Morbidity profile of admitted neonates and their outcome in Neonatal Intensive Care Units (NICUs) of urban Allahabad

Abstract

Background: India faces a daunting challenge of newborn survival. Four out of five newborn deaths result from three treatable conditions: complications during childbirth (including birth asphyxia), newborn infections, and complications from prematurity. The facility-based research is lagging behind. This study was conducted to assess the morbidity profile of the admitted neonates & their outcome in government & private neonatal intensive care units of urban Allahabad. Methods: The present study was conducted in the Neonatal Intensive Care Units of Government and Private settings of urban Allahabad, Uttar Pradesh during the year 2015-2016. This was a time-bound study. All the sick neonates admitted during the study period at SNCH and private NICU of urban Allahabad were included in the study. There were 1,442 neonates who were admitted in both the government and the private newborn care units during the study period. Out of these, only 1,409 neonates were included in the study.Results: In the Government sector, Neonatal sepsis accounted for the maximum number of admission, 26.69% followed by Prematurity 22.17%, Birth Asphyxia 13.54%, Neonatal Jaundice 13.01%, RDS 12.48% and MAS 4.51%. In contrast to this, Prematurity 135 (20.57%) caused maximum number of admissions in the Private sector. The outcome was the best for RDS in government while neonatal jaundice in private sector. Conclusion: The maximum admission in the Neonatal Intensive Care Units of urban Allahabad was caused because of Prematurity followed by Neonatal Sepsis.