DOI: 10.36347/sjams.2014.v02i06.100

Pages: 3357-3360

The objectives of the study were to assess the commonest causes for admission and outcome of neonates admitted to NICU. It was a descriptive longitudinal study performed during February 2014 to July 2014 (6months) with 1041 neonates admitted during the study period. Prestructured-pre tested closed ended questionnaire was used to collect the data on inborn or outborn admission, sex, gestational age, weight for gestation, referral centre, age at presentation, indications for admission, duration of hospitalization, complications encountered, procedures done during hospitalization and outcome. The total study subjects was 1041, Low birth weight and associate complications was seen in 526 babies (50.6%). One in every third baby admitted in our NICU was a pre-term baby (34.5%). The commonest specific morbid reason for admission was respiratory distress syndrome (n=389; 37.3%) followed by neonatal jaundice (n=143; 13.7%) and meconium aspiration syndrome (n=143; 13.7%). It was found that maximum (n=858, 82.4%) number of babies were discharged after improvement, 42 (4%) left against medical advice, only 1 baby was referred to higher centre which was required surgical intervention and there were 140 (13.4%) mortalities. Commonest cause for mortality was prematurity (42.1%). Low birth weight and prematurity are the common causes for admission in the NICU. Respiratory distress syndrome, neonatal jaundice and meconium aspiration syndrome are some important and leading causes of morbidity in newborn babies. Commonest causes for mortality were prematurity, Respiratory distress syndrome, Birth asphyxia and Sepsis.