DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20172829

Survival outcome of neonates admitted at government and private neonatal intensive care units of Allahabad, India

Kriti Dwivedi, Shiv Prakash, Khurshid Parveen, Shama Shaikh

Abstract


Background: The early neonatal period (birth to 7 days of life) is the most critical period of life. Usually, the lower the infant mortality, the greater of it is concentrated in neonatal period. The present study was carried out with the objectives to study the profile of sick neonates & compare their survival outcome admitted in Government and Private NICUs of Allahabad.

Methods: The cross-sectional study was conducted in the NICUs of Government & Private sector of comparable admission rates in Allahabad. The study was time bound conducted from September 2015-August 2016. The data were collected from the medical records of the admitted neonates.

Results: There were a total of 1442 neonates admitted during the given time frame in both the Government and Private NICUs and 1409 were included in the study. The Government NICU had 63.21% admissions within 24 hour of birth more than Private NICUs (55.03%). The Private NICU had 36.58% neonates admitted within 1-7 day while Government sector had 29.88%. The Government NICU had 69.01% rural patients while Private NICU had 67.98% urban patients. The Government NICU received 57.63% outborn babies while Private NICU had more inborn babies (67.22%). The profile of sick neonates according to age at the time of admission, mode of admission and community in Government and Private NICUs differed significantly (p<0.05) while gender, gestational age and weight were not significantly different.

Conclusions: The Government NICU had a survival outcome of 70.91% while Private NICU had 86.73% which was statistically significant. 


Keywords


Survival outcome, Government and Private NICUs, Allahabad

Full Text:

PDF

References


Ramadurg UY, Ghattargi CH, Gagan S, Manjula R, Mayappanavar Ramesh Y, Bhadja Dip, et al. A Study of Causes of Neonatal Mortality in Tertiary Care Hospital, Bagalkot. Int J Health Inform Med Res. 2014;1(2):26-8.

United Nations Millenium Development Goals. Available at: www.un.org/millenniumgoals/ childhealth.shtml. Accessed on 15 April 2017.

Shally A, Tuhina V, Monica A. Danger signs of neonatal illnesses: perceptions of caregivers and health workers in northern India. Bulletin of the World Health Organization. 2006;84:819-26.

Hessol NA, Afflick FE. Ethnic differences in neonatal and post-neonatalmortality. J Am Acad Paediatr. 2005;15:e44-51.

Handbook Integrated Management of Neonatal & Childhood Illnesses, WHO Geneva 2003 WHO document WHO/FCH/CAH.

WHO_essential_newborn_care and _bf.pdf (www.sbp.com.br).

Narayanan I, Rose M, Cordero D, Faillace S, Sanghvi T. Components of Essential Newborn Care. 2004.

Tuladhar S. The determinants of good newborn care practices in rural areas of Nepal; 2010.

India Newborn Action Plan (Ministry of Health and Family Welfare, Government of India). 2014.

PATH. Understanding Neonatal Mortality in Uttar Pradesh, India: Identifying underlying causes of death through verbal autopsy. Seattle: PATH; 2012.

Awasthi S, Srivastava NM, Pant S. Symptom-specific care-seeking behavior for sick neonates among urban poor in Lucknow, Northern India. J Perinatol. 2008;28(2):S69–75.

Indian Vital Statistics Division, Office of the Registrar General, Ministry of Home Affairs. Annual Health Survey 2010-2011. New Delhi: Office of the Registrar General; 2011.

Ali RS, Ahmed S, Lohana H. Disease Patterns and Outcomes of Neonatal Admissions at a Secondary Care Hospital in Pakistan. Sultan Qaboos University Med J. 2013;13(3):424-8.

Butt AN, Malik A, Kazi YM. Pattern of Neonatal Admissions in a Tertiary Care Hospital in Pakistan. Available at: http://pjmhsonline.com/pattern_of_ neonatal_admissions_i.html Accessed on 3 March 2017.

Seyal T, Husnain F, Anwar A. Audit of Neonatal Morbidity and Mortality at Neonatal Unit of Sir Gangaram Hospital Lahore. ANNALS. 2011;17(1):9-13.

Begum NN, Begum M. Neonatal Morbidity and Outcome in a Medical College Hospital. Dinajpur Med Col J. 2016;9(1):38-44.

Salve D, Inamdar IF, Sudhir S, Mohan D, Saleem T, Sahu P. Study of Profile and Outcome of the Newborns Admitted in Neonatal Intensive Care Unit (NICU) at Tertiary Care Hospital in a City of Maharashtra; Int J Health Sci Res. 2015;5(10):18-23.

Rakholia R, Rawat V, Mehar B, Singh G. Neonatal morbidity and mortality of sick newborns admitted in a teaching hospital of Uttarakhand. 2014;1(4):228-34.