Follow Up of High Risk Neonates Discharged from SNCU Up to 1 Year Period
Surender S Kajla and BS Karnawat*
Department of Pediatrics, JLN Medical College, Ajmer, Rajasthan, India
*Corresponding Author: BS Karnawat, Department of Pediatrics, JLN Medical
College, Ajmer, Rajasthan, India.
October 20, 2021; Published: November 30, 2021
Objective: This study was undertaken to follow and assess growth, neurodevelopment, immunization status, dietary pattern, morbidity and mortality in high risk newborns successfully discharged from Special/Sick Newborn Care Unit (SNCU) till one year period.
Method: This prospective study was conducted in SNCU of department of pediatrics, JLN medical college and hospital Ajmer. All neonates admitted and successfully discharged from SNCU during the period April 2018 to September 2018 were enrolled for the study and prospectively followed up to one year period.
Results: Out of total 1011 neonates successfully discharged, 618(61.1%) infants were followed up to 1 year. Out of 618 infants, 18% infants had weight <3rd percentile, 8.2% infants had length <3rd percentile, 9.7% infants had head circumference <3rd percentile. Developmental delay and increased muscle tone was found in 13.1% and 10.2% infants respectively. Most (72.2%) infants were on exclusively breast feeding up to 6 months while complimentary feeding was started in 98.5% infants by age of 1 year. Majority (93.4%) of infants were immunized. Abnormal BERA was found in 18 (2.9%) infants while retinopathy of prematurity was found in 6 (0.9%) infants. Diarrhea, respiratory infections, seizure disorder and Congenital Heart Disease (CHD) were major causes of morbidity while 45 (4.4%) infants expired before attaining 1 year age, mostly due to sepsis, respiratory infections and CHD.
Conclusion: High occurrence of growth failure and faulty feeding practices were documented. Most common morbidities were found to be diarrhea, respiratory infections, and seizure disorders. Other co morbidities observed were developmental delay, hearing difficulties, retinopathy of prematurity, cerebral palsy etc. Major causes of mortality were found to be sepsis, respiratory infections and congenital heart disease.
All high risk neonates should be followed up and assessed periodically to identify growth failure and neurodisabilities so that early intervention can be done.
High Risk Infants; Follow Up; Growth Failure; Neurodevelopment; SNCU
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