To Study the Morbidity and Mortality Pattern of Outborn Neonates Admitted in Neonatal Intensive Care Unit of Indore

Malpani, Preeti; Biswas, Manju; Uikey, Ravi Shankar

doi:10.32677/ijch.2018.v05.i04.016

Cited by 1 publication

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“…Identification and intervention of acute life threatening events is important to reduce the mortality. 12 Sepsis [24][25][26] Prematurity and its complication like respiratory distress syndrome (51.52% versus 22.64%), birth asphyxia (10.15% versus 8.36%) and meconium aspiration syndrome (5.58% versus 1.74) were more prevalent in intramural neonates compared to extramural neonates because high risk mothers were referred and delivered in institute which resulted in preterm birth and extremely/very low birth weight neonates. It is also true that most of the mothers are reported in active labor resulting in more asphyxiated and meconium aspirated neonates.…”

Section: Discussionmentioning

confidence: 99%

Morbidity and mortality pattern of intramural and extramural neonate: a prospective observational study

Meshram

Jain

Apte

et al. 2021

Int J Contemp Pediatr

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Background: Neonatal period carries higher risk of death inspite of advances in perinatal and neonatal services. The objective of the study was to assess the morbidity/mortality pattern of intramural and extramural neonates.Methods: Prospective observational study was undertaken on all intramural and extramural neonates who fulfill the inclusion criteria at a tertiary institute for one year. Morbidity and mortality patterns were analyzed.Results: A total 1770 intramural and 997 extramural neonates required admission during the study period. Mortality rate in intramural neonate was 22.26% while in extramural neonate was 28.79%. The male to female ratio was 1.27:1 in intramural while 1.3:1 in extramural neonates. Preterm neonates with extremely/very low birth weight were predominant in intramural group and term neonates in extramural group (p<0.001). Maternal illness during pregnancy were significantly more in mothers of extramural neonates compared to that of intramural neonates (p<0.001). Lethargy and hypothermia was significantly more in extramural group (p<0.001) while respiratory distress was significantly higher in intramural group (p=0.01). The leading causes of admission in intramural neonates was prematurity with respiratory distress syndrome (31.64%) while sepsis (37.01%) in extramural group of neonates. Preterm birth complication (51.52%) was the common cause of mortality in intramural neonates while sepsis (42.16%) in extramural neonates.Conclusions: Sepsis is the most common cause of morbidity/mortality in extramural neonates while prematurity and its complication in intramural neonates.

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Section: Discussionmentioning

confidence: 99%