Pattern of neonatal morbidity and mortality: A prospective study in a District Hospital in Urban India

Saini, Navdeep; Chhabra, Sanjay; Chhabra, Sunny; Garg, Lalit; Garg, Nidhi

doi:10.4103/2249-4847.191258

Cited by 21 publications

(24 citation statements)

References 4 publications

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“…10 Neonatal jaundice was found to be the most common cause of admission in 24.72% neonates. This is similar to studies by Kotwal et al, Saini et al, and Prasad V et al 10,12,13 Significantly higher number of jaundiced neonates have been admitted in outborn which may be because of missing or not evaluating jaundice early. Other prominent causes were sepsis in 324 (20.48%), birth asphyxia in 293 (18.52%), meconium aspiration syndrome in 160 (10.11%), 74 (4.68%) neonates were admitted for care of preterm with low birth weight.…”

Section: Discussionsupporting

confidence: 90%

Morbidity and mortality profile of neonates admitted in special newborn care unit of a teaching hospital in Uttarakhand, India

et al. 2018

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Background: India accounts for 24% of global neonatal mortality. It is important to study the mortality and morbidity pattern as it helps to implement new treatment protocols, interventions, planning and policy making which helps in better survival and improvement in the quality of life among survivors. The aim of the project study was to determine the causes of morbidity and mortality in neonates admitted in our hospital.Methods: This study was conducted at Special Newborn Care Unit (SNCU) of Veer Chandra Singh Garhwali Government Institute of Medical Science and Research providing level II neonatal care. This is a retrospective hospital based observational study. Data from admission and discharge registers were extracted, compiled and analyzed from March 2016 to February 2018. Neonates taken against medical advice and those referred to tertiary care centers were excluded in calculation of survival outcome. Statistical analysis was done in form of percentage, proportions and chi square test was used to find statistical significance.Results: 1582 neonates were admitted during the study period. 60.80% were inborn and 39.20% were outborn. 59.54% were male and 40.46% were female. Major causes of admission were jaundice (24.72%), sepsis (20.48%), birth asphyxia (18.52%), meconium aspiration syndrome (10.11%). Birth asphyxia was the major cause of mortality, followed by sepsis and prematurity. Mortality was more in outborn babies 14.67% compared to inborn babies 9.80%.Conclusions: Neonatal jaundice, birth asphyxia and sepsis were the commonest causes of morbidity. Common causes of mortality were birth asphyxia and sepsis and prematurity. More deliveries at institutions with SNCU facility, early identification of danger signs and timely referral to tertiary care centers can prevent neonatal deaths.

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Section: Discussionsupporting

confidence: 90%

Morbidity and mortality profile of neonates admitted in special newborn care unit of a teaching hospital in Uttarakhand, India

et al. 2018

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“…4,11,14 Higher death rates were noted among neonates having Respiratory Distress Syndrome (32.4%), prematurity (26.4%) and sepsis (17.2%). These diseases were also responsible for mortality in neonates in a study by Saini et al 20 Sepsis was the leading cause in study by Aijaz et al 13 while prematurity and respiratory problems were main causes of death in study by Tekleab et al 17 As neonates are more susceptible to death within first 7 days of their life, in our study 96% deaths were recorded during this period, of which 80% neonates died within 24 hours after delivery. These results are comparable with other regional and international studies, respectively.…”

Section: Discussionsupporting

confidence: 49%

Disease Pattern and Outcome among Neonates in Pediatric Ward of POF Hospital, Wah

Mushtaq¹,

Ramzan²,

Jehan³

et al. 2020

JIMDC

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Background: Neonatal period is the duration between 0-28 days of birth and it is the most susceptible period of life because of the large number of problems and diseases which a neonate is likely to face. The objective of the study was to determine the disease pattern and outcome among neonates in Pediatric ward of POF Hospital.Material and Methods: A descriptive study was carried out at Pediatric ward of POF Hospital Wah Cantt. Retrospective data regarding age, sex, reasons for admission, outcome and mode of delivery (from hospital record) was collected for all neonates admitted during the year 2016 from 1st January to 31st December. The data was analyzed by using SPSS V-19.Results: Among total neonates (n=887) admitted during the year, 63.2% were males and 36.8% were females. Mean weight of neonates was 2.54 + 0.75 kg while mean age was 2.39 + 5.8 days. Most common diseases were Prematurity, Respiratory Distress Syndrome, Seizures and Sepsis. Overall, 82.64% recovered from their illness while 17.02% expired.Conclusions: Prematurity, respiratory distress syndrome, seizures and sepsis were the major causes of neonatal admission in this study.Key words: Diagnostic value, Immature-to-total neutrophil ratio, Neonatal sepsis

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“…This finding is comparable to other studies in similar settings; a regional hospital in Cameroon recorded 9.83%, a tertiary care centre in India reported 10.4%, two regional provincial hospitals in Laos reported 8.9% and 10% respectively [6,15,16]. The observation was however higher than the 1% reported by a district hospital in India and 2.3% and 6.8% reported by two of the regional provincial hospitals in Laos and the 6.0% reported at SJH in 2017 in this study [16,17]. However, it was lower than the 15.7% reported by a regional hospital in Cameroon, 11.3%, reported by a tertiary hospital in Tanzania and 13.3% reported by a referral hospital in Ethiopia [18][19][20].…”

Section: Plos Onecontrasting

confidence: 52%

The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study

Tette¹,

Nartey²,

Nuertey³

et al. 2020

PLoS ONE

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Background High global neonatal deaths have triggered efforts to improve facility-based care. However, the outcomes achievable at different levels of care are unclear. This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality. Objective This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality Methods A cross-sectional study involving a records-review over one year at the Upper West Regional Hospital, and three years at St Joseph's District Hospital, Jirapa was carried out. Age, sex, gestational age, weight, duration of admission, diagnosis, among others were examined. The data were analysed and statistical inference made.

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Pattern of neonatal morbidity and mortality: A prospective study in a District Hospital in Urban India

Cited by 21 publications

References 4 publications

Morbidity and mortality profile of neonates admitted in special newborn care unit of a teaching hospital in Uttarakhand, India

Morbidity and mortality profile of neonates admitted in special newborn care unit of a teaching hospital in Uttarakhand, India

Disease Pattern and Outcome among Neonates in Pediatric Ward of POF Hospital, Wah

The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study

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