A STUDY OF MORBIDITY AND MORTALITY PATTERNS OF NEWBORNS ADMITTED IN EXTRAMURAL NICU IN A TERTIARY CARE HOSPITAL

Abstract

Background: Newborn health is vital to the survival of all children on the planet. Three quarters of a million newborn deaths take place each year, making about thirty-six percent of
all pediatric deaths globally. Two-thirds of infant fatalities and nearly half of all deaths in children under five happen during the neonatal era. Objective: to study of morbidity and
mortality patterns of newborns admitted in extramural NICU in a tertiary care hospital.
Methods: We conducted our prospective hospital-based study for the one-year hospital
admission in tertiary care hospital. 1301 neonates were admitted during this period are enrolled in the study. Results: During this period, total 5945 patients visited the emergency room (neonate & non-neonate). 4887 patients were admitted while 1058 were treated as outpatient. Out of 4887, 1301 were neonates (27% of the total paediatric admission).Most of the time when a newborn was referred to emergency room it was for admission. 65% of newborns were admitted on the first day of life. Conclusion: Most of the time when a newborn was referred to emergency room it referred for admission. 65% of newborns were admitted on the first day of life. Out patients, referrals in c/o newborn were negligible during the study period. While data for non-neonate shows 1054 (23%) patients visited for OPD and 3586 (77%) patients required admission. Neonatal admission proportion has ranged from 25-30% thru out the year.