Neonatal mortality and morbidity in a tertiary care hospital of Coastal South India

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Introduction: Progress in new-born survival has been slow. There is a variation in neonatal death rates across states and geographical region of a country. Understanding the pattern of mortality is essential in improving new-born survival. This study was conducted to study the mortality and morbidity profile in Neonatal Intensive Care Unit (NICU) of a university teaching hospital. Material and Methods: This was a retrospective descriptive study including records of all neonates admitted in NICU from January 2015 to December 2016. Results 3623 neonates were admitted during the study period. Majority were preterm and low birth weight babies. Neonatal jaundice (41.4%) was the leading cause of admission. Major cause of morbidity was sepsis (26.2%). Average duration of stay were higher in out borns (8.4 days) compared to inborn (6.5 days) neonates. Among mortality a higher male predominance was seen. Neonatal sepsis (36.3%) was the single most common cause of mortality followed by respiratory distress syndrome (27.4%) and congenital malformations (18.6%). Out born neonates which were self-transported had higher mortality rate than transported by ambulance. Conclusion This study identifies sepsis, prematurity and low birth weight as the major causes of morbidity. Sepsis, respiratory distress syndrome and congenital malformations were the leading causes of mortality Understanding causes of neonatal mortality may help to implement interventions to promote new-born survival.

Original languageEnglish
Pages (from-to)232-237
Number of pages6
JournalJournal of Nepal Paediatric Society
Volume37
Issue number3
DOIs
Publication statusPublished - 01-09-2018

Fingerprint

Infant Mortality
Tertiary Healthcare
Tertiary Care Centers
India
Morbidity
Mortality
Newborn Infant
Sepsis
Neonatal Intensive Care Units
Low Birth Weight Infant
Neonatal Jaundice
Ambulances
Premature Birth
Teaching Hospitals
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{1c470dacaec54c8fb203b2c5cb9b2d51,
title = "Neonatal mortality and morbidity in a tertiary care hospital of Coastal South India",
abstract = "Introduction: Progress in new-born survival has been slow. There is a variation in neonatal death rates across states and geographical region of a country. Understanding the pattern of mortality is essential in improving new-born survival. This study was conducted to study the mortality and morbidity profile in Neonatal Intensive Care Unit (NICU) of a university teaching hospital. Material and Methods: This was a retrospective descriptive study including records of all neonates admitted in NICU from January 2015 to December 2016. Results 3623 neonates were admitted during the study period. Majority were preterm and low birth weight babies. Neonatal jaundice (41.4{\%}) was the leading cause of admission. Major cause of morbidity was sepsis (26.2{\%}). Average duration of stay were higher in out borns (8.4 days) compared to inborn (6.5 days) neonates. Among mortality a higher male predominance was seen. Neonatal sepsis (36.3{\%}) was the single most common cause of mortality followed by respiratory distress syndrome (27.4{\%}) and congenital malformations (18.6{\%}). Out born neonates which were self-transported had higher mortality rate than transported by ambulance. Conclusion This study identifies sepsis, prematurity and low birth weight as the major causes of morbidity. Sepsis, respiratory distress syndrome and congenital malformations were the leading causes of mortality Understanding causes of neonatal mortality may help to implement interventions to promote new-born survival.",
author = "Raja Kannan and Suchetha Rao and Prasanna Mithra and Rajesh, {S. M.} and Bhaskaran Unnikrishnana and T. Rekha",
year = "2018",
month = "9",
day = "1",
doi = "10.3126/jnps.v37i3.18734",
language = "English",
volume = "37",
pages = "232--237",
journal = "Journal of Nepal Paediatric Society",
issn = "1990-7974",
publisher = "Nepal Paediatric Society (NEPAS)",
number = "3",

}

TY - JOUR

T1 - Neonatal mortality and morbidity in a tertiary care hospital of Coastal South India

AU - Kannan, Raja

AU - Rao, Suchetha

AU - Mithra, Prasanna

AU - Rajesh, S. M.

AU - Unnikrishnana, Bhaskaran

AU - Rekha, T.

PY - 2018/9/1

Y1 - 2018/9/1

N2 - Introduction: Progress in new-born survival has been slow. There is a variation in neonatal death rates across states and geographical region of a country. Understanding the pattern of mortality is essential in improving new-born survival. This study was conducted to study the mortality and morbidity profile in Neonatal Intensive Care Unit (NICU) of a university teaching hospital. Material and Methods: This was a retrospective descriptive study including records of all neonates admitted in NICU from January 2015 to December 2016. Results 3623 neonates were admitted during the study period. Majority were preterm and low birth weight babies. Neonatal jaundice (41.4%) was the leading cause of admission. Major cause of morbidity was sepsis (26.2%). Average duration of stay were higher in out borns (8.4 days) compared to inborn (6.5 days) neonates. Among mortality a higher male predominance was seen. Neonatal sepsis (36.3%) was the single most common cause of mortality followed by respiratory distress syndrome (27.4%) and congenital malformations (18.6%). Out born neonates which were self-transported had higher mortality rate than transported by ambulance. Conclusion This study identifies sepsis, prematurity and low birth weight as the major causes of morbidity. Sepsis, respiratory distress syndrome and congenital malformations were the leading causes of mortality Understanding causes of neonatal mortality may help to implement interventions to promote new-born survival.

AB - Introduction: Progress in new-born survival has been slow. There is a variation in neonatal death rates across states and geographical region of a country. Understanding the pattern of mortality is essential in improving new-born survival. This study was conducted to study the mortality and morbidity profile in Neonatal Intensive Care Unit (NICU) of a university teaching hospital. Material and Methods: This was a retrospective descriptive study including records of all neonates admitted in NICU from January 2015 to December 2016. Results 3623 neonates were admitted during the study period. Majority were preterm and low birth weight babies. Neonatal jaundice (41.4%) was the leading cause of admission. Major cause of morbidity was sepsis (26.2%). Average duration of stay were higher in out borns (8.4 days) compared to inborn (6.5 days) neonates. Among mortality a higher male predominance was seen. Neonatal sepsis (36.3%) was the single most common cause of mortality followed by respiratory distress syndrome (27.4%) and congenital malformations (18.6%). Out born neonates which were self-transported had higher mortality rate than transported by ambulance. Conclusion This study identifies sepsis, prematurity and low birth weight as the major causes of morbidity. Sepsis, respiratory distress syndrome and congenital malformations were the leading causes of mortality Understanding causes of neonatal mortality may help to implement interventions to promote new-born survival.

UR - http://www.scopus.com/inward/record.url?scp=85048505241&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85048505241&partnerID=8YFLogxK

U2 - 10.3126/jnps.v37i3.18734

DO - 10.3126/jnps.v37i3.18734

M3 - Article

VL - 37

SP - 232

EP - 237

JO - Journal of Nepal Paediatric Society

JF - Journal of Nepal Paediatric Society

SN - 1990-7974

IS - 3

ER -