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CLINICAL PROFILE AND PREDICTORS OF MORTALITY OF EXTRAMURAL NEONATES ADMITTED IN NICU OF TERTIARY CARE HOSPITAL IN CENTRAL RAJASTHAN : PROSPECTIVE OBSERVATIONAL STUDY
Author(s) -
Anuj Sharma,
Pukhraj Garg,
Arjun Singh
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/3711180
Subject(s) - medicine , pediatrics , neonatal intensive care unit , jaundice , asphyxia , birth weight , caesarean section , low birth weight , perinatal asphyxia , observational study , prospective cohort study , neonatal sepsis , sepsis , obstetrics , pregnancy , surgery , pathology , biology , genetics , immunology
OBJECTIVE: This study was undertaken to know the clinical profile and predictors of mortality of outborn neonatesadmitted in Neonatal Intensive Care Unit (NICU).METHOD:This prospective study was conducted in NICU of department of pediatrics,JLN medical college & hospital,Ajmer from January 2019 to December 2019.RESULTS:Of the 2250 neonates admitted,There was male preponderance (64%),male:female ratio was 1.78:1.Majorityof neonates (68.4%) were term while 31.2% were preterm and 0.4% were post term gestation. Majority of neonates(79.8%) were admitted in early neonatal period while 20.1% neonates were admitted in late neonatal period. As perbirth weight,44.1% neonates were between 1.5-2.49 kg,42.6% neonates had birth weight more than 2.5 kg while 3.4%neonates were <1 kg.Majority of neonates (88.7%) were delivered vaginally while 11.3% were delivered by caesareansection.Majority of neonates (85.1%) were delivered at govt.hospitals while 11% and 3.9% neonates were delivered atprivate hospitals and at home respectively. Rural residency (73.7%) was far more as compared to urban residency(26.3%).42.8% mothers had primary education and 47.7% mothers had secondary education while 3.8% mothers wereilliterate. Majority of cases (66.1%) belonged to middle socioeconomic class. Major causes of NICU admission werebirth asphyxia / HIE of newborn (21.11%),neonatal sepsis (16.36%),neonatal jaundice (12%),RDS of newborn (8.6%),and prematurity (7.7%). Out of 2250 neonates admitted, 70.1% babies were successfully discharged while 29.9%neonates died during treatment.Birth Asphyxia / HIE of Newborn (22.25%),RDS of Newborn (20.47%),Neonatal Sepsis(16.02%), Shock (10.98%), Congenital Malformations (6.82%), and ELBW (6.38%) were found to be major causes ofmortality among neonates admitted in NICU.CONCLUSION: The majority of morbidities and subsequently the mortalities can be reduced by improving maternalcare and essential newborn care,appropriate primary interventions and timely referral to tertiary care centers for highrisk cases,with better transport facilities for sick neonates.

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