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Category: Volume 08 Issue 01 January 2020
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Title: Morbidity and Mortality Profile of Newborns Admitted to the Neonatal Intensive Care Unit of a Tertiary Care Teaching Hospital of Assam

Authors: Anupama Deka, Bidyut Bhusan Nath, Anjana T Nair

 DOI: https://dx.doi.org/10.18535/jmscr/v8i1.109

Abstract

Introduction:  India contributes to one-fifth of global live births and more than a quarter of neonatal deaths[1]. Neonatal mortality is one of the very important indicators, which reflect a country’s development. It is of utmost importance to analyse the spectrum of neonatal diseases and the causes of mortality, which in turn will help in formulating strategies for control of neonatal mortality.                  

Objective: To study the morbidity and mortality profile of neonates admitted in Neonatal Intensive Care Unit (NICU).

Methodology: A retrospective observational study was done in the Neonatal Intensive Care Unit (NICU) to identify the main causes of neonatal morbidity and mortality of admitted neonates over a period of three years from January 2016 to December 2018.

Results: A total of 11,654 neonates were admitted in the NICU during the study period, 60.5% were in the Inborn and 39.5% were in the Outborn. 47.7% of total admissions in our NICU were LBW. The major causes of admission to NICU were observed to be jaundice, RDS, sepsis, Birth asphyxia and Meconium aspiration syndrome. NICU mortality during the study period was found to be 12.37%. Birth asphyxia, sepsis, RDS and MAS were found to be the main contributors of mortality in our NICU.

Conclusion: This study identifies Birth asphyxia as the most important cause of mortality. Outcomes of this study can be utilized in planning and modifying existing health care services for improved care of the newborn.

Keywords: NICU, Morbidity, Mortality, Birth asphyxia

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Corresponding Author

Anjana T Nair

Department of Pediatrics, Silchar Medical College and Hospital, Silchar, Assam, India