), 40 (2.4%) out of total admission of newbourns died. Most of the neonatal death was recorded within 1 day and between the periods of 1 - 3 days of admission 0.8%. 0.98% of new bourns died with 1 to 6 days of age.

Conclusion: Improve neonatal outcome, it is imperative to be vigilant especially during the first 24 hours of life.

Keywords: Special neonatal care unit.

References

  1. Sankar MJ, Neogi SB, Sharma J, Chauhan M, Srivastava R, Prabhakar PK, et al. State of newborn health in India. J. Perinatol.2016;36(s3):S3–8.
  2. Godinho M, Murthy S, Lakiang T, Puranik A, Nair S. Mapping neonatal mortality in India: A closer look. Indian J Community Med [Internet] 2017 [cited 2019 Nov 26];42(4):234. Available from: http://www.ijcm.org.in/text.asp?2017/42/4/234/217233
  3. Bora JK, Saikia N. Neonatal and under-five mortality rate in Indian districts with reference to Sustainable Development Goal 3: An analysis of the National Family Health Survey of India (NFHS), 2015–2016. PLoS One [Internet] 2018 [cited 2019 Nov 26];13(7):e0201125. Available from: https://dx.plos.org/10.1371/journal.pone.0201125
  4. Wang H, Abajobir AA, Abate KH, Abbafati C, Abbas KM, Abd-Allah F, et al. Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet 2017;390(10100):1084–150.
  5. Prinja S, Manchanda N, Mohan P, Gupta G, Sethy G, Sen A, et al. Cost of neonatal intensive care delivered through district level public Hospitals in India. Indian Pediatr 2013;50(9):839–46.
  6. Yousuf S, Tali SH HIC. Clinical profile and outcome of neonates admitted to a secondarylevel neonatal intensive care unit in North India. Asian J Pharm Clin Res 2017;10(339):40.
  7. Patil Ravindra B, Raghavendraswamy K SB. Clinical profile and outcome of babies admitted to neonatal Intensive care unit (NICU), Mc gann teaching hospital Shivamogga, Karnataka: A longitudinal study. Sch J App Med Sci 2014;2(3357):60.
  8. Bhatia BD, Mathur NB, Chaturvedi P, Dubey AP. Neonatal mortality pattern in rural based medical college hospital. Indian J Pediatr [Internet] [cited 2019 Nov 26];51(410):309–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/6511047
  9. Paul VK, Jain S, Jain P, Verma M, Chacko B, Dani VS, et al. Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000. J Trop Pediatr 2004;50(3):170–4.
  10. Rakholia R, Bano M, Rawat V, Singh G. Neonatal morbidity and mortality of sick newborns admitted in a teaching hospital of Uttarakhand. CHRISMED J Heal Res 2014;1(4):228.
  11. Sridhar P V, Thammanna PS, Sandeep M. Morbidity Pattern and Hospital Outcome of Neonates Admitted in a Tertiary Care Teaching Hospital, Mandya. Int J Sci c Study [Internet] 2015 [cited 2019 Nov 26];(6). Available from: www.ijss-sn.com

Corresponding Author

Sonia Kashyap MD

Internal Medicine (Medical Specialist), DDU, Shimla, HP