Pre-Admission Factors Influencing Neonatal Mortality
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Background: Every year 70% of neonatal deaths take place because simple yet effective interventions do not reach the needy. Objective: To study the pre-admission factors affecting neonatal outcome. Materials And Methods: This was a hospital based study of 500 neonates admitted to NICU at Niloufer Hospital for Children, Osmania Medical College, a tertiary care centre. Results: Among the 500 neonates, only 66% of the babies were stabilized prior to referral. Referral letter was given for 82% referrals and only 10% were accompanied by trained paramedic or doctor. Ninety four percent (94%) were brought without proper warm care. At admission 60% were hypothermic, 50% hypoxemic, 10% hypoglycemic and 26% babies had prolonged capillary filling time. There was a significant decrease in mortality among the neonates where intervention was done before transport and when the duration of transport was less than one hour. Hypothermia, hypoxia, hypoglycemia and prolonged capillary refill time at the time of admission were significant predictors of neonatal mortality. Conclusions: Low birth weight, prematurity, pre-referral stabilization, untrained person accompanying the baby, lack of awareness of danger signs and duration of transport >1hour were significant predictors of neonatal mortality thus emphasising the need for proper regionalization of peripheral care, appropriate pre referral stabilization and transport care of neonates.
Authors and Affiliations
Dr. B. Shalini, Dr. C. V Nikhila, Dr. M. Alimelu
Keywords
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- EP ID EP238339
- DOI 10.9790/0853-1611051319
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