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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Evaluation of Neonatal Admission to Neonatal Intensive Care Init (NICU) in a Tertiary Care Hospital in Maharashtra: A Retrospective Study

Vishal G. Chavan, Akshay N., Rekhate, Bharti Rathod and Banoth Ramesh
Page: 284-288 | Received 20 Dec 2023, Published online: 09 Feb 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.5.284.288

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Abstract

Neonatal mortality remains a significant public health concern, particularly in rural areas. India has a high neonatal mortality rate (NMR) of 31/1000 live births that of rural being 34 while urban is 17. This retrospective study aims to evaluate the neonatal NICU admission and investigate the month‐wise variations in neonatal mortality and to identify the causes of neonatal deaths in a rural teaching hospital in Maharashtra. This was a record‐based observational study of all the neonatal deaths born in a tertiary hospital of Maharashtra, India over a period of 1 year from January 2023 to December 2023. All the admitted babies to NICU were included in the study. Details of each neonatal death were analyzed. The total number of NICU admission during this time period was 4448 neonates with 383 (8.6%) neonatal death. The maximum NMR was 14.7% in the month of July followed by 11.6% in the month of Jan 2023. There was decreasing trend of death rate at the end of year. Among 383 neonates, 86.16% were low birth weight, 63% were male, 79.89% were preterm and 70.75% had duration of hospital stay >48 hr. The most common cause of neonatal death was sepsis (38.9%) followed by respiratory distress syndrome (RDS) (29.76%), birth asphyxia (17.23%), meconium aspiration (6.78%), and candida sepsis (2%). NMR showed decreasing trend at the end of year. Prevention of premature delivery, proper management of very low birth weight babies, and early detection and appropriate management of sepsis/ RDS/ Birth asphyxia have become important interventional strategies in reducing neonatal deaths.

How to cite this article:

Vishal G. Chavan, Akshay N., Rekhate, Bharti Rathod and Banoth Ramesh. Evaluation of Neonatal Admission to Neonatal Intensive Care Init (NICU) in a Tertiary Care Hospital in Maharashtra: A Retrospective Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.284.288
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.284.288