Clinico–epidemiological profile and outcome of very low birth weight neonates admitted in a tertiary care Centre.

DR ATANU PAN; DR ANISH CHATTERJEE; Dr. Debarshi Jana

Volume : VIII, Issue : IV, April - 2019

Clinico–epidemiological profile and outcome of very low birth weight neonates admitted in a tertiary care Centre.

Dr Atanu Pan, Dr Anish Chatterjee, Dr. Debarshi Jana

Abstract :

This study was done to study the clinical and sociodemographic profile of VLBW neonates admitted in the neonatal wards i.e SNCU, NICU and neonatal HDU of DR. B. C. ROY POST GRADUATE INSTITUTE OF PEDIATRIC SCIENCES, to determine the outcome of these neonates and to study their morbidity and mortality profile. It was a prospective longitudinal observational study. Total number of subjects in this study was 150. Out of 150 VLBW infants enrolled in this study 63.3% were male & 36.7% were female with a male to female ratio of 1.7: 1. Out of the total of 150 babies, 117 survived and 33 died. Thus, the survival in the present study was 78% where as the mortality was 22%. Sepsis was the most common cause of mortality(54.5%) followed by Respiratory distress syndrome(15.1 % ), disseminated intravascular coagulation (15.1 %) and perinatal asphyxia, congenital heart disease, congenital anomalies, intraventricular hemorrhage and prematurity were the cause of mortality in 1 case each. The overall survival of VLBW neonates in this study was 78%. The significant risk factors for mortality were–maternal history of PROM, PN bleeding, medical illness during pregnancy. Mortality decreased as birth weight and gestational age increased. Shock and sclerema were the strongest clinical predictors for mortality. Sepsis, neonatal hyperbilirubinemia and perinatal asphyxia were the commonest morbidities while sepsis and RDS were the commonest causes of mortality.