A Study on the Improvement of Neonatal Medical Treatment at a Rural Hospital

Abstract

We have established NICU (Neonatal Intensive Care Unit) in our hospital and have made efforts to improve the contents of medical treatment since 1976 in order to establish a regionalization of neonatal medical treatment.Thus are main items of the improvement:1. Completed the apparatuses and equipments needed in Intensive Care.2. Promoted the communication with regional facilities of delivery so as to enable immature or stressed mature babies to be transported to our hospital at all hours.3. Made Pediatrician attend all the deliveries with high risk factors and treat the asphyxiated newborn right after the delivery.We have recorded the results of comparison of the death rate of immature babies at different birth weight treated in our hospital, and of the perinatal mortality in our Obstetric Department in the pie-improvement period of 5 years (1971)(1972)(1973)(1974)(1975) and in the post-improvement period of 4 years (1976)(1977)(1978)(1979) respectively. The results are as follows:1. A comparison of the death rate of immature babies at different birth weight.In comparison of pre and post improvement, under 1,000 g we haven't had enough cases to compare, besides most of the babies have died. However, at the weight between 1,001-1,500 g, the