Clinical Profile and Outcome of Neonates Admitted in Intensive Care Unit: A Cross Sectional Study in District Hospital

Abstract

Neonatal period, which is the first 28 days of an infant’s life, is the most crucial and vulnerable period. A remarkable decline in mortality rates during neonatal period for the past two decades is due to the advances of obstetric practice in term of medical screening and surveillance and increased neonatal specialization. However, respiratory tract disorders, along with sepsis and other types of infection, are the major causes of neonatal morbidities and mortalities. Hence, this study is aimed to bridge these gaps and provide inputs to the program implementers to design necessary interventions that could contribute to the reduction of neonatal morbidity and mortality.Aims: To determine the clinical profile and neonatal outcome admitted to NICU in district hospitalObjectives: 1. To determine the socio demographic factors associated with neonatal outcome 2. To determine the obstetric profile associated with neonatal outcome.Methods: This hospital based retrospective study was conducted in the NICU of Tumakuru district hospital from Jan to March 2023. Records of all the admitted neonates were reviewed. The details were collected based on a structured questionnaire prepared in English. This contained information regarding obstetric and antenatal care (ANC), gestational age at birth, birth weight, sex, APGAR score, age at admission, admission diagnosis, neonatal outcomes and other related details. The data collected was entered in Microsoft excel (MS Excel) and quantitative variables was analysed by mean and qualitative variable by proportion by epi in go 3.4.3. Chi square was used to find out the association between the neonatal outcome and other variables. P value <0.05 was considered significant.
 Results: A total of 120 neonates were admitted during the study period. 47 (39.1%) mothers of the neonates were aged 21-25years and followed by 34 (28.3%) mothers in the age of 26-30 years. Association between neonatal outcome and socio demographic components was not statistically significant but definitely outcome was better with the good socio demographic profile. Regarding ANC follow up, 119 (99.1%) mothers had attended at leastone prenatal visit and majority 100 (80%) were having ANC check-up at government hospital. The most commoncauses of neonatal mortality were respiratory distress syndrome 4(3.33%), followed by low birth weight 4(3.33%), and preterm 3(2.5%).Conclusion: Inspite of improved technology and facilities available still the neonatal outcome is worst. These all are preventable causes of neonatal mortality and morbidities which has to be taken care bygiving due importance to its predictors. Maternal and environmental factors has to be taken care and dealt.