PATTERN OF NEONATAL ADMISSION AT THE CHILDREN’S HOSPITAL AND THE INSTITUTE OF CHILD HEALTH, MULTAN
AbstractBackground: Neonatology is a rapidly growing paediatric sub-specialty all over the world. Neonataldisease pattern changes from time to time and place. Analyzing the neonatal admission pattern helps thepolicy makers to make the better strategies and health care givers to serve better. Method: This was adescriptive study. The study data was collected of the patient admitted in neonatal unit of ChildrenHospital Complex and Institute of Child Health, Multan, Pakistan from 1st January 2010 to 31stDecember 2010. The data of all the admitted neonates was analysed according to their causes ofadmission in whole one year whether admitted through emergency department or OPD clinic. Result:Total numbers of neonatal admissions were 3,560. Birth asphyxia was found to be major cause ofadmission, 1,230 patients (34.5%). Among infections, sepsis was found in as a whole in 1,009 (28.3%)of admission, pneumonia in 170 (4.7%) and meningitis in 30 (0.8%). Out of 3,560 patients admitted,2,550 were discharged after improvement, 290 died, and 720 left against medical advice (LAMA).Conclusion: Birth asphyxia, sepsis and prematurity are the main reasons for admission in neonatal age.By paying good attention to perinatal services, we can reduce morbidity and mortality in neonates.Keywords: Neonates, Birth asphyxia, Sepsis
Philip AG. The Evolution of Neonatology. Pediatr Res
Bhutta ZA. Priorities in newborn care and development of
clinical neonatology in Pakistan: Where to now? J Coll
Physicians Surg Pak 1997;7:231–4.
Parkash J, Das N. Pattern of admissions to neonatal unit. J Coll
Physicians Surg Pak 2005;15:341–4.
Nahar N. Neonatal Health Situation in Bangladesh. In: Bhutta
ZA, (Ed). Perinatal and newborn care in South Asia. Karachi:
Mehran Printers; 2007.p. 58–74.
Chishty AL, Iqbal MA, Anjum A, Maqbool S. Risk factor
analysis of birth asphyxia at the Children’s Hospital Lahore. Pak
Paediatr J 2002;26:47–53.
Riana N, Kumar Y. Mnagement of birth asphyxia by traditional
birth attendent. World Health Forum 1989;10:243–6.
Chaudry IJ, Chaudry NA, Hussain R, Munir M, Tayyub M.
Neonatal Septicemia. Pak Postgrad Med J 2003;14(1):18–22.
Rahim F, Jan A, Muhammad J, Iqbal H. Pattern and outcome of
admissions to neonatal unit of Khyber Teaching Hospital,
Peshawar. Pak J Med Sci 2007;23(2)241–53.
Dear P. Infections in newborn. In: Rennie J, (Ed). Roberton’s
Textbook of Neonatology. 4thed. China: Elsevier; 2005.p.1011–92.
Eichewald EC. Care of the extremely low birth weight infant. In:
Tauusch HW, Ballard RA, Gleason CA, (Eds). Avery’s Diseases
of the Newborns. 8th ed. Haryana (India): WB Saunders;
Arif MA. Jaundice in newborn. Pak Paediatr J 1983;7(1):37–43.
Ejaz I, Khan HI, Baloch GR. Neonatal mortality: Report from at
tertiary hospital in Lahore/Causes and Outcome. Pak Paediatr J
Shabbir A, Naeemujlah S. Prematurity: a major contributor to
perinatal mortality. J Rawal Med Coll 2006;10(2):78–81.
Abbasi KA. Neonatal disease profile in Larkana before and after
establishment of neonatal ward. J Pak Med Assoc 1995;45:235–6.
Augustine T, Bhatia BD. Early neonatal morbidity and mortality
pattern in hospitalized children. Indian J Matern Child Health