NEONATAL MORBIDITY AND MORTALITY IN A NEONATAL INTENSIVE CARE UNIT: A HOSPITAL BASED PROSPECTIVE STUDY

Volume : VIII, Issue : V, May - 2018

Yudhvir Singh Kotwal, Farooq Ahmed Jan, Ghulam Hassan Yatoo, Sangita Kotwal

BACKGROUND: India accounts for 1.2 million deaths every year which is one fourth of global neonatal deaths and

thus faces the biggest newborn health challenge of any country in the world. It has been observed that improved level of

newborn care can ing down the mortality rates. Knowing the common causes of morbidity among the neonates will help in devising

straetegies to reduce neonatal mortality. A study of Neonatal Intensive Care Unit (NICU) was undertaken at SKIMS Srinagar to determine the

causes of neonatal morbidity and mortality in a Neonatal Intensive Care Unit of a Tertiary Care Teaching Hospital in Indian State of Jammu &

Kashmir.

MATERIAL AND METHODS: A descriptive case series hospital based prospective study was conducted over a period of one year from with

effect from 1st January 2013 to 31st December 2013 in NICU of SKIMS Srinagar by administering a predesigned standardized questionnaire

proforma to one or both parents of admitted neonates in a NICU of Sher–i–Kashmir Institute of Medical Sciences (SKIMS) Srinagar, Jammu and

Kashmir–India.

RESULTS: Neonatal Jaundice (NNJ) (26.7%) was the most common cause of morbidity and admission to NICU followed by Septicemia

(19.1%) Prematurity (12.5%), Birth Asphyxia (7%) and Respiratory Distress Syndrome (RDS) (5.7%) whereas Prematurity (24.2%) followed

by Septicemia (18.2%), Birth Asphyxia (11.1%), Meconium Aspiration Syndrome (10.1%) and Respiratory Distress Syndrome (9.1%) were the

top five major contributors to the neonatal mortality

CONCLUSIONS: The study found that Neonatal Jaundice (NNJ) was the commonest causes of morbidity and admission and Prematurity was

the most common cause of neonatal mortality in NICU in a Tertiary Care Teaching Hospital in Indian State of Jammu & Kashmir