Document Detail


Early neonatal morbidity and mortality in a city based medical college nursery.
MedLine Citation:
PMID:  10389499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Early neonatal morbidity & mortality were studied in 7972 viable live born babies over one year period in Medical College, Calcutta. Early neonatal morbidity and mortality rate were 66.85 & 32.86 respectively. About 48% of Early neonatal deaths occurred in 1st 48 hours & 80% within first 72 hours of life. Early neonatal mortality rate per 1000 was maximum in babies born of a primi (43.03) and grand multiparous mother (103.89); maternal age less than 20 yrs. (44.15), and more than 30 yrs. (46.04) & in multiple pregnancy (142.85). It was highest in breech delivery (114.28) & with maternal disease like dribling (179), hypertension (146) & APH (116). Birth asphyxia contributed 65.26% of early neonatal deaths, followed by septicaemia (10.3%). Klebsiella was the most common (55%) organism.
Morbidity and mortality in the first 7 days of life were investigated in a prospective study of the 7972 viable live births at the Eden Hospital Nursery in Calcutta, India, in a 22-month period in 1995-96. The early neonatal mortality rate was 32.86/1000 and the morbidity rate was 66.85/1000. 48.8% of these deaths occurred in the first 24 hours of life and 80% within 72 hours. In 67.7% of deaths, there had been no antenatal care. Overall, 28.34% of infants were low birth weight; however, these infants comprised 77.8% of early neonatal deaths. The highest neonatal mortality rates were recorded in babies of primiparas (43.03), grand multiparas (103.89), mothers under 20 years of age (44.15) or over 30 years of age (46.04), and those with nonsingleton births (142.85) and breech deliveries (114.28). Birth asphyxia was the most common cause of neonatal mortality (65.26%); another 10.30% of deaths involved septicemia. Klebsiella was the most commonly isolated organism (55.27%) in septicemic neonates. Reductions in the incidence of low-birth-weight deliveries through measures such as community-level educational outreach could have a significant impact on the prevention of early neonatal mortality and morbidity in India.
Authors:
P K Das; K Basu; S Chakraborty; M Basak; P K Bhowmik
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of public health     Volume:  42     ISSN:  0019-557X     ISO Abbreviation:  Indian J Public Health     Publication Date:    1998 Jan-Mar
Date Detail:
Created Date:  1999-07-30     Completed Date:  1999-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400673     Medline TA:  Indian J Public Health     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  9-14     Citation Subset:  IM; J    
Affiliation:
Department of Paediatrics, Medical College, Calcutta.
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MeSH Terms
Descriptor/Qualifier:
Adult
Apgar Score
Delivery, Obstetric
Female
Hospitals, University
Hospitals, Urban
Humans
Incidence
India / epidemiology
Infant Mortality*
Infant, Newborn
Infant, Newborn, Diseases / epidemiology*,  mortality
Maternal Age
Nurseries, Hospital
Parity
Pregnancy
Prospective Studies
Urban Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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