Abstract

Objective: This study was undertaken to know the clinical and demographical profile of outborn neonates admitted in Neonatal Intensive Care Unit (NICU).

Method: This prospective study was conducted in NICU of department of pediatrics, JLN medical college and hospital, Ajmer from April 2018 to September 2018.

Results: Of the 1386 neonates admitted, 64.9% were males and 35.1% were females. Most cases (65.2%) belonged to the socioeconomic class upper middle and lower middle. 46.7% mothers had primary education and 44% mothers had secondary education while 4.0% mothers were illiterate. Among 1386 neonates, majority of neonates (65.6%) were term while 30.7% were preterm and 3.7% were post term. Rural residency (68.8%) was far more as compared to urban residency (31.2%). Majority of neonates (80.1%) were delivered vaginally while 19.9% were delivered by caesarean section. Majority of neonates (84.2%) were delivered at government hospitals while 12.6% and 3.2% neonates were delivered at private hospitals and at home respectively. As per birth weight, 46.3% neonates were between 1.5-2.49 kg, 38.1% neonates had birth weight more than 2.5 kg while 3.7% neonates were <1 kg. Majority of neonates (78.8%) were admitted in early neonatal period. Major causes of NICU admission were Birth asphyxia (14.1%), Respiratory Distress Syndrome (RDS) of newborn (12.6%), Neonatal Jaundice (10.2%). As far as mortality is concerned, RDS of Newborn (26.8%), Neonatal Sepsis (21.4%) and Birth Asphyxia (19.6%) were found to be major culprits. Majority (61%) of neonates were successfully discharged, while

24.2% died during treatment.

Conclusion: The majority of morbidities and subsequently the mortalities can be reduced by improving maternal care and essential newborn care, appropriate primary interventions and timely referral to tertiary care centers for high risk cases, with better transport facilities for sick neonates.

Keywords: Extramural Newborns; Neonatal Morbidity; Neonatal Mortality

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Citation

Citation: BS Karnawat., et al. “Clinical and Demographic Profile of Extramural Neonates Admitted in NICU of Tertiary Care Hospital in Central Rajasthan". Acta Scientific Paediatrics 3.11 (2020): 04-11.

Copyright

Copyright: © 2020 BS Karnawat., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.