Birth Asphyxia, Hyperbilirubinemia and Mortality Among Neonates Admitted in Nicu of a Tertiary Care Hospital of Assam: A Descriptive Study.

Abstract

Introduction: Most of the neonatal deaths are related to three preventable and treatable conditions like complications due to prematurity, asphyxia and infections. Globally birth asphyxia is still a major clinical problem and one of the leading causes of perinatal and neonatal mortality and morbidity especially in developing countries leading to lifelong disability. Neonatal jaundice can also cause damages like impaired vision and hearing along with learning disabilities apart from contributing to neonatal deaths. Therefore, this retrospectiveMethods And Objective: descriptive study was planned with the aim to determine the prole of those neonates who developed asphyxia, hyperbilirubinaemia and expired in NICU of a tertiary care hospital in the Mid North Bank region of Assam. During the study period, out of 622, 204 neonates hadResults: birth/perinatal asphyxia and HIE due to asphyxia and 47 neonates died during the same period. Birth asphyxia accounted for 59.6% of death and 12.8% neonates who died with birth asphyxia also had Serum bilirubin level higher than 10mg/dl.

Neonatal morbidity and mortality patterns in NICU at Al-Ameen Medical College and Hospital, Bijapur

“…3,4 The major cause of mortality was RDS which was similar to the findings in the study conducted by Saini et al 5 They conducted study on 6509 live births, of which 50 were twin pairs and 6409 were singleton birth. Hyperbilirubinemia, sepsis, and respiratory distress were found to be the leading causes of morbidity in a study conducted by Bharthakur et al 6 Birth asphyxia, prematurity, and neonatal sepsis were the leading causes of neonatal mortality in the study done by Ranjan et al 8 The preterm and low birth weight babies had significantly high mortality even with standard intensive care which is comparable with the findings obtained in other similar studies. 9,10,12,13 RDS, birth asphyxia, and neonatal sepsis were found to be the major causes of death, according to the current study.…”