Vol. 5, Issue 2 (2019)
A study on demographic and clinical profile and outcome of neonates admitted to SNCU of DHH & SLN Medical College, Koraput, Odisha
Author(s): Bijaya Kumar Panigrahy, Kaushik Mishra, Arakhita Swain, Saiprasanna Behera
Abstract: Background: In India, Neonatal mortality of 28 and early neonatal mortality of 20, contribute to 67% infant mortality. India under INAP (India Newborn Action Plan) targets to achieve single digit neonatal mortality rate by 2030. Hence, early identification and prompt management of sick neonates is highly essential for improving the survival. Therefore, this study was conducted with the aim of analysing the demographic and clinical profile and outcome of neonates admitted to SNCU of DHH and SLN Medical College, Koraput and its impact on neonatal survival. Method: A retrospective cross-sectional study conducted in SNCU of DHH and SLN Medical College, Koraput from 01.04.2017 to 31.03.2018. Data was collected from D.E.O. and from Indoor Case Sheets. Result: Total 1742 study subjects were taken. Most common causes of admission were Prematurity (39.3%) followed by Birth asphyxia (27.7%), LBW (27.0%), Jaundice (18.3%) and Sepsis (8.2%). Besides LBW and Prematurity, most of the inborn neonates were remarkably admitted for Birth asphyxia while majority of outborns admitted were for Sepsis. Majority of neonates were admitted during the early neonatal period (88.4%) and majority of neonatal deaths occurred during early neonatal period (85.9%) within 72 hours of hospitalization (84.5%). Conclusion: Greater care is needed during the perinatal period and transitional phase to save the early infants from mortality not only due to prematurity / LBW but also from Perinatal Asphyxia. Referring facilities need to be optimally strengthened for provision of timely, active and effective intervention within first 72 hours of life and to decrease the number of referrals as well, keeping the triple Delays in view which will definitely be helpful in reduction of NMR. Even though establishment of SNCUs is becoming relatively easy, maintaining their optimal performance must be given top-most importance and priority as well.