RISK FACTORS OF MORTALITY IN NEONATAL ILLNESS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 20
Abstract
BACKGROUND Infant Mortality Rate (IMR) is high in India. Identification of risk factors of mortality in neonatal illness is essential to reduce Neonatal Mortality Rate (NMR) and ultimately the IMR. AIM To identify the risk factors of mortality in neonatal illness. SETTING AND DESIGN It was a nested case control study done at the sick neonatal unit of urban tertiary referral centre. METHODS AND MATERIALS After obtaining ethical committee approval, retrospective analysis of 150 out born neonatal case records of babies admitted during the period from October 2015 to December 2015 was done. Data such as demographic features, maternal details, referral details, perinatal events, clinical features, laboratory reports and outcome were recorded. STATISTICAL ANALYSIS These risk factors were subjected to univariate and multivariate logistic regression analysis and P value calculated for the same to find out significant risk factors of mortality in neonatal illness. RESULTS Neonatal mortality rate was 22%. Male-to-female ratio was 2:1, death occurred more commonly in female neonates (23.1%). Home deliveries carried more risk of mortality. Birth order 4 and above had 25% mortality. Neonates of mother who had primary education and below had higher mortality. Perinatal asphyxia and sepsis were the most common causes of neonatal mortality. By univariate analysis, preterms had 4.9 times increased risk of mortality than term babies. Apnoeic spells, chest retractions and shock had 8 times, 3 times and 3.6 times increased risk of mortality respectively. By multivariate analysis, birth weight below 2 kilograms (kg) carried 11.8 times more risk of mortality with a p value 0.00 (95% C.I 3.2, 30.4) and poor maternal intake of iron and folic acid tablets was 3.9 times more risk p value 0.003 (95% C.I 1.6, 9.6), apnoeic spells were 5.8 times more risk of mortality with p value 0.02 (95% C.I 1.3, 26.2). CONCLUSION Birth weight below 2 kg, poor maternal intake of iron and folic acid tablets, apnoeic spells were significant risk factors of neonatal mortality.
Authors and Affiliations
Jeyanthi , Poovazhagi
Keywords
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- EP ID EP118090
- DOI 10.14260/jemds/2016/236
- Views 68
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