IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-4-15116 Original Research Paper An Introspection of Neonates Died Before Reaching Special Care Newborn Unit Saurabh Kumar Patel Dr. Dr. Naresh Bajaj Dr. April 2018 7 4 01 02 ABSTRACT

 Background: Neonatal mortality is high in our country and the most of the neonates are brought dead in health care facilities. Considering this fact,

a research is done to determine the probable causes and factors associated with neonate presented dead to the neonatal unit in tertiary care hospital.
Methods: Retrospective analysis of the medical case records of one–year period from January 2016 to December 2016 was done in the neonatal unit
in tertiary care teaching hospital. Information was collected from the attenders and other family members who accompanied the baby. Result: In
one year period total 167 brought dead cases presented to the neonatal unit, amongst them 70.6% were males. 41.3% were preterm and 70% weigh
less than 2.5 Kg. More than 85% of cases were brought by Ambulance and most (78.4%) took 1 to 6 hours to reach the destination. Probable cause
could be found in only 53.2% (89/167) cases. Neonatal sepsis accounted for one third of cases followed by respiratory difculty.Conclusion: Sepsis
is the leading cause of brought dead neonates. Low birth weight is associated risk factor. Ambulance utilization rate is better than other countries.
There is need of well–designed studies regarding neonates brought dead in emergency units.