Pattern of mortality in newborns referred to a tertiary level NICU
Background: Perinatal and neonatal mortality rates are the major determinants of healthcare system. India is one of the largest contributors in the pool of neonatal death in the world. In India data on causes and predictors of neonatal mortality in referral tertiary units is lacking, therefore ana...
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Barpeta Obstetrics and Gynaecological Society
2024-05-01
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| Series: | New Indian Journal of OBGYN |
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| Online Access: | https://journal.barpetaogs.co.in/pdf/10310.pdf |
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| author | Mrinalini Das Meena Kumari Mili Monalisa Bhoktiari Trinayan Mili |
| author_facet | Mrinalini Das Meena Kumari Mili Monalisa Bhoktiari Trinayan Mili |
| author_sort | Mrinalini Das |
| collection | DOAJ |
| description | Background: Perinatal and neonatal mortality rates are the major determinants of healthcare system. India is one of
the largest contributors in the pool of neonatal death in the world. In India data on causes and predictors of neonatal
mortality in referral tertiary units is lacking, therefore analysis of pattern of neonatal mortality is of paramount
importance in formulating preventive health services. Objectives: 1.To find out the pattern of mortality among the
newborns referred to NICU of Department of Paediatrics, GMCH;2.To find out predictors of mortality among these
newborns. Methodology: A prospective observational study was done in Gauhati Medical College and Hospital,
Guwahati from January 2019 to December 2019. A total of 3491 newborns were consecutively enrolled who were
referred from the peripheral SNCU and admitted in outborn neonatal unit based upon the inclusion criteria. Results:
Out of 3491 newborns, 770(22%) expired. The most common causes of mortality in our setting were found to be birth
asphyxia (50.1%), neonatal sepsis (23.4%), MAS (7.8%), prematurity (7.5%), RDS (7.3%) and congenital
malformation (3.9%). It was observed that maximum deliveries 86.4% were institutional, followed by home delivery
12.7% and 0.9% were delivered in ambulance. Maximum mothers 1840 (52.7%) had 4 or more ANC. Neonates
referred without treatment had higher death rate 58.6% compared to 10.2% death rate in neonates who were referred
with treatment during transport. At the time of admission 56.3% of the babies presenting with hypothermia,61.4% of
neonates with hypoglycaemia, 42.2% of neonates with prolonged CRT and 27.8% presenting with hypoxemia
expired. Conclusion: Most of the neonatal deaths were because of birth asphyxia therefore proper antenatal checkups
and care of women during labour and effective neonatal resuscitation at peripheral health care centres should be
given. The second most common cause of death is sepsis therefore health education to the mother regarding antenatal
and newborn care and hygiene should be given. Unstable vitals at the time of arrival have higher chances of mortality.
So identification of sick neonates and their timely referral should be done early with transport treatment without
delay. |
| format | Article |
| id | doaj-art-65296469c0b248b19a3d6502b22c61ca |
| institution | OA Journals |
| issn | 2454-2334 2454-2342 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj-art-65296469c0b248b19a3d6502b22c61ca2025-08-20T02:11:51ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422024-05-0110231031310.21276/obgyn.2024.10.2.13Pattern of mortality in newborns referred to a tertiary level NICUMrinalini Das0Meena Kumari Mili1Monalisa Bhoktiari2Trinayan Mili3 Professor, Dept. of Pediatrics, Nalbari Medical College , Nalbari, AssamAssistant professor, Dept. of Pediatrics, Lakhimpur Medical College , Lakhimpur, Assam Associate professor, Dept. of Pediatrics, Diphu Medical College , Diphu, AssamAssistant professor, Dept. of Obstetrics and Gynaecology, Lakhimpur Medical College , Lakhimpur, AssamBackground: Perinatal and neonatal mortality rates are the major determinants of healthcare system. India is one of the largest contributors in the pool of neonatal death in the world. In India data on causes and predictors of neonatal mortality in referral tertiary units is lacking, therefore analysis of pattern of neonatal mortality is of paramount importance in formulating preventive health services. Objectives: 1.To find out the pattern of mortality among the newborns referred to NICU of Department of Paediatrics, GMCH;2.To find out predictors of mortality among these newborns. Methodology: A prospective observational study was done in Gauhati Medical College and Hospital, Guwahati from January 2019 to December 2019. A total of 3491 newborns were consecutively enrolled who were referred from the peripheral SNCU and admitted in outborn neonatal unit based upon the inclusion criteria. Results: Out of 3491 newborns, 770(22%) expired. The most common causes of mortality in our setting were found to be birth asphyxia (50.1%), neonatal sepsis (23.4%), MAS (7.8%), prematurity (7.5%), RDS (7.3%) and congenital malformation (3.9%). It was observed that maximum deliveries 86.4% were institutional, followed by home delivery 12.7% and 0.9% were delivered in ambulance. Maximum mothers 1840 (52.7%) had 4 or more ANC. Neonates referred without treatment had higher death rate 58.6% compared to 10.2% death rate in neonates who were referred with treatment during transport. At the time of admission 56.3% of the babies presenting with hypothermia,61.4% of neonates with hypoglycaemia, 42.2% of neonates with prolonged CRT and 27.8% presenting with hypoxemia expired. Conclusion: Most of the neonatal deaths were because of birth asphyxia therefore proper antenatal checkups and care of women during labour and effective neonatal resuscitation at peripheral health care centres should be given. The second most common cause of death is sepsis therefore health education to the mother regarding antenatal and newborn care and hygiene should be given. Unstable vitals at the time of arrival have higher chances of mortality. So identification of sick neonates and their timely referral should be done early with transport treatment without delay. https://journal.barpetaogs.co.in/pdf/10310.pdfnewbornreferralmortalitytransporttreatment |
| spellingShingle | Mrinalini Das Meena Kumari Mili Monalisa Bhoktiari Trinayan Mili Pattern of mortality in newborns referred to a tertiary level NICU New Indian Journal of OBGYN newborn referral mortality transport treatment |
| title | Pattern of mortality in newborns referred to a tertiary level NICU |
| title_full | Pattern of mortality in newborns referred to a tertiary level NICU |
| title_fullStr | Pattern of mortality in newborns referred to a tertiary level NICU |
| title_full_unstemmed | Pattern of mortality in newborns referred to a tertiary level NICU |
| title_short | Pattern of mortality in newborns referred to a tertiary level NICU |
| title_sort | pattern of mortality in newborns referred to a tertiary level nicu |
| topic | newborn referral mortality transport treatment |
| url | https://journal.barpetaogs.co.in/pdf/10310.pdf |
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