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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Early neonatal morbidity and mortality in a city based medical college nursery
P K Das1, K Basu, S Chakraborty
1Department of Paediatrics, Medical College, Calcutta.
Insights
This study analyzed early neonatal morbidity and mortality in 7972 live births. High mortality rates were observed in specific maternal and delivery conditions, with birth asphyxia being the primary cause.
Area of Science:
- Neonatal Health
- Perinatal Medicine
- Public Health
Background:
- Neonatal period is critical for infant survival.
- Understanding early neonatal morbidity and mortality is essential for targeted interventions.
- Previous studies highlight various risk factors influencing neonatal outcomes.
Purpose of the Study:
- To investigate the incidence and causes of early neonatal morbidity and mortality.
- To identify high-risk groups and associated factors for early neonatal deaths.
- To provide data for improving neonatal care strategies.
Main Methods:
- Retrospective study of 7972 viable live births over one year.
- Data collection on neonatal outcomes, maternal characteristics, and delivery details.
- Analysis of morbidity and mortality rates, focusing on timing and causes of death.
Main Results:
- Early neonatal morbidity rate was 66.85 and mortality rate was 32.86 per 1000 live births.
- 48% of early neonatal deaths occurred within 48 hours and 80% within 72 hours of life.
- Highest mortality rates were associated with grand multiparity, advanced maternal age, multiple pregnancies, breech delivery, and maternal diseases (e.g., hypertension, APH).
- Birth asphyxia (65.26%) and septicaemia (10.3%) were the leading causes of death.
- Klebsiella was the most common causative organism (55%) in neonatal infections.
Conclusions:
- Early neonatal mortality is significantly influenced by maternal factors, delivery complications, and infections.
- Birth asphyxia is the predominant cause of early neonatal death, necessitating improved intrapartum care.
- Targeted interventions for high-risk pregnancies and prompt management of neonatal infections are crucial.
Abstract:
Early neonatal morbidity & mortality were studied in 7972 viable live born babies over one year period in Medical College, Calcutta. Early neonatal morbidity and mortality rate were 66.85 & 32.86 respectively. About 48% of Early neonatal deaths occurred in 1st 48 hours & 80% within first 72 hours of life. Early neonatal mortality rate per 1000 was maximum in babies born of a primi (43.03) and grand multiparous mother (103.89); maternal age less than 20 yrs. (44.15), and more than 30 yrs. (46.04) & in multiple pregnancy (142.85). It was highest in breech delivery (114.28) & with maternal disease like dribling (179), hypertension (146) & APH (116). Birth asphyxia contributed 65.26% of early neonatal deaths, followed by septicaemia (10.3%). Klebsiella was the most common (55%) organism.
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