28. Causes of Admission and Outcome Among Newborns in Neonatology Ward of Mardan Medical Complex Mardan Khyber Pakhtunkhwa, Pakistan
Kiramat Ullah, Mohammad Fazil, Qasim Khan and Sumera Akram
ABSTRACT
Objective: To study the main causes of admission and outcome among newborns in Nursery ward of Mardan Medical Complex Mardan Khyber Pakhtunkhwa, Pakistan.
Study Design: Retrospective descriptive study
Place and Duration of Study: This study was conducted at the Mardan Medical Complex Neonatology Unit from January 2019 to December 2019.
Materials and Methods: Data of all the neonatal admissions in the nursery unit was recorded in Mardan Medical Complex neonatology unit and analyzed for age, sex, the reason for admission, duration of hospital stay and the final outcome of these patients.
Results: A total of 4759 neonates were admitted to the neonatal unit Mardan Medical Complex. Among them, males were 2285 (48.07%) and females were 2474 (51.99%). The average length of stay was 6.2 days (SD 6 days). According to the data neonatal sepsis represent about 30.95% of all admission in 2019. Neonatal jaundice accounted for 15.17%. Birth asphyxia (15.67%), preterm constitute 10.29%, meconium aspiration syndrome was 5.77%, hypoxic ischemic encephalopathy 4.60%, respiratory distress syndrome 9.81%, hypoglycemia1.32%, hypothermia 2.64%, neonatal seizure 1.22%, tetanus 0.19% and others constitute 2.33% of the admitted cases. Among total admissions 3801 (79.86%) patient were discharged with a satisfactory condition while 958 (20.13%) patient died. The highest number of admitted patient was observed in the month of July 2019 while highest death rate was observed in month of august2019.
Conclusion: This study conclude that the most common causes of the neonatal admission were neonatal sepsis, neonatal jaundice (NNJ), preterm, meconium aspiration syndrome, birth asphyxia, respiratory distress syndrome, hypoxic ischemic encephalopathy, hypoglycemia, hypothermia, neonatal seizure and tetanus. The commonest cause for the mortality was neonatal sepsis, birth asphyxia and neonatal jaundice. There is need of increased awareness in health workers who conduct deliveries at home or in home for time referral to tertiary level hospital.
Key Words: Newborns; Admission; Outcome; Awareness
Citation of article: Kiramat Ullah, Fazil M, Khan Q, Akram S. Causes of Admission and Outcome Among Newborns in Neonatology Ward of Mardan Medical Complex Mardan Khyber Pakhtunkhwa, Pakistan. Med Forum 2020;31(9):115-119.