Objectives: The objective of this study was to take a look at main causes associated with highest neonatal morbidity and mortality in neonatal care unit of People’s medical college hospital Nawabshah. Study Design: Retrospective study. Period: January 2015 to December 2015. Setting: Paediatric medicine ward of People’s medical college hospital Nawabshah. Methods: The data collected included; sex, gestational age, postnatal age atadmission, weight at admission, main cause of admission, outcome, cause of death. Results: The number of neonates admitted in NICU was 2863 (14.4%) of the total admissions (19882) to the paediatric unit including neonatal unit during the study period. There were more males 1750 (61.9%) than females. Prematurity, neonatal sepsis and birth asphyxia were the most common morbidities (27.5%, 14.9% and 14.6%, respectively). The overall mortality was 21.93% (628 out of 2863 babies). The morbidities with the highest mortality were birth asphyxia 244(38.85%), neonatal sepsis and meningitis 77 (12.26%), and V.L.B.W (9.03%). Conclusion: Birth Asphyxia, neonatal sepsis and meningitis, and low birth weight were the major contributors in admission as well as mortality of newborns, depicting a lack of care and attention in antenatal duration and there is a major lack of training and retraining of birth attendants.
Objectives:The main objective of this study was to look at the burden of neonates, who develop hyperbilirubinemia and the cause of hyperbilirubenemia in these neonates.Setting: Neonatal Unit of Pediatric Ward of PMC Hospital, Nawabshah. Study Design:Observational study.Period:Jan 2016 to December 2016. Materials and Methods:Total 194 neonates were found to have hyperbilirubinemia, out of 2863 babies admitted during this period. Files of these neonates were taken and following data was extracted regarding total, direct and indirect bilirubin, blood groups and Rh typing. In selected cases following investigations were also done: TORCH profile, Urine D/R, Thyroid profile and Ultrasound abdomen.Result:194 babies out of 2863 admissions in neonatal unit were treated as hyperbilirubinemia. 108 babies were male and 86 were females. Regarding the gestational age, 56 babies were preterm and 138 were full term babies.Among various causes of hyperbilirubinemia, physiological jaundice was seen in 109 patients, 22 were having direct hyperbilirubinemia, 36 were due to blood group incompatibility, 15 were due to birth injuries, 4 were having hypothyroidism and 2 were labeled as breast milk jaundice. In 6 patients no single cause was pointed out.Conclusion:Hyperbilirubinemia is still a main cause for admissions in NICU, among the causes of hyperbilirubinemia physiologic jaundice was most common. Prematurity predisposes to aggravating hyperbilirubinemia and its complications.
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