scholarly journals Prematurity: A Major Cause of Early Neonatal Mortality in Ad-din Medical College Hospital

2019 ◽  
Vol 18 (3) ◽  
pp. 593-597
Author(s):  
Nasim Jahan ◽  
Md Abdul Mannan ◽  
Shirin Akter ◽  
Farhana Afroz ◽  
Tashmin Farhana ◽  
...  
Keyword(s):  
Birth Weight ◽  
Neonatal Mortality ◽  
Perinatal Asphyxia ◽  
Medical Science ◽  
Neonatal Resuscitation ◽  
Medical College Hospital ◽  
Mortality Data ◽  
College Hospital ◽  
Medical College ◽  
Early Neonatal Mortality

Objective: Early neonatal mortality within the fi rst 24 hours contributes substantially to overall neonatal mortality rates. Reliable cause- specific mortality data are limited; thus the estimated proportion of prematurity-related deaths nationally remains questionable. The objective was to determine the presumed causes of neonatal death within the fi rst 24 hours in Ad-din Medical College Hospital. Methods: This is a retrospective study initiated in January of 2016 to December 2016, conducted in the delivery room and adjacent neonatal area at Ad-din Medical College Hospital. Research assistants were trained to observe and record events related to labor, neonatal resuscitation, and 24-hour postnatal course. Perinatal asphyxia (PNA) was defined as failure to initiate spontaneous respirations and/or 5-minute Apgar score <7, prematurity as gestational age <37 weeks, and low birth weight (LBW) as birth weight (BW) < 2500gm. Data were analyzed with using the SPSS version (Chi-Square test). Results: Over 1 year, 14316 neonates were born and evaluated. Of these, 1867 were admitted to the neonatal area. Twenty seven neonates died secondary to Prematurity (55.56%), PNA (37.03%) and Meconium aspiration syndrome (7.41%). Conclusions: Most cases of early neonatal mortality were related to Prematurity and its related complications and Perinatal asphyxia are additional important considerations. Reducing Perinatal mortality requires a multifaceted approach with attention to issues related to potential complications of Prematurity and its related complications and PNA. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.593-597

scholarly journals Relationship between Stature and Length of Tendo Achilles in Adult Male and Female of Bangladesh

2020 ◽  
Vol 7 (2) ◽  
pp. 80-83
Author(s):  
Sanjida Amin ◽  
Shamim Ara ◽  
Rawshon Naznin ◽  
Umma Marium ◽  
Farah Diba ◽  
...  
Keyword(s):  
Medical Science ◽  
Age Groups ◽  
Medical College Hospital ◽  
Radiology Department ◽  
College Hospital ◽  
Cross Sectional ◽  
Male And Female ◽  
Medical College ◽  
Tendon Thickness ◽  
Ankle Flexibility

Background: Tendo Achilles injuries are usually related to poor ankle flexibility and strength and to overuse. Morphology of tendo Achilles is an important tool for its assessment which can be done by measuring tendon thickness, cross-sectional area and length of tendon. Objective: The aim of the study was to correlate length of tendo Achilles with stature in several age groups of sedentary people as measured by ultrasonography. Materials and method: This cross sectional analytical type of study was conducted in the department of Anatomy, Dhaka Medical College Hospital, Dhaka, Bangladesh from July 2013 to June 2014. The present study was performed on 200 tendo Achilles of 100 people (50 male and 50 female) randomly selected from the patients who came to the Radiology department of Dhaka Medical College Hospital for ultrasonography of any region of their body other than leg. Results: In this study length of tendo Achilles was measured in both legs of adult people and was correlated with stature. Highly significant correlation was found between length of tendo Achilles with stature (p<0.001). Conclusion: The data of length of tendo Achilles obtained from the present study may provide valuable information in different aspects of medical science as a guide line for physiotherapists, radiologists, sports professionals and ortho-surgeons in early detection and monitoring of rehabilitation especially of professional athletes. Delta Med Col J. Jul 2019 7(2): 80-83

MID-ARM CIRCUMFERENCE AT BIRTH AS PREDICTOR OF LOW BIRTH WEIGHT AND NEONATAL MORTALITY

2000 ◽  
Vol 32 (4) ◽  
pp. 487-493 ◽  
Author(s):  
FARID UDDIN AHMED ◽  
ENAMUL KARIM ◽  
SYEDA NURJAHAN BHUIYAN
Keyword(s):  
Developing Countries ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Outcome ◽  
College Hospital ◽  
Medical Practitioners ◽  
Neonatal Deaths ◽  
Medical College ◽  
Arm Circumference

In Bangladesh, like other developing countries, most births occur at home or in the community, so logistic problems and taboos prevent the weighing of every newborn child. This study was performed to see whether other simpler measurements could be substituted for weight to identify neonates of low birth weight. A total of 1676 live births at the Chittagong Medical College Hospital constituted the study sample, and this showed a high correlation between mid-arm circumference and birth weight (r=0.792, p<0·000). A mid-arm circumference of <9·0 cm had the best sensitivity and specificity for identifying newborns with a birth weight of less than 2500 g. These neonates were followed up to record neonatal deaths. Neonatal mortality showed an inverse relation with mid-arm circumference. A mid-arm circumference of <9·0 cm and a birth weight of <2500 g were equally useful in predicting neonatal outcome. Mid-arm circumference is a simple, quick and reliable indicator for predicting low birth weight and neonatal outcome, and can be easily measured by medical practitioners and traditional birth attendants (TBAs) in the community of developing countries like Bangladesh.

scholarly journals Aetiology and Outcome of Acute Kidney Failure In Bangladeshi Children – Dhaka Medical College Hospital Experience

2016 ◽  
Vol 24 (2) ◽  
pp. 86-91
Author(s):  
Shireen Afroz ◽  
Maliha Alam Simi ◽  
Shanjida Sharmim ◽  
Rokeya Khanum ◽  
Laila Yeasmin ◽  
...  
Keyword(s):  
Kidney Failure ◽  
Perinatal Asphyxia ◽  
Diarrhoeal Disease ◽  
Posterior Urethral Valve ◽  
Medical College Hospital ◽  
Acute Kidney Failure ◽  
Acute Glomerulonephritis ◽  
College Hospital ◽  
Medical College ◽  
Severe Degree

Background: Acute Kidney Failure (AKF) is the acute loss of kidney function over hours or days, the aetiology of which varies in different countries.Objectives: The study was aimed to find out the aetiology and see the immediate outcome of AKF in children in a tertiary level teaching hospital in Bangladesh.Methods: This prospective observational study was conducted from June 2011 to December 2012 in the Paediatric Nephrology Department of Dhaka Medical College Hospital, Dhaka. AKF was evidenced by presence of any two: serum creatinine raised >3 fold from the baseline, urine output <0.3ml/kg/hr for 24 hours or anuria for 12 hours. A total of 50 children with AKF were evaluated regarding their socio-demographic and clinical data. All underwent intermittent peritoneal dialysis and other necessary supportive care as needed. They were followed up for 3 months after enrolment.Results: Age of the children ranged from 5 days to 12 years. Among them, 33 were male and 17 female. Majority of the patient were from rural area and from a poor socioeconomic status. Out of 50 children majority (76%) were under 5 year age. The aetiology of AKF was mainly prerenal 66%, followed by renal 32 %, post renal 2%children. Among the pre-renal AKF 68% were due to diarrheal complications,12% neonatal AKF were due to severe perinatal asphyxia (PNA). Haemolytic uraemic syndrome, wasp envenomation and acute glomerulonephritis were the common renal causes of AKF. Post-renal cause of AKF was due to posterior urethral valve. The overall 38(76%) survived with normal renal functions, 10(20%) died and 2(4%) developed chronic kidney disease. The higher mortality rate was due to late referral, multi organ failure and severe degree of renal failure.Conclusion: This study suggests that diarrhoeal disease was the major cause of paediatric AKF. AKF is more common in infancy and associated with increased mortality. Common cause of neonatal AKF is severe perinatal asphyxia.J Dhaka Medical College, Vol. 24, No.2, October, 2015, Page 86-91

scholarly journals Preterm Very Low-Birth Weight Babies: Outcome of Admitted Newborns at a Community-Level Medical College Hospital in Bangladesh

1970 ◽  
Vol 26 (3) ◽  
pp. 128-134
Author(s):  
ASM Nawshad Uddin Ahmed ◽  
MA Rob ◽  
Ferdous Rahman ◽  
Redwanur Rahman ◽  
Nazmul Huda
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Hospital Stay ◽  
Gestational Age ◽  
Very Low Birth Weight ◽  
Birth Asphyxia ◽  
Medical College Hospital ◽  
Community Level ◽  
College Hospital ◽  
Medical College

y, mainly due to infections and complications of prematurity. The present article is a descriptive analysis of the most common reasons for hospital admission of VLBW infants, morbidity during hospital stay, and their immediate outcome at a community level medical college hospital in Bangladesh. Sixty VLBW neonates (< 1,500 grams weight), 37 males and 23 females, < 72 hours of age were enrolled prospectively from March 2005 to February 2007; 4 babies were excluded. Thirty-four babies were hospital born and 26 home delivered cases admitted postnatally. The mean birth weight and gestational age of the newborns were 1270 ± 169 grams and 30.9 ± 2.9 weeks respectively. Forty-one of 60 cases (68.3%) mothers received at least one antenatal care visit. Common clinical presentations were prematurity alone (36.7%) and its complications like delayed crying (25.0%), feeding problem (23.3%), lethargy (16.7%), hypothermia (10.0%) and respiratory problem (8.3%). The commonest morbidity during hospital stay was neonatal hyperbilirubinemia requiring phototherapy (26.7%), apnoea of prematurity (15.0%), and septicaemia (11.7%). The overall survival rate was 56.7%; most of the deceased cases were those < 1250 grams (15/28, 53.6%) and < 30 weeks of gestation (17/30, 56.7%). No infant with a birth weight < 850 grams or a gestational age < 28 weeks survived. The most common cause of death was birth asphyxia (38.5%), followed by extreme prematurity (26.9%), and septicaemia (19.2%). Very low birth weight infants had relatively higher survival rates probably due to low infection rate. DOI: 10.3329/jbcps.v26i3.4196 J Bangladesh Coll Phys Surg 2008; 26: 128-134

scholarly journals Premature Rupture of Membrane - A Clinical Study In Comilla Medical College Hospital

2016 ◽  
Vol 28 (2) ◽  
pp. 82-87
Author(s):  
Shahela Nazneen ◽  
Farhana Begum ◽  
Shakila Nargis
Keyword(s):  
Birth Weight ◽  
Caesarean Section ◽  
Pregnant Women ◽  
Caesarean Section Rate ◽  
Age Distribution ◽  
Medical College Hospital ◽  
Sociodemographic Characteristics ◽  
Premature Rupture ◽  
College Hospital ◽  
Medical College

Objective: To find out the sociodemographic characteristics, complications of pregnant woman with premature rupture of membrane (PROM) and asses the outcome of it.Materials and Methods: This prospective study was carried out at the department of Obstetrics & gynaecology of Comilla Medical College Hospital (CoMCH) from January 2009 to December 2009. All pregnant women admitted with PROM during this period were taken as study population. After taking proper history they were categorized as term or preterm PROM on the basis of duration of gestation estimated from 1st day of last menstrual period (LMP), previous antenatal records, clinical examination & also previous ultrasonography (USG) reports. Out of sociodemographic characteristics age distribution and gravidity were noted. Diagnosis was done on the basis of examination and investigations. All the women with PROM were then followed up, management was given according to protocol and caesarean section was performed according to indication. Birth weight and Apgar score of newborns were noted after delivery.Results: There were 198 cases of PROM recorded among 3142 admitted obstetrical patients over one year period. The hospital incidence of PROM was found to be 6.3%. Among them, 57.6% patients were admitted at term and 42.4% patients came before 37 completed weeks of gestation. Most of the pregnant women were between 20-24 years of age (54%), 41% were primigravida (59%) were multigravida. About 48.5% women presented with different complications associated with PROM. Among which 15.7% patients had oligohydramnios, 8.5% patients presented with chorioamnionitis suggested by culture report of high vaginal swab. Urine for culture and sensitivity was also done. About five (5.2%) developed premature labour before 37th week of gestation. About 10% women developed obstetric complications (failed trial) associated with medical diseases. Seventy seven patients were delivered by caesarean section, 16.2% vaginally, 4.04% patients responded to conservative management and 2.5% patients were referred to tertiary centre for extreme prematurity with associated complicating factors. Most of the babies (38.4%) were born with birth weight between 2.1- 2.5kg and 10.3% babies were less than 1.5kg.Conclusion: Term PROM was more in comparison to PPROM and most of them were multigravida. Caesarean section rate was high. Most common complication of was subclinical urogenital infection (53%) next oligohydramnios (25%) & (13.5%) women presented with chorioamnionitis.Bangladesh J Obstet Gynaecol, 2013; Vol. 28(2) : 82-87

Neonatal Mortality: Effects of Selective Pediatric Interventions

PEDIATRICS ◽  
1985 ◽  
Vol 75 (1) ◽  
pp. 51-57
Author(s):  
Adekunle H. Dawodu ◽  
Charles E. Effiong
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Current Knowledge ◽  
Perinatal Asphyxia ◽  
Birth Asphyxia ◽  
Case Fatality ◽  
Therapeutic Interventions ◽  
Low Birth Weight Infants ◽  
College Hospital

A previous prospective study of neonatal mortality in babies receiving special care at the University College Hospital, Ibadan, revealed that respiratory failure associated with prematurity, perinatal asphyxia, sepsis, and congenital malformations were the major causes of high neonatal mortality. To improve survival, selective measures were taken to improve care of low-birth-weight infants and prevent or treat intrapartum and postnatal hypoxia, metabolic acidosis, hypoglycemia, and hypothermia. A change in the initial antibiotic management of suspected septicemia to the use of cloxacillin and an aminoglycoside was also introduced, based on the current knowledge of etiologic agents and their antimicrobial sensitivities. In the 5-year period (1976 to 1980), the neonatal mortality in babies weighing 2,500 g and more at birth dropped significantly from 1.2% to 0.7% (P &lt; .02). The case fatality rates from birth asphyxia and neonatal sepsis dropped by 48% and 32%, respectively. Despite therapeutic interventions, however, the neonatal mortality in babies with birth weight of 1,000 g or less, 1,001 to 1,500 g, 1,501 to 2,000 g, and 2,001 to 2,499 g remained unchanged at about 82%, 25%, 9%, and 3%, respectively. These results suggest that early identification of infants at risk of developing birth asphyxia or neonatal septicemia and institution of prompt and appropriate management could produce a significant reduction in mortality in infants of normal birth weight. Survival of low-birth-weight infants requires additional high technical, financial, and manpower resources, which most centers in developing countries cannot afford at the present time. Therefore, efforts are probably better concentrated on decreasing the incidence of low birth weight.

Neonatal mortality pattern in rural based medical college hospital

1984 ◽  
Vol 51 (3) ◽  
pp. 309-312 ◽  
Author(s):  
B. D. Bhatia ◽  
N. B. Mathur ◽  
P. Chaturvedi ◽  
A. P. Dubey
Keyword(s):  
Neonatal Mortality ◽  
Medical College Hospital ◽  
College Hospital ◽  
Mortality Pattern ◽  
Medical College

scholarly journals Impact of Antenatal Care (ANC) on Perinatal Asphyxia.

2020 ◽  
Vol 14 (1) ◽  
pp. 34-36
Author(s):  
Anita Sarker ◽  
Iffat Ara Shamsad ◽  
Najnin Umme Zakia ◽  
Khyrun Nahar ◽  
Sabiha Shimul
Keyword(s):  
Birth Weight ◽  
Antenatal Care ◽  
Perinatal Asphyxia ◽  
College Hospital ◽  
Face To Face ◽  
Medical College ◽  
Group I ◽  
Group Ii ◽  
The Impact ◽  
Control Study

Antenatal care (ANC) is very important for all women for their own health and their neonates. This study was done to observe the impact of antenatal care on perinatal asphyxia. This case-control study was conducted at Neonatology Department of Dhaka Medical College Hospital, Dhaka from July 2014 to December 2014. Fifty neonates with perinatal asphyxia (Group I) and fifty neonates without perinatal asphyxia (Group II) were selected as study subjects. After selection, informed written consent was taken. Then data were collected by face to face interview of the mother. The mean age of neonates was 49.0±72.1 hours in group I and 55.8±63.9 hours in group II. Majority (80.0%) of the neonates had birth weight 2.5- 4.0 kg in group I and only 22(44.0%) neonates had birth weight 2.5-4.0 kg in group II. Almost half (48.7%) of the mothers received antenatal check-up at UHC/FWC/MCWC in group I and 20(41.7%) in group II. It was observed that 19(38.0%) mothers received antenatal care from untrained Dai in group I and 42(84.0%) in group II. Only 30.0% of the mothers received adequate antenatal check-up in group I and 68.0% in group II. Mothers having baby with perinatal asphyxia received significantly less number of ANC. Faridpur Med. Coll. J. Jan 2019;14(1): 34-36

scholarly journals Birth Weight Status of the New Born Babies Born at Dhaka Medical College Hospital

1970 ◽  
Vol 17 (2) ◽  
pp. 95-98
Author(s):  
AR Mahmood ◽  
GM Sharful Haque ◽  
Tahera Parvin ◽  
SR Karim ◽  
K Osman ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Weight Status ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Antenatal Visit ◽  
College Hospital ◽  
Cross Sectional ◽  
New Born ◽  
Medical College

A cross-sectional study was carried out to determine the birth weight status of the newborn babies born at Dhaka Medical College Hospital as well as to find out the prevalence of low birth weight among them. All the new born babies (202) born at the labour room of Dhaka Medical College Hospital during the specified period were included in the study. Maximum newborn babies (78.71%) had birth weight 2.5Kg or more and 21.29% had low birth weight (<2.5 Kg). It was found that mean weight of newborn babies was 2.73 Kg and standard deviation was ± 0.52 Kg. Among them 93.56% were full term babies. In a developing country like ours, occurrence of low birth weight is still very alarming, although it is preventable. Emphasis on health education to inform all the women during antenatal visit about the consequences of low birth weight and significance of delivering the babies with normal birth weight is recommended.   doi: 10.3329/taj.v17i2.3454   TAJ 2004; 17(2): 95-98

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