Review of Infant and Child Death in a Tertiary Care Teaching Institute in Surat
Journal Title: National Journal of Community Medicine - Year 2017, Vol 8, Issue 11
Abstract
Background: A systematic review of child Death (CDR) was required to improve the quality of neonatal health care to avoid more deaths in that particular group especially. So the present research was carried out to study the reasons behind neona-tal mortality in the present tertiary care referral centre. Material and Methods: A cross- sec-tional study by reviewing case pa-per of deceased children between 1-5 yrs died in a tertiary care hospital in Surat. Results: Total live births were 7677, 197 died within 28 days, i.e neona-tal mortality rate is 25.66 and 223 died within a year i.e. infant mortal-ity rate is 29.04. Among the ELBW babies 68.1% died, in VLBW babies 29.5% died, in LBW babies 10.96% died and in normal weight baby 7.2% died. Out of total NICU admis-sion 43.5 % were preterm, out of which 49.36% were extremely premature while 50.63% were premature. Out of total 197 neonatal deaths, sepsis was responsible in 69.54% cases followed by extreme prematurity or prematurity (52.1%). Conclusions: Immediate cause of death was sepsis, HMD, MAS and birth asphyxia. Underlying cause was extreme prematurity, prema-turity, sepsis and birth asphyxia. Contributory factors were ELBW, VLBW and LBW. Maturity and birth weight are two most important fac-tors which needs emphasis for pre-vention of neonatal deaths.
Authors and Affiliations
Rajiv Kumar Prasad, Rachana Prasad, Vibhuti D Vaghela, Chetan Chovatiya
Keywords
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