scholarly journals A prospective observational study of morbidity and mortality profile of neonates admitted in neonatal intensive care unit of secondary care centre in central Maharashtra, India

2018 ◽  
Vol 5 (4) ◽  
pp. 1403
Author(s):  
Hemant Adikane ◽  
Kishor Surwase ◽  
Vishal Pawar ◽  
Kalidas Chaudhari
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Observational Study ◽  
Neonatal Intensive Care ◽  
Birth Asphyxia ◽  
Admission Rate ◽  
Study Data ◽  
Neonatal Deaths ◽  
Low Birth Weight Babies

Background: Globally, 2.6 (2.5-2.8) million newborns died in 2016-i.e. nearly 7,000 every day. Neonatal deaths accounted for 46 % of all under-five deaths, increasing from 41 % in 2000. Five countries accounted for half of all newborn deaths including India. NFHS 4 data suggests that neonatal mortality rate (NMR) declined to 30 deaths per 1,000 live births.Methods: Present observational study was conducted at district hospital, Parbhani. Study period was Jan 2017 to Dec 2017. All the admitted babies to NICU were included into study. Data was collected by interview method using a predesigned, semi-structured questionnaire. Various morbidities and reasons for mortality were included.Results: There were total 2471 admission during year of 2017. There was slightly higher admission rate for Males 1432 (57.95%) than females 1039 (42.05%). Pre-term admissions were 501 (20.28%). Majority of admissions were due to low birth weight 1170 (47.35%).Conclusions: In the year of 2017, total 2472 NICU admissions took place. Out of these, 126 (5.09%) died. Respiratory distress syndrome, low birth weight, birth asphyxia were accounting for mortalities. The neonatal jaundice, preterm and low birth weight babies had significantly high mortality even with standard intensive care.

A hospital based prospective study to determine incidence of retinopathy of prematurity among premature and low birth weight babies admitted to NICU in Rajarajeshwari Medical College and Hospital

2017 ◽  
Vol 4 (3) ◽  
pp. 1008
Author(s):  
Darshan K. Raj ◽  
Adarsh E. ◽  
Prema R. ◽  
. Jayaprakash ◽  
Dhanyatha M. ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care Unit ◽  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Eye Drops ◽  
Medical College ◽  
Low Birth Weight Babies

Background: ROP is a disorder of the developing retinal blood vessels in the premature infant retina. Objective of present study is to determine the number of babies affected with ROP among the premature and low birth weight babies admitted to neonatal intensive care unit or attending neonatal follow up clinic at RRMCH Hospital during a period of one year.Methods: This is a prospective observational study conducted in Rajarajeswari Medical College and Hospital Bangalore for 12 months. All eligible babies were screened at Neonatal Intensive Care Unit where temperature is well controlled and the place to handle any emergencies. The pupils were dilated using 2.5% phenylephrine and 0.5% tropicamide eye drops instilled three times into each eye at intervals of 15 minutes about one hour before the scheduled examination.Results: 100 babies were screened and followed up. The incidence of ROP is 40%. Gestational age (<37weeks) and low birth weight (2500g) are important risk factors for ROP. Our study concluded that ROP is an important complication of prematurity.Conclusions: The present study highlights the magnitude of the problem due to ROP in a tertiary care centre. Meticulous fundus examination with indirect ophthalmoscopy in all preterm babies with gestational age <37weeks and birth weight ≤2500gms is essential non invasive method for early detection of ROP and its progression. 

scholarly journals Faktor Yang Mempengaruhi Kejadian BBLR (Berat Badan Lahir Rendah) Di Ruang Perawatan Intensif Neonatus RSUD DR Moewardi Di Surakarta

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayu Rosida Setiati ◽  
Sunarsih Rahayu
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Placenta Previa ◽  
Birth Spacing ◽  
Low Birth Weight Infants ◽  
Antepartum Haemorrhage ◽  
Low Birth Weight Babies ◽  
History Of

Abstract: Low Birth Weight, Age, Hypertension. Weight is one health indicator of the newborn. In basic, infants with low birth weight of less than 2500 grams have a greater risk of health problems which cause by many factor like hypertension, anemia, asthma, a history of low birth weight, birth spacing, parity, antepartum haemorrhage, rupture prematures, and placenta previa. The purpose of this study to determine the factors that influence the incidence of low birth weight in neonatal intensive care units of DR Moewardi Hospital. This study design was retrospective descriptive analytic approach in low birth weight infants in the neonatal intensive care unit of DR Moewardi Hospital in January to March 2016. The sampling technique using total sampling. The inclusion criteria low birth weight infants in the neonatal intensive care DR. Moewardi Hospital, mothers who gave birth low birth weight in DR Moewardi Hospital, low birth weight babies referrals from outside hospitals DR Moewardi accompanied by her mother who participated to DR Moewardi Hospital. Exclusion criteria mothers with low birth weight babies and low birth weight infants who died. Analysis data with frequency distribution and bivariate using Chi Square test. The age (p=0.021), hypertension (p=0.049), parity (p=0.024), antepartum haemorrhage (p=0.049), eclampsia (p=0,049), rupture prematures (p=0.031) was associated with low birth weight. Anemia (p=0.737) bronchial asthma (p=0.362), a history of low birth weight (p=0.554), birth spacing (p=0.680), placenta previa (p=0.258) was not associated with low birth weight. Age, hypertension, parity, antepartum haemorrhage, eclampsia and rupture prematures associated with low birth weight

Mothers of Infants With Congenital Diaphragmatic Hernia Describe “Breastfeeding” in the Neonatal Intensive Care Unit: “As Long as It’s My Milk, I’m Happy”

2017 ◽  
Vol 33 (3) ◽  
pp. 524-532 ◽  
Author(s):  
Elizabeth B. Froh ◽  
Janet A. Deatrick ◽  
Martha A. Q. Curley ◽  
Diane L. Spatz
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care Unit ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Neonatal Intensive Care ◽  
Safety Net ◽  
Prospective Longitudinal

Background: Very little is known about the breastfeeding experience of mothers of infants born with congenital anomalies and cared for in the neonatal intensive care unit (NICU). Often, studies related to breastfeeding and lactation in the NICU setting are focused on the mothers of late preterm, preterm, low-birth-weight, and very-low-birth-weight infants. Congenital diaphragmatic hernia (CDH) is an anatomic malformation of the diaphragm and affects 1 in every 2,000 to 4,000 live births. Currently, there are no studies examining the health outcomes of infants with CDH and the effect of human milk. Research aim: This study aimed to describe the breastfeeding experience of mothers of infants with CDH cared for in the NICU. Methods: A prospective, longitudinal qualitative descriptive design was used. Phased interviews were conducted with a purposive sample of 11 CDH infant–mother dyads from a level 3 NICU in a children’s hospital. Results: Six themes emerged from the data: (a) hopeful for breastfeeding, (b) latching on . . . to the pump, (c) we’ve already worked so hard, (d) getting the hang of it—it’s getting easier, (e) a good safety net, and (f) finding a way that works for us. Conclusion: For this population of CDH infant–mother dyads, the term breastfeeding is not exclusive to direct feeding at the breast and the mothers emphasized the significance of providing their own mother’s milk through a combination of feeding mechanisms to their infants with CDH.

Prevalence and predictors of adverse outcomes in neonatal seizures

2021 ◽  
pp. 1-7
Author(s):  
K. Famra ◽  
P. Barta ◽  
A. Aggarwal ◽  
B.D. Banerjee
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Birth Asphyxia ◽  
Adverse Outcomes ◽  
Neonatal Seizures ◽  
Clinical Practices ◽  
Inborn Errors ◽  
Mortality And Morbidity ◽  
Low Birth Weight Babies

OBJECTIVES: Neonatal seizures are significant cause of neonatal mortality and morbidity. Current study was planned to study prevalence of adverse outcomes in neonatal seizures and identify its predictors. METHODS: This observational descriptive study was carried out on 220 neonates with seizures. Neonates who succumbed to illness/ death before investigations, or whose maternal records were incomplete were excluded. Blood sugar, serum calcium, serum electrolytes, and USG skull were done in all patients. CT scan, MRI and inborn errors of metabolism profile were done as and when indicated. Adverse outcomes were defined as death, phenobarbitone non responders, or abnormal examination at discharge. Antenatal, perinatal and neonatal predictors of adverse outcomes in neonatal seizures were evaluated. RESULTS: Out of 220 neonates with seizures 76(34.5%) had adverse outcomes. Very low birth weight babies (≤1500 gm) [OR 1.27(CI 0.57–2.84)], microcephaly [OR 5.93 (CI 0.55–64.41)], Apgar score≤3 at 5 minutes [OR 11.28(CI 14.18–30.45)], seizure onset within 24 hours [OR 5.99(CI 12.43–14.78)], meningitis [OR 2.63(CI 0.08–6.39)], septicemia [OR1.22(CI 0.45–3.31)] and abnormal cranial USG [OR 7.95(CI 12.61–24.22)] were significant predictors of adverse outcomes in neonates with seizures. CONCLUSION: Prematurity, very low birth weight, birth asphyxia, meningitis, septicemia and abnormal USG could predict adverse outcomes in neonatal seizures. Improved antenatal and neonatal clinical practices may help reduce adverse outcomes in these patients.

scholarly journals Perinatal Outcome of the Second Twin

2015 ◽  
Vol 10 (1) ◽  
pp. 89-93
Author(s):  
R Joshi ◽  
G Baral
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Neonatal Intensive Care Unit ◽  
Apgar Score ◽  
Perinatal Outcome ◽  
Neonatal Intensive Care ◽  
Mode Of Delivery ◽  
Admission Rate ◽  
Second Twin

Aims: The purpose of this study was to determine the perinatal outcome of the second twin compared to the first one. Methods: This is a hospital based comparative study of 60 pregnant women with twin pregnancy at Paropakar Maternity and Women’s Hospital, Kathmandu from 14 January 2013 to13 April 2013. Apgar score and admission to neonatal intensive care unit of the first and the second twins were studied in relation to the gestational age, chorionicity, mode of delivery, inter-delivery interval and birth weight. Mc Nemars test was used with 0.05 as the level of significance. Results: Among 60 sets of twins, Apgar score of the second twin was found to be lower than the first one (p=0.02) in general and in preterm gestation (p=0.049), dichorionic diamniotic chorionicity (p=0.012), vaginal delivery (p<0.001), inter-delivery interval of <30 minutes (p=0.007) and birth weight discordance of <30 % (p=0.014). Admission to neonatal intensive care unit was not significant (p=0.5). Conclusions: Second twin had low Apgar score and the neonatal admission rate was similar for both twins. 

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