Abstract
Introduction: The neonatal period presents the greatest daily risk of death compared to any other stage of childhood.
Objective: To study the clinical profile of neonates admitted in Special Newborn Care Unit (SNCU) in a tertiary teaching hospital of a tribal area.
Materials and Methods: A retrospective case record analysis of all admissions between January 2017 to December 2022 was done based on medical record data. The neonates with complete record were included in the study.
Results: Total of 1476 newborns were admitted from the year 2017 to 2022 in SNCU of TRIHMS, out of which, 860 (58.3%) patients were male and 612 (41.5%) were females. 84.4% admissions were inborn and 15.6% were outborn patients. Major causes of admission were neonatal jaundice (22.4%) followed by prematurity (15.4%), neonatal sepsis (15.1%) and birth asphyxia (11.4%). The outcome rates for survival, referral, deaths and LAMA were 79.3%, 9.7%, 5.8% and 5.1% respectively. The leading causes of mortality were birth asphyxia (22.3%), prematurity (21.2%) and sepsis (11.8%).
Conclusion: In our SNCU, common causes of deaths are birth asphyxia, prematurity, sepsis respiratory distress syndrome and congenital heart disease. Enhancing antennal care, improving access to healthcare facilities, ensuring timely referral of high risk cases, building capacity and providing intensive interventional management can significantly reduce neonatal mortality and its associated complications. Surveillance and training interventions for managing these causes should be established and reinforced.
Keywords: Neonates, morbidity, mortality, preterm, sepsis.
References
- International Institute for Population Sciences (IIPS) and ICF 2020. National Family Health Survey (NFHS-5), State and District factsheets.
- UNICEF 2009. Toolkit for setting up special care newborn units, stabilisation units and newborn care corners.
- Mendu SB, Kota V, Neela AR, Bukkapatnam SB. Morbidity and mortality profile of neonates admitted in special newborn care unit in tertiary care centre in rural area of Telangana state, India. Int J Scientific Study. Nov 2021; 9 (8)
- Randad K, Choudhary D, Garg A, Jethaliya R. Pattern of neonatal morbidity and mortality: A retrospective study in a special newborn care unit, Mumbai. Indian J Child Health 2020; 7: 299-303
- 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 Jan; 7 (1): 241-246.
- 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, Guajarat. India J Res Med Den Sci. 2015; 3 (3): 208-12.
- UNICEF Nov 2009. The state of the world’s children.
- Anupama D, Bidyut BN, Anjana TN. Morbidity and mortality profile of newborns admitted to the neonatal intensive care unit of a tertiary care teaching hospital of Assam. J Med Sci Clin Res 2020; 8 : 697-702.
- Sharma AK. Gaur a. Profile of neonatal mortality in special newborn care unit of tertiary care hospital. Int J ContempPediatr 2019; 6: 4205.
- Prasad V, Singh N. Causes of morbidity and mortality in neonates admitted in Government medical college, Haldwani in Kumaon 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. NeonatPediatr 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 Clin Neonatol. 2016 Jul 1; 5(3): 183-8.
- Patil R, Koppad R, Shreesail B. Clinical profile and outcome of babies admitted to Neonatal Intensive Care Unit, Mc Gann Teaching Hospital, Shivamogga, Karnataka: a longitudinal study. Sch J App Med Sci. 2014; 2 (6G): 3357-60.
- Manikyamba D, Madhavi N, Prasad AK, Padmavathi IV, Anitha D. Morbidity and mortality profile of LBW babies and their growth and neurodevelopmental outcome at 1 year- NICU, Government General Hospital, Kakinada. Sch J App Med Sci. 2015 July; 3 (4B): 1721-5.
- Sridhar PV, Thammanna PS, Sandeep M. Morbidity pattern and hospital outcome of neonates admitted in a tertiary care teaching hospital, Mandya. Int J Scientific Study. Sep 2015; 3 (6)
- Prasanna CL, suneetha B, Prabhu GR, Prakash PS. Morbidity and mortality pattern among babies admitted in special newborn care unit, Nellore, Andhra Pradesh, India. Int J ContempPediatr 2019; 6: 1898-903.
- Mundlod S, Thakkarwad S. Mortality profile and outcome analysis in level two SNCU in tribal medical college district Adilabad Telangana. IP Int J med Paediatr Oncol 2019; 5: 125-8.
- Morbidity and mortality among outborn neonates at 10 tertiary care institutions in India during the year 2000. J Trop Pediatr 2004 Jun; 50(3):170-4. PMID:15233194
- Rahman M, Bezboruah G, Bhoktiari M. Morbidity and mortality profile of neonates admitted in special newborn care unit in a tertiary care hospital: A retrospective study. J Clin of Diagn Res. 2023 Apr; 17 (4): SC01- SC04.
- Bassani DG, Kumar R, Awasthi S, Morris SK, Wager JFS. Causes of neonatal and child mortality in India: A nationally representative mortality survey. NIH Public AccessBone 2011; 23: 1-7.
Corresponding Author
Dr Ngilyang Sunya
Assistant Professor, Department of Paediatrics, Tomo Riba Institute of Health and Medical Sciences (TRIHMS), Naharlagun, Arunachal Pradesh
DOI: https://dx.doi.org/10.18535/jmscr/v12i09.01
