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

Abstract

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.

Outcome analysis of Neonates admitted to Neonatal Intensive Care Unit of a Border District of Uttar Pradesh

“…Similarly association of positive outcome with higher birth weight was noted in numerous studies. (11,20,26,29,32,33,34,35,36,37,38,39) In accordance to current study many other researches also concluded a successful outcome associated with higher gestational age. (28,29,32,34,35,37,39).…”

“…(11,20,26,29,32,33,34,35,36,37,38,39) In accordance to current study many other researches also concluded a successful outcome associated with higher gestational age. (28,29,32,34,35,37,39). In congruence with our study Garg P et al (2005) (p=0.0001) also observed longer duration of stay associated with favourable outcome.…”

“…( 38)There were significantly lower chances of successful discharge in complicated pregnancy (OR=0.502), preterm neonates (OR=0.552) and twin pregnancy (OR=0. (27,33,40,26,35,36) Also a significant association between decision maker of family and duration of stay at other health facilities with the outcome was found In congruence with current study Dwivedi K et (28,34,35,37)In contrast to the current study Shalini B et al (2017) found prereferral interventions to be associated with outcome. (36) Differences from our study may be on account of variations in classification of outcome and differences in quality of care provided…”

A profile on the spectrum of neonatal mortality and morbidity pattern of extramural neonates in the Specialised Neonatal Care Unit (SNCU) in a tertiary care hospital

“…Use of government ambulance for referral was higher than what was observed by another hospital in Delhi. 6 Newborn transport in a wellequipped ambulance could play a vital role in reducing death during transport. A relevant point in this regard is prior communication to NICU/SNCU.…”

An Audit of Specialized Newborn Care Unit’s (SNCU) Performance at a Taluk Hospital in India

“…NMR accounts for >50% of IMR and a small gain in this domain has a huge impact on overall quality of life (QoL) [7]. All published studies to date reporting NMR and morbidity statistics are from tertiary care centers and teaching hospitals that may not necessarily reflect ground realities of rural and semi-urban areas [8][9][10]. Increasingly SNCU and neonatal intensive care unit (NICU) are established as a public-private partnership (PPP) initiative between government health authorities and non-governmental organizations (NGO) bringing secondary/tertiary care services to area of need [11].…”