Morbidity and Mortality Profile of NICU in a zonal hospital of armed forces in central India, a Retrospective study

Dr(Col) O. P. Singh; Dr(col) K K Kaul

Volume : VIII, Issue : II, February - 2018

Morbidity and Mortality Profile of NICU in a zonal hospital of armed forces in central India, a Retrospective study

Dr Col O. P. Singh, Dr Col K K Kaul

Abstract :

Introduction: Neonatal period is the most vulnerable period in human life and has lifelong repercussions.

In depth knowledge of the profile of neonatal diseases helps in proper management of common neonatal problems which leads to better survival rates and improved quality of life among survivors.

Method: A hospital based prospective study was conducted after approval from the hospital ethical committee

during the period of July 2011to April 2016.A total of 955 newborns were admitted to NICU during this period

Result:

The major cause of morbidity was neonatal hyperbilirubinemia requiring phototherapy, low birth weight babies less than 1800grams who required special care, sepsis, and lesser common causes like hypoxia, respiratory distress and congenital anomalies.

The overall mortality was 18 and the rate was (1.78%).The cause of mortality was due to Various Congenital Anomalies –07(0.73%), Extremely Low Birth Weight–03(0.31%) Intracranial hemorrhage– 03(0.31%), Respiratory Distress Syndrome–03 (0.31%) and Sepsis–02(0.20%).

Conclusion: This study identifies neonatal hyperbilirubinemia being the most important cause of morbidity and multiple congenital anomalies, low birth weight, and sepsis as causes of mortality in that order.

Improving the antenatal care, maternal health and timely intervention by referral to tertiary centers may go a long way in improving neonatal outcome..