AN AUDIT OF MORBIDITY AND MORTALITY OF HOSPITALISED NEONATES IN NEONATAL CARE UNIT OF A TERTIARY CARE HOSPITAL IN ABBOTTABAD
Abstract
Background: Perinatal as well as neonatal mortality record in our country is one of the highest in theworld. Home deliveries, lack of adequate facilities, poverty and lack of education are some of theimportant known causes. The present study was planned to determine neonatal mortality in Hazara.Methods: Hospital records of neonatal admissions at Ayub Teaching Hospital (ATH) Abbottabad from1st January 2007–31st December 2007 were analysed retrospectively. Percent neonatal mortality wascalculated from the record, along with the causes of neonatal mortality. Results: A total of 1705neonates were admitted in the study period at the department of neonatology Ayub Teaching HospitalAbbottabad. Out of 1,705 neonates 947 (56%) were males while 857 (44%) were females with a male tofemale ratio of 1.24:1. Majority, 1,411 out of 1,705 (83%), of the neonates was admitted during the 1stweek of their life, mean age 6 days. Asphyxia, sepsis and prematurity were the three most commoncauses of neonatal admissions contributing 27%, 26% and 24% respectively. Overall mortality was 11%.Conclusion: Neonatal mortality is an important contributing factor to infant mortality in HazaraDivision. Majority of patients was admitted in the first week of life which indicates that good antenataland natal care can reduce the mortality and morbidity of our neonates. Improvement in the prenatal, nataland nursery care as a whole can reduce the neonatal mortality in preterm as well as full term neonates.Keywords: Neonatal Mortality, Morbidity, AsphyxiaReferences
Pakistan demographic health survey 1990–91. Available at:
http://www.measuredhs.com/pubs/pdf/FR29/FR29.pdf
Bhuta ZA, Rehman S. Perinatal care in Pakistan: a situational
analysis. J Perinatol 1997;17:54–9.
Bhutta ZA. Priorities in newborn care and development of
clinical neonatology in Pakistan: where to now? J Coll Physicians
Surg Pak 2001;7:231–34.
Fikree FF, Gray RH. Demographic survey of the level and
determinants of perinatal mortality in Karachi, Pakistan. Paediatr
Perinatal Epidemiol 1996;10:86–96.
Sincleir JC, Torrence GW, Boyle MH, Howod SP, Saigal S,
Sackett DL. Evaluation of neonatal intensive care programme. N
Engl J Med 1981;305:489–94.
Guyer B, Freedman MA, Strobino DM, Sondik EJ. Annual
Summary of Vital Statistics; Trends in the health of American
during 20th century. Pediatrics 2000;106:1307–17.
Bhutta ZA. Epidemiology of neonatal sepsis in Pakistan: an
analysis of available evidence and implications for care. J Col
Physicians Surg Pak 1996;6:12–7.
Bhutta ZA. Neonatal infections. Current Opinion in Pediatrics
;9:133–40.
Bhutta ZA, Yusuf K. Early- onset neonatal sepsis in Pakistan: a
case-control study of risk factors in a birth cohort. Am J Perinatol
; 14:577–81.
Bhutta ZA, Yusuf K. Neonatal sepsis in Karachi factors
determining outcome and mortality. J Trop Pediatr 1997;43:65–70.
Bhutta ZA, Why has so little changed in maternal and child
health in south Asia? 2000. BMJ 2000;321:809–12.
Pakistan Medical Research Council, National health survey of
Pakistan: heath profile of people of Pakistan, 1998.
Jalil F, Lindblad BS, Hanson LA, Khan SR, Yaqoob M, Karlberg
J. Early child health in Lahore, Pakistan: Ix. Perinatal events.
Acta Paediatr Suppl 1993;390(Suppl 390):95–107.
Marsh D, Hussain K, Lobo M, Shah MA Cause of deaths in
Karachi slums by verbal autopsy: implications for primary health
care managers. In: Maternal and infant mortality: policy and
interventions. Report of an international workshop. Aga Khan
University, February 1994. p. 30.
McCormick JB. Maternal and infant mortality 1985–89. In:
Maternal and infant mortality: policy and interventions. report of
an international workshop. Aga Khan University. February 1994.
p. 95–99.
Nizamani MA, Nizamani SM. An audit of mortality in
hospitalized neonates and young infants at pediatric department
peoples Medical College Nawab Shah. Medical channel.
;11:7–15.
National institute of population studies. Demographic and health
surveys IRD/MACRO international Inc. Pakistan demographic
and health survey 1990/91 Islamabad 1992.
Mufti P, Satna F, Nazir K. Early neonatal mortality: Effects of
intervention on Survival of low birth babies weighing 1000–2000
grams. J Pak Med Assoc 2006;56(4):174–6.
Raina N, Kumar V. Management of birth asphyxia by traditional
birth attendants. World health forum 1989;10:243–6.
Published
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
