Neonatal Disease Distribution and Admission Outcomes at the District Hospital: Neonatal Disease Distribution and Admission Outcomes

Washdev  Talreja; Suhail  Aman; Wajid  Hussain; Zahid  Hussain; Irfan Ali  Jhatial; Sapna  Kewalani; Zainab  Baloch; Muhammad  Parial Shahani

doi:10.54393/pjhs.v3i05.160

Authors

Washdev Talreja Taluka Headquarter Hospital Rohri, Sukkur
Suhail Aman Faculty of Community Medicine and Public Health Sciences Shaheed Mohtarma Benazir Bhutto Medical University Larkana
Wajid Hussain National Institute of Child Health Karachi
Zahid Hussain Department of Pediatric Nephrology, Sindh Institute of Urology and Transplantation Karachi
Irfan Ali Jhatial Department of Pediatrics, United Medical and Dental College, Karachi
Sapna Kewalani Aga Khan University Hospital Karachi
Zainab Baloch The Larkana General Hospital, Larkana
Muhammad Parial Shahani Faculty of Community Medicine and Public Health Sciences, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i05.160

Keywords:

Neonates, Neonatal Morbidity, Admission Outcomes, Neonatal Mortality

Abstract

The most vulnerable time for a newborn is during the neonatal period. The important factors affecting neonatal mortality during the first 28 days of life include poor antenatal care for mothers, inadequate treatment during birth, or lack of skillful care. With a rate of 48 per 1000 live births, Pakistan is ranked third in the world. This is because it accounts for 7% of all neonatal deaths globally. In Pakistan one in every 22 newborns dies within the first month of life. Objective: To evaluate the frequency and distribution of neonatal morbidity patterns and admission outcomes in district hospital Dadu, Sindh, Pakistan. Methods: A descriptive cross-sectional study was conducted at the Civil Hospital Dadu which is a district hospital in Sindh. The data was obtained in 2020. Using universal sampling method, neonates’ gender, age at the time of the birth, disease patter and admission outcome were recorded. Data was analyzed in Microsoft Excel 2010. Results: Out of total 1637 admitted neonates there were 411 (25.1%) case of sepsis, BA 17.16%, preterm 14.9%, LBW 13.81%. Amongst, 789 (48.1%) were discharged after improvement, and 251(15.3%) neonates died. Conclusions: Less than half of the newborns who were admitted could improve during the admission. More than 15% of newborn deaths are alarming. The policymakers should take action to reduce early neonatal mortality by effectively managing neonatal illnesses

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