Clinical profile of admitted sick neonates at special newborn care units in Odisha, India

Dayasis Sahu; Naresh Raghunathram Godara

doi:10.18203/2349-3933.ijam20250372

Authors

Dayasis Sahu Parul Institute of Public Health (PIPH), Faculty of Medicine, Parul University, PO: Limda, Vadodara, Gujarat, India
Naresh Raghunathram Godara Department of Community Medicine, Parul Institute of Medical Sciences & Research (PIMSR), Parul University, Vadodara, Gujarat, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20250372

Keywords:

SNCU, Birth asphyxia, Morbidity, Mortality

Abstract

Background: The facility-based newborn care (FBNC) program is a strategic program that improves newborn health status in India. We described the morbidity and mortality portfolios of SNCU graduates.

Methods: Using data from the SNCU online database(https://sncuindiaonline.org), we carried out a cross-sectional descriptive study of newborns received care at SNCUs of 10 aspirational districts (District-Hospitals) in Odisha for four calendar years, 2020–2023. We profiled the admissions by age, gender, weight, maturity, place of delivery and morbidity and described critical outcomes like mortality, referral and discharge.

Results: A total of 69847 newborns were admitted. Males were predominant (40530,58%). Outborn were more than Inborn (35422,51%). Preterm was 48.5% (n=33886). 31632 (45%) were in LBWs (1500-2499 gm). HIE/Birth Asphyxia (n=19814, 28%) was the major morbidity of the SNCU graduates. The median average duration of stay was four days (0-98 days). Out of all admitted, 77% (n=53612) got discharged, 11% were referred, 9% died and 3% were Left Against Medical Advice. The top cause of mortality was Birth Asphyxia (n=2711, 42%).

Conclusions: Asphyxia prevention and management requires immediate attention and can be achieved through community-based interventions to raise the awareness level of the intended beneficiaries and better capacity building of health workers.

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References

Saini N, Chhabra S, Chhabra S, Garg L, Garg N. Pattern of neonatal morbidity and mortality: a prospective study in a district hospital in Urban India. J Clin Neonatol. 2016;5(3):183-8. DOI: https://doi.org/10.4103/2249-4847.191258

Delhi N. Ministry of Health and family welfare. Government of India. 2001:7-30.

Thukral A, Gupta V, Chawla D, Kumar P, Deorari AK. Multimodal Training Tool for Premature Care. 2011.

Randad K, Choudhary D, Garg A, Jethaliya R. Pattern of neonatal morbidity and mortality: A retrospective study in a special newborn care unit, Mumbai. Indian J Child Health. 2020;7:299-303. DOI: https://doi.org/10.32677/IJCH.2020.v07.i07.005

Sridhar PV, Thammanna PS, Sandeep M. Morbidity pattern and hospital outcome of neonates admitted in a tertiary care teaching hospital, Mandya. Int J Sci Stud. 2015;3:126–9.

Kumar S, Ahmed M, Anand S. Morbidity and mortality patterns of neonates admitted to neonatal intensive care unit in tertiary care hospital, Bhopal. Pediatr Rev. 2016;3:776-8. DOI: https://doi.org/10.17511/ijpr.2016.i11.01

Anupama D, Bidyut BN, Anjana TN. Morbidity and mortality profile of newborns admitted to the neonatal intensive care unit of a tertiary care teaching hospital of Assam. J Med Sci Clin Res. 2020;8:697-702.

Rahman K, Begum R. Morbidity and mortality profile of neonates admitted in a special care newborn unit of a tertiary care teaching hospital of Assam, India. Indian J of Obgyn. 2020;7(1):82-7. DOI: https://doi.org/10.21276/obgyn.2020.7.16

Sinha RS, Cynthia DS, Kumar PV, Armstrong LJ, Bose A, George K. Admissions to a sick new born care unit in a secondary care hospital: Profile and outcomes. Indian J Public Health. 2019;63:128-32. DOI: https://doi.org/10.4103/ijph.IJPH_106_18

Ravikumar SA, Elangovan H, Elayaraja K, Sunderavel AK. Morbidity and mortality profile of neonates in a tertiary care centre in Tamil Nadu: A study from South India. Int J Contemp Pediatr. 2018;5:377-82. DOI: https://doi.org/10.18203/2349-3291.ijcp20180408

Saharia NP, Deka A, Vivekananda MS. Mortality and morbidity pattern of neonatal ICU of Gauhati Medical College and hospital. IOSR. 2016;15:73-5.

Verma J, Anand S, Kapoor N, Gedam S, Patel U. Neonatal outcome in new borns admitted in NICU of tertiary care hospital in central India: A 5 year study. Int J Contemp Pediatr. 2018;5:1364-7. DOI: https://doi.org/10.18203/2349-3291.ijcp20182512

Adikane H, Surwase K, Pawar V, Chaudhari K. A prospective observational study of morbidity and mortality profile of neonates admitted in neonatal intensive care unit of secondary care centre in central Maharashtra, India. Int J Contemp Pediatr. 2018;5:1403-8. DOI: https://doi.org/10.18203/2349-3291.ijcp20182536

Shah HD, Shah B, Dave PV, Katariya JB, Vats KP. A step toward healthy newborn: An assessment of 2 years’ admission pattern and treatment outcomes of neonates admitted in special newborn care units of Gujarat. Indian J Community Med. 2018;43:14-8. DOI: https://doi.org/10.4103/ijcm.IJCM_305_16

Baruah MN, Panyang PP. Morbidity and mortality profile of newborns admitted to the special care newborn unit (SCNU) of a teaching hospital of upper Assam, India-a three-year study. JMSCR. 2016;4:11689-95.

Sharma AK, Gaur A. Profile of neonatal mortality in special newborn care unit of tertiary care hospital. Int J Contemp Pediatr. 2019;6:2319-25. DOI: https://doi.org/10.18203/2349-3291.ijcp20194205