Title: Mortality and morbidity profile of neonates admitted to Special neonatal care unit
Authors: Ankur Dharmani MD, Sonia Kashyap MD
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.177
Abstract
Introduction: The neonatal period (0 to 28 days of life) has been the most critical period of life because of the various problems associated with it. Quite a few studies in India have described in detail the morbidity profile of tertiary care NICUs.
Materials and Method: It was an observational study done at Regional hospital Bilaspur, all neonates admitted in SNCU between 2015 to 2019 were included in the study.
Result: A total of 1833 neonates were admitted during the study period, Neonatal jaundice was found to be the most common cause of admission 834 (45.4%), Other prominent causes were sepsis 242 (13.2%), birth asphyxia 125 (6.8%), meconium aspiration syndrome 103 (5.6%).
Conclusion: Our study shows that neonatal jaundice birth asphyxia and sepsis are the commonest causes of admission.
Keywords: Special neonatal care unit, mortality and morbidity profile.
References
- The Department of Health and Human Service Control and Prevention. Racial/ethnic disparities in neonatal mortality- United State of America, 1995 2002. MMWR 2004; 54:553-558
- Goodman DC, Fisher ES, Little GA. The relationship between the availability of neonatal intensive care unit and neonatal mortality. N Eng J Med, 2002;346:1538- 1544.
- Harrison KA. Child bearing, health and social priorities: A survey of 22,774 consecutive hospital births in Zaria, Northern. Nigeria. Br J Obestet Gynaecol. 1985:92:1-45.
- Meme JS.A prospective study of neonatal death In Nairobi, Kenya. EAfr. Med J. 1978:262 7.
- Orumabo RS, Okoji GO, Jacob OI. Care of newborn in Developing world: Report of afour-year Experience in Port Harcourt. Nig Med Prac. 1991; 22:59 64.
- Dawodu AH, Effiong CE.Neonatal mortality and mortality Among Nigerian infants in a special care baby unit. E AfrMed J, 1983; 60:39 45.
- Fazlur R, Amin J, Jan M, Hamid I.Pattern and outcome of admissions to neonatal unit of Khyber Teaching Hospital, Peshawar. Paki Med Sci. 2007;23 (2) :1-5.
- Kumar R, Mundhra R, Jain A, Jain S. Morbidity and mortality profile of neonates admitted in special newborn care unit of a teaching hospital in Uttarakhand, India. Int J Res Med Sci 2019;7:241-6.
- Baruah MN, Panyang PP. Morbidity and mortality profile of newborns admitted to the special care newborn unit (SCNU) of a teaching hospital of upper Assam, India- a three year study. J Med SciClin Res. 2016 Aug;4(08):11689-95.
- Patil R, Koppad R, Shreeshail B. 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(6G):3357-60.
- Rakholia R, Rawat V, Bano M, Singh G. Neonatal morbidity and mortality of sick newborns admitted in a teaching hospital of Uttarakhand. CHRISMED J Health Res. 2014 Oct 1;1(4):228.
- Modi R, Modi B, Patel JK, Punitha KM. Study of the Morbidity and the Mortality Pattern in the Neonatal Intensive Care Unit at a Tertiary Care teaching Hospital in Gandhinagar District, Gujarat, India. J Res Med Den Sci. 2015;3(3):208-12.
- Prasad V, Singh N. Causes of morbidity and mortality in neonates admitted in Government Medical College, Haldwani in Kumaun region (Uttarakhand) India. JPBS. 2011;8(8):1-4.
- Kotwal YS, Yatoo GH, Ahmed Jan FA. Morbidity and mortality among neonates admitted to a neonatal intensive care unit of a tertiary care teaching hospital of Jammu and Kashmir (India). Neonat Pediatr Med. 2011;3:136.
- Saini N, Chhabra S, Chhabra S, Garg L, Garg N. Pattern of neonatal morbidity and mortality: a prospective study in a district hospital in urban India. J ClinNeonatol. 2016 Jul 1;5(3):183-8.