Abstract
Background: Neonatal period is very important and precious period because most of the preventable morbidities and mortalities occur in this period. In our country, prematurity, infection and perinatal asphyxia are three major causes for neonatal mortality. Special Neonatal Care Units (SNCUs) have been established at district hospitals to combat this challenge.
Methods: This observational retrospective study was planned to determine the clinical profile and outcome of various neonatal admissions at SNCU, Regional Hospital Kullu, a hospital mainly serving the rural population. The data was collected for a time period of one year from 01/08/2018 to 31/07/2019. Detailed information was collected from files and registered onto the preset proformas and results were compiled and evaluated on master chart.
Results: A total of 764 neonates were included in this study. Out of them 472(61.7%) were inborn and 292(38.3%) were outborn admitted from emergency/OPD or referred from adjoining area. There were 447 males and 317 females with male to female ratio of 1.4:1 and 341(44.7%) of total admissions were full term. Major indications for admission were neonatal jaundice [379(53.3%], prematurity [239(31.28%)] and sepsis [83(10.86%)]. The range of hospital stay was from 1 day to 15 days with average hospital stay of 1to3 days. Mortality rate was 3% during this period and main cause of mortality was RDS and prematurity.
Conclusion: Neonatal period is a very crucial period for development of morbidity and mortality. SNCUs with skilled staff can prevent the worst outcomes by early interventions.
Keywords: SNCU, Neonate, Morbidity, Mortality, Outcome.
References
- Levels and Trends in Child Mortality –Report 2013. Estimates Developed by the UN Inter-Agency Group for Child Mortality Estimation. New York: UNICEF;2013.
- Anurekha V, Kumaravel KS, Kumar P,Kumar S. Clinical profile of neonates admitted to a neonatal intensive care unit at a referral hospital in South India. International Journal of Pediatric Research. February 2018;5:2.
- Shah HD, Shah B, Dave PV, Katariya JB, Vats KP. A step toward healthy newborn: An assessment of 2 years' admission pattern and treatment outcomes of neonates admitted in special newborn care units of Gujarat. Indian J Community Med[serial online] 2018 [cited 2018 May6];43:14-8.
- Bassani DG, Kumar R, Awasthi S, Morris SK, Paul VK, Shet A, et al. Causes of neonatal and child mortality in India: a nationally representative mortality survey. Lancet. 2010 Nov 27;376(9755):1853-60. doi: 10.1016/S0140-6736 (10) 61461-4. Epub 2010 Nov 12.
- Toolkit for setting up Special Care Newborn Units, Stabilisation Units & Newborn Care Corners”- Multi-centric Home based Intervention Project of the Indian Council of Medical Research [ICMR Annual Report 2005-06].
- Sharma RK, Khan R, Anjum S. Study to evaluate the functioning of Special Care Newborn Unit (SNCU) established at a District Hospital. IJBR. 2017;08:514-20.
- Shakya A, Shrestha D, Shakya H, Shah SC, Dhakal AK. Clinical profile and outcome of neonates admitted to the Neonatal Care Unit at a teaching hospital in Lalitpur, Nepal. Journal of Kathmandu Medical College 2014; 3(4) Issue 10:144-148.
- Shrestha SP, Shah AK, Prajapati R, YR Sharma YR. Profile of Neonatal Admission At Chitwan Medical College. Journal of Chitwan Medical College 2013; 3 (6): 13-16.
- Omoigberale AI, Sadoh WE, Nwaneri DU:A 4 year review of neonatal outcome at the University of Benin Teaching Hospital, Benin City. Niger J Clin Pract 2010;13:321-5.
- Uganda Bureau of Statistics (UBOS) and Macro International Inc: Uganda Demographic and Health Survey 2006.Calverton, Maryland, USA: UBOS and Macro International Inc; 2007.
- Simiyu DE. Morbidity and mortality of neonates admitted in general paediatric wards at Kenyatta National Hospital. East Afr Med J. 2003 Dec;80(12): 611-6.
- Bhatnagar M, Jiwane N. Clinical Profile and Outcome of Babies Admitted to Special Newborn Care Unit (SNCU): Retrospective Observational Study. International Journal of scientific research. 2016; 5:64-6.
- Patil Ravindra B, Koppad Raghavendraswamy, Benakanal Shreeshail. Clinical Profile and Outcome of Babies Admitted to Neonatal Intensive Care Unit (NICU), Mc Gann Teaching Hospital Shivamogga, Karnataka: A Longitudinal Study. Sch. J. App. Med. Sci., 2014; 2 (6G): 3357-3360.
Corresponding Author
Dr Mohit Bajaj Pediatrician
Address: House no. 58/A, ward no. 2, Shamshi, P.O Shamshi, Distt. Kullu (H.P.), India