PATTERN AND OUTCOME OF NEONATAL ADMISSIONS- AN EXPERIENCE FROM A DISTRICT LEVEL SCNU
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 45
Abstract
BACKGROUND Neonatal mortality still continues to be a significant contributor to the infant mortality rate in India. Also the rural-urban gap in the neonatal mortality rate is significant. It is imperative therefore to shift the focus of neonatal research to the peripheral health facilities and understand the challenges posed by the socio-demographic profile of the populations in these areas. Aim: To study the pattern of neonatal admissions and record their outcomes in a district level SCNU of Doda District. MATERIALS AND METHODS A retrospective descriptive study, which analyses the data recorded in SCNU, Doda District Hospital, from 01/04/2016 to 31/03/2017. RESULTS A total of 538 inborn babies and 71 outborn babies were admitted to SCNU during this one year period. 76.62% of the inborn babies had a birth weight of more than 2500 gms, while 23.38% had low birth weight. 63.38% of the outborn babies had a birth weight more than 2500 gms, while 36.62% had a low birth weight. Of the inborn and outborn babies, 4.23% and 2.97% were very low birth weight and 2.82% and 0.19% were extremely low birth weight respectively. Jaundice, sepsis and respiratory distress and birth asphyxia were the major morbidities with which babies were admitted to the SCNU. 59% of the outborns and 56% of the inborn babies were discharged successfully, while 31% of the total admissions required referral. 11% and 7% of the outborn and inborn babies left against medical advice, whereas 3% and 2% respectively died. CONCLUSION Data analysis from sick newborn care of the district hospitals can provide valuable insight into the problems faced by specific units, taking into consideration the terrain and the demographic profile. Further research for facilitating newborn care in these areas is the need of the hour.
Authors and Affiliations
Rattan Singh Manhas, Ashu Jamwal, Sunil Dutt Sharma, Ghanshyam Saini, Pallavi Sharma, Tarundeep Kour
Keywords
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