EVALUATION OF MORBIDITY AND MORTALITY OF THE NEWBORN ADMITTED TO SPECIAL NEWBORN CARE UNIT
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i6.47949Keywords:
Birth asphyxia, Birth weight, Case fatality rate, Morbidity, Mortality, Respiratory distress syndrome, Special newborn care units, Inborn, Out bornAbstract
Objectives: Under the facility-based newborn care scheme (FBNC), special newborn care units (SNCUs) are being established in India with the primary motto of reducing the neonatal mortality rate (NMR).
Methods: The present study was a retrospective study conducted for 2 years to gain knowledge of the functioning of SNCU, and its morbidity and mortality pattern of sick newborn attending were evaluated in the present research. The study was conducted at SNCU, SVRRGGH, Tirupati. The total admissions were male, referrals from outside facilities, and low birth-weight newborns.
Results: The overall leading cause of admissions was birth asphyxia-related morbidity (BA) (24%), infections (22.2%), followed by respiratory distress syndrome (RDS) (15.3%). The causes of mortality were BA (33.2%), followed by RDS (27%) and infections (16.4%). The case fatality rates of RDS (45%) were the highest, followed by meconium aspiration syndrome (40%) and BA (35.6%). Although morbidity was high, case-fatality rate of infections (16.4%) was low.
Conclusion: This study has highlighted the deficiencies at SNCU influencing the outcome of admitted newborns, thus guiding steps for improvisation.
Downloads
References
Ezeh OK, Uche-Nwachi EO, Abada UD, Agho KE. Community-and proximate-level factors associated with perinatal mortality in Nigeria: Evidence from a nationwide household survey. BMC Public Health 2019;19:811. doi: 10.1186/s12889-019-7151-0. PMID: 31234805; PMCID: PMC6591945
Guinsburg R, Sanudo A, Kiffer CR, Marinonio AS, Costa-Nobre DT, Areco KN, et al. Annual trend of neonatal mortality and its underlying causes: Population-based study-São Paulo State, Brazil, 2004-2013. BMC Pediatr 2021;21:54.
Pezzulo C, Tejedor-Garavito N, Chan HM, Dreoni I, Kerr D, Ghosh S, et al. A subnational reproductive, maternal, newborn, child, and adolescent health and development atlas of India. Sci Data 2023;10:86.
Narayanan I, Nsungwa-Sabiti J, Lusyati S, Rohsiswatmo R, Thomas N, Kamalarathnam CN, et al. Facility readiness in low and middle-income countries to address care of high risk/small and sick newborns. Matern Health Neonatol Perinatol 2019;5:10. doi: 10.1186/s40748-019-0105- 9. PMID: 31236281; PMCID: PMC6580648
Neogi SB, Khanna R, Chauhan M, Sharma J, Gupta G, Srivastava R, et al. Inpatient care of small and sick newborns in healthcare facilities. J Perinatol 2016;36(Suppl 3):S18-23. doi:10.1038/jp.2016.186
Agrawal R, Negi R, Kaushal SK, Misra SK. Outcome analysis of Neonates admitted to Neonatal Intensive Care Unit of a Border District of Uttar Pradesh. Indian J Comm Health 2019;31:382-9.
Ministry of Health and Family Welfare. Care of Small and Sick Newborns in Special Newborn Care Units of India. Available from: https://www.savethechildren.in/sci-in/files/46/4661cab4-37ac-4ee1- 869d-8adf8b5ab155.pdf [Last accessed on 2017 Oct 10].
Neogi SB, Malhotra S, Zodpey S, Mohan P. Assessment of special care newborn units in India. J Health Popul Nutr 2011;29:500-9.
Garg P, Krishak R, Shukla DK. NICU in a community level hospital. Indian J Pediatr 2005;72:27-30.
Kraemer S. The fragile male. BMJ 2000;321:1609-12.
Shah HD, Shah B, Dave PV, Katariya JB, Vats KP. A step toward healthy new-born: An assessment of 2 years’ admission pattern and treatment outcomes of neonates admitted in special new-born care units of Gujarat. Indian J Community Med 2018;43:14-8.
Sharma RK, Khan R, Anjum S. A study to evaluate the functioning of Special Care Newborn Unit (SNCU) established at a District Hospital. Int J Biomed Res 2017;8:514-20. doi:10.7439/ijbr.v8i9.4369
Bonanno C, Wapner RJ. Antenatal corticosteroids in the management of preterm birth: Are we back where we started? Obstet Gynecol Clin North Am 2012;39:47-63. doi: 10.1016/j.ogc.2011.12.006. PMID: 22370107; PMCID: PMC4349395
Malik S, Gohiya P, Khan IA. Morbidity profile and mortality of neonates admitted in Neonatal Intensive Care Unit of a Central India Teaching Institute: A prospective observational study. J Clin Neonatol 2016;5:168. doi:10.4103/2249-4847.191251
Ranjan A, Singh A. Pattern of morbidity and mortality of neonates admitted in tertiary level neonatal intensive care unit in Nalanda Medical College and Hospital, Patna, Bihar, India. Int J Contemp Pediatr 2016;3:854-7. doi:10.18203/2349-3291.ijcp20162355
Published
How to Cite
Issue
Section
Copyright (c) 2023 MRUDULA YENEPALLI
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.
