AN AUDIT OF MORBIDITY AND MORTALITY OF HOSPITALISED NEONATES IN NEONATAL CARE UNIT OF A TERTIARY CARE HOSPITAL IN ABBOTTABAD

Anis -ur- Rehman, Azhar Munir Qureshi, Shehzad Najeeb, Tahir Saeed Siddiqui, Muhammad Idris, Tausif Ahmad

Abstract


Background: Perinatal as well as neonatal mortality record in our country is one of the highest in the
world. Home deliveries, lack of adequate facilities, poverty and lack of education are some of the
important known causes. The present study was planned to determine neonatal mortality in Hazara.
Methods: Hospital records of neonatal admissions at Ayub Teaching Hospital (ATH) Abbottabad from
1st January 2007–31st December 2007 were analysed retrospectively. Percent neonatal mortality was
calculated from the record, along with the causes of neonatal mortality. Results: A total of 1705
neonates were admitted in the study period at the department of neonatology Ayub Teaching Hospital
Abbottabad. Out of 1,705 neonates 947 (56%) were males while 857 (44%) were females with a male to
female ratio of 1.24:1. Majority, 1,411 out of 1,705 (83%), of the neonates was admitted during the 1st
week of their life, mean age 6 days. Asphyxia, sepsis and prematurity were the three most common
causes of neonatal admissions contributing 27%, 26% and 24% respectively. Overall mortality was 11%.
Conclusion: Neonatal mortality is an important contributing factor to infant mortality in Hazara
Division. Majority of patients was admitted in the first week of life which indicates that good antenatal
and natal care can reduce the mortality and morbidity of our neonates. Improvement in the prenatal, natal
and nursery care as a whole can reduce the neonatal mortality in preterm as well as full term neonates.
Keywords: Neonatal Mortality, Morbidity, Asphyxia

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