Abstract
Introduction: First 28 days of life is the most vulnerable period after birth as the newborns are prone for acquiring some preventable and other non-preventable diseases at this age. Developing countries like India contribute to nearly 1/3rd of neonatal mortality which are majorly seen during delivery and could be prevented.Thus, these neonatal diseases prove to be a major burden on an economy of the developing countries like ours. Poor maternal health, not so sufficient management of pregnancy related complications and scarcity of neonatal careare few of the identified risk factors for neonatal morbidities. Newborn disease pattern is a very insightful pointer of accessibility, utility and value of maternal & child health services in our society[1]. Objectives: To assess the various morbidity patterns in patients presenting to neonatal intensive care unit of tertiary care centre, Moradabad. Material and Methods: The present study was conducted in Teerthanker Mahaveer Medical College and Research Centre, Moradabad between May 2017 to April 2018. Total 100 newborns presenting with conditions requiring admission to the NICU were included in the study. Results: The maximum number of cases (78%) presented within the first three days of life, with male preponderance (78%). The study revealed a large number (94%) of these neonates were being delivered at hospitals and thus were referred in time for better care, preterm delivery rates (45%) were comparable to term deliveries (55%),Of the 47% patients presenting with sepsis 57% had early onset sepsis and 43% patients had late onset sepsis. HIE (I/II/III) and low birth weight constituted other major groups responsible for neonatal morbidity. Amongst the maternal risk factors for sepsis 38% mothers had leaking per vaginum. Conclusion: Present study concluded that early care and intervention is needed during first 72hrs of life to prevent and manage most neonatal morbidities.
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