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A study on childhood death at a tertiary care level in ernakulam district
1Department of Community Medicine, Malankara Orthodox Syrian Church Medical College, Kolenchery, Ernakulam, Kerala, India.
Insights
Childhood mortality is a growing concern, with most deaths occurring in the neonatal period due to perinatal conditions. Improving antenatal and newborn care is crucial for prevention.
Area of Science:
- Pediatrics
- Public Health
- Neonatology
Background:
- Childhood mortality rates are increasing, impacting national development.
- Preventive measures are essential for child survival.
- Understanding mortality causes is key to effective interventions.
Purpose of the Study:
- To investigate the causes of death in children under 12 years old.
- To analyze mortality data from a teaching hospital over a five-year period (April 2005 - March 2010).
Main Methods:
- Retrospective study of hospitalized children under 12 who died.
- Data collected from Medical Records Department registers.
- Statistical analysis using Microsoft Excel and Z-test for significance (P ≤ 0.05).
Main Results:
- 459 child deaths recorded between April 2005 and March 2010.
- Males accounted for 62.0% of deaths; females 37.9%.
- Most deaths (52.2%) occurred in the neonatal period, primarily due to perinatal conditions (60% of these were respiratory and cardiovascular disorders).
Conclusions:
- Neonatal mortality shows an increasing trend annually.
- Health awareness programs are recommended to reduce neonatal deaths.
- Enhancing antenatal and newborn care is vital for decreasing neonatal mortality.
Background:
Childhood mortality is increasing day by day. It will affect the development of the nation. Preventive measures on childhood mortality could be an effective approach for saving child's life.
Aim:
To find out the causes of deaths among children below 12 years of age those who were admitted in a teaching hospital during the period from April 2005 to March 2010.
Materials And Methods:
A retrospective study was conducted with hospitalized patients below 12 years those who died in a Teaching Hospital from April 1, 2005 to March 31, 2010. The data were collected from the registers maintained in the Medical Records Department. The data were analysed by using Microsoft Excel. Z test was applied for the comparison of proportions. P value less than or equal to 0.05 indicates that there is significance difference between the proportions of two groups.
Results:
Child deaths below 12 years of age during the period April 1, 2005 to March 31, 2010 were 459. Of these deaths 62.0% (285/459) of all child deaths were males and 37.9% (174/459) of all child deaths were females. Most of the deaths were in the neonatal period (deaths within 28 days of life). Most of the deaths occurred due to certain conditions originating in the perinatal period 52.2% (240/459) of all child deaths. Of the deaths occurred due to certain conditions originating in the perinatal period, 60% (144/240) of deaths were due to respiratory and cardiovascular disorders.
Conclusion:
Neonatal deaths were increasing each year. Conduct Health awareness programmes for reducing the neonatal deaths. And also improve the antenatal and newborn care for reducing the neonatal deaths.
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