Risk factors and Outcome of Neonatal Admission to Neonatal Intensive Care Unit in Governmental and Private Hospitals, Al-Madinah Al-Monawarah 2015
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 6
Abstract
Introduction: Various risk factors had been established to be associated with neonatal admission to the intensive care units. These risk factors are laid down in three key groups including maternal factors, fetal and delivery factors. The present study was undertaken to access the risk factors and the outcomes of admission to the neonatal intensive care units in the government and private hospitals in Al-Madinah Al-Monawarah, Saudi Arabia. The research entails collecting data from the records of the participant hospital in order to analyze and come up with the information to validate the hypothesis. Materials and Methods: The present retrospective study was carried out among 349 neonates and their mothers who were admitted and either discharge or died in NICU at governmental and private hospitals in Al-Madinah Al-Monawarah. An abstract form was used by the researcher to collect the data documented in the medical record of the neonatal patients and their mothers. Demographic data, maternal and fetal risk factors, neonatal causes of admission to NICU were studied. Results: 49.28% of the neonatal patients were admitted to NICU because of Respiratory distress syndrome. 43.27% due to low birth weight and 39.83% of neonates due to prematurity were admitted to NICU respectively, while neonatal seizures and birth asphyxia are responsible for (4.30%) and meconium aspiration syndrome is responsible for (0.86%) of neonatal admission to NICU. The risk factor of Parity has been noticed in multigravida having the higher risk than primigravida (55.87%) and (44.13%) correspondingly. Cesarean section delivery reported as the highest delivery factor (53.87%), resuscitation in delivery room (53.58%), and low Apgar score after 1 min contributed with (31.23%), while nuchal cord and vaginal delivery with obstetric complications are the least delivery factors for neonatal admission to NICU (3.15%), (0.86%). Conclusion: To ensure that the neonatal risk factors are eliminated or rather minimized, it is essential to make sure that the labor, delivery and after birth care should be commenced in a proper manner to avoid complications.
Authors and Affiliations
Areej Abdullah Al-Ghamdi, Majid Al-Ghamdi, Saleem Bin Mahfooz, Azizah Al-Harbi
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