Abstract
Objective: To know the profile of newborn admissions and its outcome and the factors associated with neonatal mortality. Methods: The study included both intramural and extramural cases of 180 newborn babies admitted in nursery over a period of 6 months from 01/08/06 to 31/01/07. The relevant data were recorded on a pre-designed proforma meticulously. Results: There were 180 newborn babies during the study period. The mean birth was 2.7 kg.. Majority, 77.8 %( 140) of the babies weighed equal to or more than 2.5 kg. Low birth weight (LBW) was seen in 22.2 %( 40) babies. There were 80 %( 144) full term babies and 20 %( 36) preterm babies. Majority of the mothers in the age group between 20-30 years had incomplete antenatal check- ups. There were 86 %( 155) normal vaginal deliveries, 4.5 %( 8) forceps deliveries and 9.5 %( 17) caesarean sections. Birth/perinatal asphyxia 39(22%), prematurity 36(20%) and neonatal septicemia 30(17%) comprised of leading admissions. There were 27deaths (15%) in total.13 (7%), 8(5%) and 6(3%) babies died of severe perinatal asphyxia, neonatal septicemia and prematurity respectively. Most of the deaths occurred during the first 72 hours. Conclusions: The mean birth weight is good. The major causes of neonatal death are birth/perinatal asphyxia, prematurity and neonatal septicemia. The factors influencing neonatal mortality are low and poor antenatal care, meconium stained liquor, delay in coming to the hospital, PROM, eclampsia. The study emphasises the importance of regular antenatal care, timely referral of pregnant women with complications to appropriate centers and conducting delivery in a clean environment for lowering neonatal mortality. Key words: newborn, admission, neonatal outcome, asphyxia doi:10.3126/jnps.v27i2.1413 J. Nepal Paediatr. Soc. Vol.27(2) p.73-74
Highlights
College of medical sciences is a tertiary level referral hospital for different specialities located in Chitwan, Bharatpur, Nepal
There were 86 %( 155) normal vaginal deliveries, 4.5 %( 8) forceps deliveries and 9.5 %( 17) caesarean sections.Table1.gives the leading admissions and neonatal death pattern of the babies at the hospital according to their birth weight
The study was undertaken to know the trends in neonatal admissions, mortality and the important factors associated with it in the teaching hospital, which is located outside Kathmandu
Summary
College of medical sciences is a tertiary level referral hospital for different specialities located in Chitwan, Bharatpur, Nepal. It receives cases from different parts of the region around the Chitwan and the country . There has been a remarkable decline in infant mortality rate in Nepal over the past fifteen years from 113 in 1987 to 64 in 20011,2. This has not been matched by a similar fall in neonatal mortality, which has decreased from 45.2 in 1987 to 38.6 in 2001. In view of above facts and figures, the study was undertaken to know the leading causes of neonatal death and factors associated with it in the teaching hospital outside Kathmandu
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
