These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Early neonatal morbidity and mortality pattern in hospitalised children.
    Author: Augustine T, Bhatia BD.
    Journal: Indian J Matern Child Health; 1994; 5(1):17-9. PubMed ID: 12318797.
    Abstract:
    The records of all the infants admitted during the first 7 days of life in the Pediatrics Ward of JIPMER hospital, Pondicherry, from November 1991 to October 1992 were analyzed. The total admissions in the early neonatal period were 169, of which 60 were preterm and 109 were term infants. Out of 169 admissions, 65 neonates died (55 within 7 days and 10 after the age of 7 days), 90 were discharged, and 14 left against medical advice. In the first 6 hours of life 90% of admissions were preterm, then term admissions progressively increased as the postnatal age increased. The mortality rate for preterm was high if admitted at 7-24 hours of age in comparison to term infants where mortality was similar, except when admitted after 72 hours of age. The maximum number of deaths occurred if gestation was or = 32 weeks (63%) or weight 1000 g (75%). After 32 weeks of gestation mortality was similar (34-38%). Mortality was 46-47% between 1000 to 1999 g and then decreased to 30-33% if weight was more than 2000 g. Before coming to hospital only 49.7% of the neonates received exclusively breast milk, 22% were not fed at all, and 42.87% were given either cow's milk, sugar water, or a combination of the two, with or without partial breast feeding. The mortality rate was 28.57% in those exclusively breast fed, it was 63.6% in those who were not fed at all, and 42.87% in those receiving sugar water and cow's milk. Morbidities observed were systemic infections (36.69%), birth asphyxia and birth injuries (30.76%), congenital anomalies (5.32%), respiratory distress syndrome (4.73%), congenital heart disease (2.45%), hemolytic disease of the newborn (Rh incompatibility - 2.37%, ABO incompatibility 1.18%) and hemorrhagic disease of the newborn 1.77%). However, 8.87% of all cases were preterm infants and 2.30% were term babies with intrauterine growth retardation. Systemic infections caused 52.30% of deaths followed by birth asphyxia and injuries (29.23%). In preterms, systemic infections caused 69.50% of deaths, followed by respiratory distress syndrome (17.34%). In term infants, both infections and birth asphyxia contributed equally to mortality (42.86% each).
    [Abstract] [Full Text] [Related] [New Search]