A cross sectional study on out born neonate referral pattern and factors influencing the neonatal outcomes among the out born neonates admitted to sick newborn care units of a government teaching hospital

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dc.contributor.authorKhot, Poornima Basavrajen_US
dc.contributor.authorThejeshwari, H. L.en_US
dc.contributor.authorKumaren_US
dc.contributor.authorM, Sundaren_US
dc.contributor.authorKumar, Prasannaen_US
dc.date.accessioned2020-05-06T09:52:57Z
dc.date.available2020-05-06T09:52:57Z
dc.date.issued2020-02
dc.description.abstractBackground: Neonatal mortality rate (NMR) is one of the major contributors to infant mortality rate. The neonatal mortality depends on many factors birth weight, gestational age, post-natal care; it also depends on maternal social and environmental conditions which contribute to the social determinants of maternal health. This study was taken up to identify maternal social determinants contributing to outcome among outborn neonates in order to reduce neonatal deaths. The present was conducted to assess the outcome among the outborn neonates and assess the maternal social determinants of health affecting the outcome.Methods: A cross sectional study conducted in sick newborn care units (SNCU), Hassan Institute of Medical Sciences, Hassan among all out born neonates. After taking prior written consent, all mothers/bystanders of outborn neonates were interviewed using predesigned, pretested semi-structured proforma. Social factors, environmental conditions and antenatal care affecting the maternal health were collected. Neonatal outcome data was collected from SNCU register. The mothers/bystanders of outborn neonates not willing to give consent and re-admitted neonates were excluded from the study. Data analysis was done using SPSS V20.0.Results: Of 353 outborn neonates admitted, 16.1% was mortality rate. Number of antenatal care visits, consumption of iron tablets, gestational age, high risk mother, staff attending delivery, birth weight, referral time (at p≤0.5) and distance from hospital, passive smoking exposure, maternal services utilization (at p-value <0.1) were significantly associated with poor outcome among outborn neonates.Conclusions: There is need for establishment of SNCUs at sub-divisional levels.en_US
dc.identifier.affiliationsDepartment of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, Hassan Institute of Medical Sciences, Hassan, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, Hassan Institute of Medical Sciences, Hassan, Karnataka, Indiaen_US
dc.identifier.citationKhot Poornima Basavraj, Thejeshwari H. L., Kumar, M Sundar, Kumar Prasanna. A cross sectional study on out born neonate referral pattern and factors influencing the neonatal outcomes among the out born neonates admitted to sick newborn care units of a government teaching hospital. International Journal of Community Medicine and Public Health. 2020 Feb; 7(2): 499-504en_US
dc.identifier.issn2394-6032
dc.identifier.issn2394-6040
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202106
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber2en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2394-6040.ijcmph20200057en_US
dc.subjectOutborn neonatesen_US
dc.subjectSocial determinantsen_US
dc.subjectSNCUen_US
dc.subjectNeonatal outcomesen_US
dc.titleA cross sectional study on out born neonate referral pattern and factors influencing the neonatal outcomes among the out born neonates admitted to sick newborn care units of a government teaching hospitalen_US
dc.typeJournal Articleen_US
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