Neonatal morbidity and mortality of sick newborns admitted in a teaching hospital of Uttarakhand

Rakholia, Ritu; Rawat, Vinita; Bano, Mehar; Singh, Gurpreet

doi:10.4103/2348-3334.142983

Cited by 55 publications

(71 citation statements)

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“…[7] Rakholia et al found that the chief causes of admission in sick newborn care unit were RDS (21.91%) followed by sepsis/ pneumonia/meningitis in 19.00%, perinatal asphyxia in 16.37%, jaundice in 12.9%, and MAS in 9.71%. [11] Similar findings were also reported by Prasad and Singh in their study. [8] In a study regarding morbidities and mortalities among outborn neonates it was observed that systemic infections (28.4%), hyperbilirubinemia (27.9%), seizures (11.7%), hypoglycemia (11.5%), hypoxic ischemic encephalopathy (8.3%), anemia (8.9%), and hypocalcemia (8.6%) were common morbidities.…”

Section: Discussionsupporting

confidence: 87%

“…Higher proportion of preterm neonates (50.35%) was observed by Rakholia et al in her study. [11] Any medical or obstetric complication during the antenatal period was observed in 36.35% mothers of admitted neonates. Intranatal complications were reported by 23.33% mothers that include premature rupture of membranes, prolonged labor causing fetal distress, and meconium stained liquor.…”

Section: Discussionmentioning

confidence: 99%

“…Almost same proportion of LBW babies (60.61%) and very LBW (18.59%) were observed by Rakholia et al in her study. [11] Prasad and Singh reported little higher proportion of LBW babies (65.62%) which was because hospital predominantly caters to the population of hilly region with a high degree of poverty. [8] Neonatal jaundice was present in 29.33% babies followed by RDS in 16.33%, perinatal asphyxia in 12.00%, and infection/sepsis in 10.00% babies.…”

Section: Discussionmentioning

confidence: 99%

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Morbidity profile of neonates and biological factors associated with it among admitted newborn babies at tertiary care institute, Jamnagar

Hala¹,

Unadkat²,

Parmar³

et al. 2017

Int J Med Sci Public Health

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Morbidity profile of neonates and biological factors associated with it among admitted newborn babies at tertiary care institute, Jamnagar

Hala¹,

Unadkat²,

Parmar³

et al. 2017

Int J Med Sci Public Health

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“…The second common cause in inborn neonates was birth asphyxia (17%) and in outborn neonates had sepsis. 4 It can be noted that the birth asphyxia in present study as the cause of neonatal respiratory distress was less common i.e., third in the order after respiratory distress syndrome. Santosh S et al mentioned that, 35 (46%) babies had TTNB, 24 (31.5%) babies had RDS, 19 (25%) had BA, 19(25%) babies had pneumonia and sepsis, 6 (7.8%) babies had MAS, 2 (2.6%) babies had pneumothorax, 1 (1.3%) neonates had CHD, 1 (1.3%) neonates had laryngomalacia as a cause for respiratory distress.…”

Section: Discussionmentioning

confidence: 49%

Study of respiratory distress in newborn

Kommawar

Borkar

Vagha

et al. 2017

Int J Contemp Pediatr

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Background: Respiratory distress is one of the most common reasons an infant is admitted to the neonatal intensive care unit. Fifteen percent of term infants and 29% of late preterm infants admitted to the neonatal intensive care unit develop signiﬁcant respiratory morbidity; this is even higher for infants born before 34 weeks ‘gestation. Certain risk factors increase the likelihood of neonatal respiratory disease. These factors include prematurity, meconium-stained amniotic ﬂuid (MSAF), caesarean section delivery, gestational diabetes, maternal chorioamnionitis, or prenatal ultrasonographic ﬁndings, such as oligohydramnios or structural lung abnormalities. Aim of the study was to study the, etiology and outcome of respiratory distress in newborns.Methods: The present study was conducted at the Department of Pediatrics, Acharya Vinoba Bhave Rural Hospital, Jawaharlal Nehru Medical College, Sawangi (Meghe),Wardha, Maharashtra, India. Sample size was decided on the basis of prevalence of neonatal respiratory distress in our area. It was conducted for a period of two years from 1st August 2014 to 31st July 2016.Results: maximum admissions on day 1 of life i.e. 309 (77.25%) followed by on day 2 i.e. 90 (22.50%) 231 (57.75%) were males and 169 (42.25%) were females. Male to female ratio was 1.36:1 Out of 400 children 11 were less than 1000 gms, followed by 77 (19.25%) had birth weight between 1000 g - 1499 g, 193 (48.25%) neonates had weight between 1500 g - 2499 gms and 118 (29.5%) neonates had weight between 2500 - 3499 gms and remaining 1 neonate had birth weight > 3500 grams. Out of 400 Neonates with respiratory distress, 281 (70.25%) had low birth weight and remaining 119 (29.75%) neonates had normal birth weight.Conclusions: Respiratory distress was the major cause of admission in our NICU. Caesarean section was the most common predisposing factor associated with the development of respiratory distress in neonates. Antenatal risk factors increase the incidence of RD. The most common causes of respiratory distress were TTN, RDS, MAS, and perinatal asphyxia. The common cause of death was HMD. The outcome of neonatal respiratory distress was found as: a survival rate of 78.5%, mortality rate of 21.5%.

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“…Mortality rate observed in our study is 3.6% of the total admissions in NICU. Mortality rate is lower when compared to the study by Rakholia et al and Sridhar et al 1,9 The study report by ICMR states that sepsis is the major cause 32.8 % followed by birth asphyxia and prematurity 16.8%. 10 The study done in one of the tertiary care centers in south India in JIPMER states that sepsis (52.3%) followed by birth asphyxia and injuries as the major cause of mortality.…”

Section: Discussionmentioning

confidence: 76%

Neonatal mortality of sick newborns admitted in a tertiary care teaching hospital in Tamil Nadu, South India

Jeganathan

Rsavikmar

Tamilmani

et al. 2017

Int J Contemp Pediatr

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Background: Neonatal period is an important period in the life where most of the deaths are preventable. In India every year 1 million babies die, which contributes to 25% of the world neonatal mortality. Perinatal death is very high in developing countries including India.Methods: A record based retrospective study was conducted in the Neonatal Intensive care unit(NICU) of Department of Pediatrics, Chengalpattu Medical College in Tamil Nadu, South India. The records were collected for the period of one year from January 2016 to December 2016. All the neonates admitted in the NICU during this period were included in the study. Results: The number of total deliveries in Chengalpattu Medical College for the year 2016 was 9339. Total number of live births was 9170 of which 21.88% were low birth weight and 15.96% were preterm delivery. Mortality rate in males is 3.2% (54/1689) and mortality rate in female is 3.98% (55/1383). The difference in mortality rate among male and female neonates was not significant. Respiratory distress syndrome and prematurity related illness contributed to 45% of the total neonatal deaths (39/110). Birth asphyxia and meconium aspiration contributed to 23.6 % (24/110). Rest of the mortality was contributed by ELBW 11.8% (13/110), major congenital malformation 6.4% (7/110), sepsis 1.8% (2/110) and others.Conclusions: Prematurity related problems and respiratory distress are the leading causes of neonatal mortality and morbidity followed by birth asphyxia in CMCH. Proper identification and management of pre-eclampsia, prevention of preterm and low birth weight deliveries are the need of the hour to reduce the mortality and morbidity among neonates.

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Neonatal morbidity and mortality of sick newborns admitted in a teaching hospital of Uttarakhand

Cited by 55 publications

References 0 publications

Morbidity profile of neonates and biological factors associated with it among admitted newborn babies at tertiary care institute, Jamnagar

Morbidity profile of neonates and biological factors associated with it among admitted newborn babies at tertiary care institute, Jamnagar

Study of respiratory distress in newborn

Neonatal mortality of sick newborns admitted in a tertiary care teaching hospital in Tamil Nadu, South India

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