Factors affecting neonatal mortality and morbidity-An epidemiological study pattanaik Tapan1, Das Ratan Kumar2,*, Subudhi K Trimal2, Sahu Mahesh Chandra3 1Professor, Department of Obstetrics and Gynaecology, I.M.S & SUM Hospital, Siksha ‘O’ Anusandhan Deemed to be University, Bhubaneswar, Odisha, India 2Assistant Professor, Department of Paediatrics, I.M.S & SUM Hospital, Siksha ‘O’ Anusandhan Deemed to be University, Bhubaneswar, Odisha, India 3Assistant Professor, Directorate of Medical Research, I.M.S & SUM Hospital, Siksha ‘O’ Anusandhan Deemed to be University, Bhubaneswar, Odisha, India *Corresponding author: Dr. Ratan Kumar Das, Assistant Professor, Dept. of Paediatrics, I.M.S & SUM Hospital, Siksha ‘O ’Anusandhan Deemed to be University, Bhubaneswar, Odisha, Email: drrat0477@gmail.com
Online published on 9 January, 2019. Abstract Background Neonatal period is very much vulnerable to different problems leading to death. Neonatal morbidities are burden to the health system and claim the neonatal life. Sample registration system (SRS) statistical report 2013 says Odisha have very high NMRs around 35 or more per 1000 live births. This study aims at finding out the epidemiological causes affecting the neonatal morbidities and mortality. Material and method This is a retrospective observational study. Tenure of the study is one year from January 2014 to December 2014. Result Total number of 304 cases was observed. Percentage of deliveries requiring NICU admission-18.78%. Majority of cases admitted (58.8%) cases were within 24 hours of delivery. Out of which 61.8% cases were male.51.3% cases were delivered by NVD. Highest number of mothers was within 25–30 years of age and was multipara. Neonatal jaundice and prematurity are the two important cause of morbidity (49.3%, 32.8% respectively).death rate was 2.96% while number of cases improved was 93.7%.3.2% cases had left the hospital against medical advice. Conclusion The neonatal morbidity and mortality is a reflection of the socio economical background of the mother. A holistic approach from proper antenatal care to delivery and a proper neonatal care can reduce not only the mortality but also the morbidities of the neonate. Top Keywords Low birth weight, Prematurity, NICU, Birth asphyxia, meconium aspiration. Top |