PATTERN OF NEONATAL ADMISSION AT THE CHILDREN’S HOSPITAL AND THE INSTITUTE OF CHILD HEALTH, MULTAN

Authors

  • Ahmed Iqbal Quddusi
  • Athar Razzaq
  • Sajjad Hussain
  • Afaq Hussain

Abstract

Background: Neonatology is a rapidly growing paediatric sub-specialty all over the world. Neonataldisease pattern changes from time to time and place. Analyzing the neonatal admission pattern helps thepolicy makers to make the better strategies and health care givers to serve better. Method: This was adescriptive study. The study data was collected of the patient admitted in neonatal unit of ChildrenHospital Complex and Institute of Child Health, Multan, Pakistan from 1st January 2010 to 31stDecember 2010. The data of all the admitted neonates was analysed according to their causes ofadmission in whole one year whether admitted through emergency department or OPD clinic. Result:Total numbers of neonatal admissions were 3,560. Birth asphyxia was found to be major cause ofadmission, 1,230 patients (34.5%). Among infections, sepsis was found in as a whole in 1,009 (28.3%)of admission, pneumonia in 170 (4.7%) and meningitis in 30 (0.8%). Out of 3,560 patients admitted,2,550 were discharged after improvement, 290 died, and 720 left against medical advice (LAMA).Conclusion: Birth asphyxia, sepsis and prematurity are the main reasons for admission in neonatal age.By paying good attention to perinatal services, we can reduce morbidity and mortality in neonates.Keywords: Neonates, Birth asphyxia, Sepsis

References

Philip AG. The Evolution of Neonatology. Pediatr Res

;58(4):799–815.

Bhutta ZA. Priorities in newborn care and development of

clinical neonatology in Pakistan: Where to now? J Coll

Physicians Surg Pak 1997;7:231–4.

Parkash J, Das N. Pattern of admissions to neonatal unit. J Coll

Physicians Surg Pak 2005;15:341–4.

Nahar N. Neonatal Health Situation in Bangladesh. In: Bhutta

ZA, (Ed). Perinatal and newborn care in South Asia. Karachi:

Mehran Printers; 2007.p. 58–74.

Chishty AL, Iqbal MA, Anjum A, Maqbool S. Risk factor

analysis of birth asphyxia at the Children’s Hospital Lahore. Pak

Paediatr J 2002;26:47–53.

Riana N, Kumar Y. Mnagement of birth asphyxia by traditional

birth attendent. World Health Forum 1989;10:243–6.

Chaudry IJ, Chaudry NA, Hussain R, Munir M, Tayyub M.

Neonatal Septicemia. Pak Postgrad Med J 2003;14(1):18–22.

Rahim F, Jan A, Muhammad J, Iqbal H. Pattern and outcome of

admissions to neonatal unit of Khyber Teaching Hospital,

Peshawar. Pak J Med Sci 2007;23(2)241–53.

Dear P. Infections in newborn. In: Rennie J, (Ed). Roberton’s

Textbook of Neonatology. 4thed. China: Elsevier; 2005.p.1011–92.

Eichewald EC. Care of the extremely low birth weight infant. In:

Tauusch HW, Ballard RA, Gleason CA, (Eds). Avery’s Diseases

of the Newborns. 8th ed. Haryana (India): WB Saunders;

p.410–26.

Arif MA. Jaundice in newborn. Pak Paediatr J 1983;7(1):37–43.

Ejaz I, Khan HI, Baloch GR. Neonatal mortality: Report from at

tertiary hospital in Lahore/Causes and Outcome. Pak Paediatr J

;25(2):35–8.

Shabbir A, Naeemujlah S. Prematurity: a major contributor to

perinatal mortality. J Rawal Med Coll 2006;10(2):78–81.

Abbasi KA. Neonatal disease profile in Larkana before and after

establishment of neonatal ward. J Pak Med Assoc 1995;45:235–6.

Augustine T, Bhatia BD. Early neonatal morbidity and mortality

pattern in hospitalized children. Indian J Matern Child Health

;5(1):17–9.

Published

2012-06-01

Issue

Vol. 24 No. 2 (2012): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.