Property | Value |
Name | Status of Newborn Transport in Periphery and Risk Factors of Neonatal Mortality among Referred Newborns |
Description | Original research article:- * Buch Pankaj M1, Makwana Aarti M 2, Chudasama Rajesh K3 , Doshi Smita K2 1 M.D. (Pediatrics) – Professor, Department of Paediatrics, M P Shah Medical College, Jamnagar, Gujarat, India. 2 M.D. (Pediatrics) – Assistant Professor, Department of Paediatrics, P D U Medical College, Rajkot, Gujarat, India. 3 M.D. (Community Medicine) – Associate Professor, Department of Community Medicine, M P Shah Medical College, Jamnagar, Gujarat, India.
Abstract:- Objective: This study was aimed to find out characteristics of transport of a sick referred neonate and to measure the risk factors that contribute to mortality. Method: An observational prospective study was conducted for the period of six months from 1/8/2010 to 31/1/2011 in the department of pediatrics, P.D.U.Government medical College, Rajkot, Gujarat, India. Referred newborns fulfilling inclusion criteria were enrolled in study. They were assessed in term of demographic description, referral characteristics, and condition on arrival at hospital, individual morbidity and mortality. Individual morbidity was assessed as per standard guidelines and appropriate and feasible laboratory investigations were carried out as needed. They were followed up to immediate outcome. Results: Prematurity (51.5%), Respiratory distress syndrome (43.3%), Birth asphyxia (16.1%) and sepsis (25.2%) were the main causes of referral and even mortality. Most of neonatal referrals were self or improperly organized transport and associated with inadequate prereferral stabilization, incomplete advice regarding care during transport and poor communication. Overall mortality (32.2%) of referred neonates was high. Weight less than1500 gm, prematurity <32 weeks, Hypothermia, delayed capillary filling time and significant respiratory distress were significant predictors of neonatal death. Conclusion: A significant number of neonatal deaths among referred newborns can be prevented. The development of an effective neonatal transport system is needed for proper implementation of regionalization of perinatal care and better neonatal outcome.
Keywords:- Neonatal transport, predictors of neonatal mortality. |
Filename | Buch Pankaj M et al.(1).pdf |
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Created On: | 03/17/2012 00:00 |
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Last updated on | 04/10/2012 16:41 |
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