Pattern and Outcome of Admissions to Neonatal Unit of Tertiary Care Hospital Nawabshah

Abstract

Objectives: To determine the number, disease pattern and outcome of admitted patients in neonatal unit of tertiary care hospital Nawabshah.

Study Design: Retrospective, Descriptive study.

Place and Duration of Study: This study was conducted at NICU pediatrics ward People’s Medical College Hospital, People’s University of Medical & Health Sciences for women, Nawabshah, Sindh  from 1^st January 2010 to 31^st December 2010.

Materials and Methods: Data was retrieved from file record regarding sex, gestational age (term and preterm), reason for admission and outcome (discharge, expired).

Result: 2584 neonates were admitted during study period, among them 1776 (68.73 %) were males and 808 (31 .27%) were females, majority of patient 1657(64.12%) were admitted during first 24 hours with the clinical diagnosis of birth asphyxia, 489 (15.85%) having neonatal sepsis,312 (10.67%) because of prematurity, 117 (8.63s%) admissions were due to neonatal jaundice and 19 (0.73%) having various conditions like hydrocephalus associated with meningomyelocele, prune belly syndrome, down syndrome, Icthyosis, HDN and TORCH infection.

Conclusion: Birth asphyxia, Pre-maturity, neonatal infection, neonatal jaundice were the main causes of neonatal admissions. Regular antenatal visits and timely referral to tertiary care hospitals will hopefully result in better outcome.