An Overview of Neonatal Admissions at College of Medical Sciences (COMS).
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Date
2007-07
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Abstract
Objective: To know the profile of newborn admissions and its outcome and the factors associated with neonatal
mortality. Methods: The study included both intramural and extramural cases of 180 newborn babies admitted in
nursery over a period of 6 months from 01/08/06 to 31/01/07. The relevant data were recorded on a pre-designed
proforma meticulously. Results: There were 180 newborn babies during the study period. The mean birth was
2.7 kg.. Majority, 77.8 %( 140) of the babies weighed equal to or more than 2.5 kg. Low birth weight (LBW) was
seen in 22.2 %( 40) babies. There were 80 %( 144) full term babies and 20 %( 36) preterm babies. Majority of
the mothers in the age group between 20-30 years had incomplete antenatal check- ups. There were 86 %( 155)
normal vaginal deliveries, 4.5 %( 8) forceps deliveries and 9.5 %( 17) caesarean sections. Birth/perinatal asphyxia
39(22%), prematurity 36(20%) and neonatal septicemia 30(17%) comprised of leading admissions. There were
27deaths (15%) in total.13 (7%), 8(5%) and 6(3%) babies died of severe perinatal asphyxia, neonatal septicemia
and prematurity respectively. Most of the deaths occurred during the first 72 hours. Conclusions: The mean
birth weight is good. The major causes of neonatal death are birth/perinatal asphyxia, prematurity and neonatal
septicemia. The factors influencing neonatal mortality are low and poor antenatal care, meconium stained liquor,
delay in coming to the hospital, PROM, eclampsia. The study emphasises the importance of regular antenatal care,
timely referral of pregnant women with complications to appropriate centers and conducting delivery in a clean
environment for lowering neonatal mortality.
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Keywords
newborn, admission, neonatal outcome, asphyxia
Citation
Gurubacharya S M, Gurubacharya R L. An Overview of Neonatal Admissions at College of Medical Sciences (COMS). Journal of Nepal Paediatric Society. 2007 Jul-Dec; 27(2): 73-74.