Study of Neonatal Outcome of NICU, Tertiary Care Hospital in rural area of Vadodara, Gujarat
Rasania Manish N1, Modi Prashant M*2
1Professor, 2Assistant Professor; Department of Pediatrics, Smt. B. K. Shah Medical Institute and Research Center, Sumandeep Vidyapeeth, Piparia, Waghodia, Vadodara, Gujarat, India.
Introduction: Availability of standardized neonatal-perinatal data are main pillar to assess and to improve functioning of neonatal care unit at individual level as well as national level. To study clinical profile, morbidity and mortality of neonates admitted to level 3 neonatal intensive care unit of tertiary care hospital.
Method: It was a retrospective observational study and was conducted from January 2015 to June 2016 at NICU of Dhiraj Hospital, Vadodara. Data were collected in a prescribed format and observations were analysed.
Results: During study period total 763 newborn babies (418/2180 inborn and 345/375 outborn) were admitted to NICU. Amongst NICU admitted babies 318 (41.68%) and 458 (60%) were preterm and LBW, respectively. Commonest morbidities observed amongst all neonates were Hyperbilirubinemia requiring treatment (12.8%), Sepsis (7.95%), Hypoxic Ischemic Encephalopathy (HIE) stage 2-3 (3.68%), Major congenital malformation (2.94%), TTN (2.89%) RDS (2.78%), Meconium aspiration (1.52%), PPHN (1.29%), Apnea (1.17%) and NEC (0.63%). Outcome of NICU admitted babies was discharge in 81.65% (623/763) and death plus left against medical advice (LAMA) in non-salvageable condition in 12.19% (93/763) babies with neonatal survival rate of 91.2% in Inborn and 83.8% in Outborn. NMR of our hospital born neonates was 16.9 per 1000 live births.
Conclusions: Prematurity, VLBW and ELBW neonates were major indications for NICU care. Commonest morbidities at NICU admission were hyperbilirubinemia requiring treatment, Sepsis, TTN, HIE stage 2-3, RDS, meconium aspiration, major congenital malformation, apnea and NEC.
Keywords: Level 3 NICU, morbidity, mortality, neonatal survival rate