Abstract
Introduction: Neonatal Intestinal obstruction is commonest surgical cause in emergency, in which rapid intervention is required to prevent undesirable side effect of obstruction that includes death. This study provides spectrum of intestinal obstruction in neonates and sex prediction. Material and Method: This is prospective study done in neonates with feature of intestinal obstruction attending emergency and outdoor of Pediatrics Surgery, Pediatrics Medicine and General Surgery of U.P.U.M.S , Saifai, Etawah during period of January 2016–December 2016. Result: During the study period of one year total 44 patents admitted to our side with features of neonatal obstruction in which male female ratio was 3.8:1. Out of these 44 neonates Anorectal malformation was found in 61.36% neonates, Hirschsprung’s Disease in 9.09%, Duodenal obstruction in 6.81%, Hernia of umbilical cord in 4.54%, Atresia in 4.54, Congenital peritoneal band in 2.27%, Meconium obstruction in 2.27%, Malrotation in 2.27%, Meckel’s band obstruction in 2.27%, Ileal knotting in 2.27%, Idiopathic hypertrophic pyloric stenosis (IHPS) in 2.27%. Conclusion: Early identification and surgical management in neonatal intestinal obstruction decrease morbidity and motilities in neonates. Reason of male sex predominance is not known, it may be due to less attention towards female child by social custom in our society.
Highlights
Neonatal Intestinal obstruction is commonest surgical cause in emergency, in which rapid intervention is required to prevent undesirable side effect of obstruction that includes death
First meconium is passed by all full term healthy neonates within 24 hours of birth [1]
Unable to pass meconium within 48 hour after birth raises the suspicion of intestinal obstruction
Summary
Passage of first meconium within 24 to 48 hour is indication of wellbeing of newborns. First meconium is passed by all full term healthy neonates within 24 hours of birth [1]. Unable to pass meconium within 48 hour after birth raises the suspicion of intestinal obstruction. Neonatal intestinal obstruction has various etiologies depending upon age. Neonatal intestinal obstruction can be divided in high intestinal obstruction and low intestinal obstruction. In high obstruction vomiting is first sign and abdominal distension is last sign and distension is minimal or may be limited to upper part of abdomen where as in low intestinal obstruction abdominal distension is early feature and involves whole abdomen and vomiting is last sign. On improvement in neonatal physical condition neonates were allowed oral feed and discharged
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