A Retrospective Study to Understand the Clinico-Social Profile of Neonatal Deaths in a Teaching Hospital Soumyashree M.N.1, Viveki R.G.2,*, Halki Sunanda3 1Postgraduate Student, Department of Community Medicine, Belagavi Institute of Medical Sciences, Belagavi, Karnataka, India 2Professor and Head, Department of Community Medicine, Belagavi Institute of Medical Sciences, Belagavi, Karnataka, India 3Statistician, Department of Community Medicine, Belagavi Institute of Medical Sciences, Belagavi, Karnataka, India *Corresponding Author: Dr. R.G. Viveki, Professor and Head, Department of Community Medicine, Belagavi Institute of Medical Sciences, Belagavi, Karnataka, India. 590001, e-mail: rgviveki@gmail.com, acchuhariprasad@gmail.com, Mobile No.: 09845143860, 08095204508
Online published on 23 December, 2019. Abstract Introduction The first 28 days of life is the neonatal period, which represents the most vulnerable time for a child's survival. In 2015 neonatal mortality rate was 19 and 28 per 1000 live births for world and India respectively. It is important to reduce neonatal mortalityto address the major causes of neonatal deaths. Objective (1) To understand the clinico-social profile of the neonatal deaths. (2) To correlate the causes of neonatal deaths with age, parity and other obstetrics parameters. Methodology A retrospective study was conducted in Department of Pediatrics, Belagavi Institute of Medical Sciences, Belagavi from January to December 2016. 114 study cases were included, the parents of the expired neonates who were admitted in Pediatric Department, BIMS Hospital were interviewed for the information about socio-demographic details, antenatal, natal and postnatal history by using pre-designed, pre tested and structured questionnaire after taking written informed consent. The cause of neonatal death was recorded from case sheet after taking permission from the Department of Paediatrics. Data was analysed using Ms Excel 2007 and SPSS version 22, proportion and chi square test was applied and p value < 0.05 was considered as significant. Results 70 (61.4%) and 44 (38.6%) of them were found to be male and female respectively. 83 (72.8%) of them resided in rural area whereas, 31 (27.2%) resided in urban area. majority (26.3) of the mothers were illiterate. The common causes of death among the deceased neonates were prematurity (43.9%) followed by, birth asphyxia (36%). Age of the deceased neonates (early neonates, late neonates) was significantly associated with educational status of the mothers (P < 0.05) and practice of washing hands with soap water after defecation (P < 0.05). Conclusion Most of the neonatal mortalities can be prevented by effective implementation of MCH services and timely interventions. Top Keywords Neonate, Mortality, Hospital. Top |