Full Text (PDF)
Original Article

Factors Associated with Mortality of Neonates Admitted to a Tertiary Care Neonatal Unit

Rajiv Ranjan Tiwari, Anil S Bilimale, Sunil Kumar D, Rituparna Kundu, Padma Sakhi, Srinivasa Murthy D

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


International Journal of Pediatric Nursing 8(3):p 99-105, September-December 2022. | DOI: https://doi.org/10.21088/ijpen.2454.9126.8322.4

How Cite This Article:

Rajiv Ranjan Tiwari, Srinivasa Murthy D, Anil S Bilimale, et. al./Factors Associated with Mortality of Neonates Admitted to a Tertiary Care Neonatal Unit/Int J Pediatr Nurs. 2022;8(3):99–105.

Timeline

Received : August 27, 2022         Accepted : September 28, 2022          Published : December 30, 2022

Abstract

Background: The neonatal period is the most susceptible phase of life. In the aim of this study was to assess the causes and factors associated with neonatal mortality. Methodology: This study was a Retrospective study of medical records for 2 years (Jan. 2020- Dec. 2021). The age, sex, gestational age, and morbidity and mortality profile of all SNCU admissions in 1 year were determined, and the difference between inborn (those born in Hospital) and out born (neonates delivered outside and referred) was calculated. Results: Of the 1600 neonates admitted, 61.5% neonates were males, 57.4% were Inborn and 42.8% were outborn. Approximately, 33.4% were preterm, and renal cardiovascular (20.4%), Neurological disorder (18.6%), and Respiratory related infection (19.1%) were the chief morbidities. The chief causes of mortality were low birth weight with AOR 1.29 (0.836-2.0120), respiratory support that includes O2 with AOR 5.817 (3.367-10.051), CPAP with AOR 4.902 (2.745-8.754), CMV with AOR 4.251(2.184-8.274) and Level of Care with AOR 4.85 (3.102-11.471). This factor was statistically associated with neonatal mortality. Conclusion: Low birth weight, respiratory support, neonate size, and degree of care were all found to be associated with newborn mortality in this study. As a result, hospitals ought to emphasize enhancing antenatal, intrapartum, and standardized care for newly admitted infants. A prospective study is what we suggest.


References

  • 1.   Newborn and child health [Internet]. [cited 2022 Apr 16]. Available from: https://www. unicef.org/india/what-we-do/newborn-andchild-health.
  • 2.   Newborn Mortality [Internet]. [cited 2022 Apr 16]. Available from: https://www.who.int/ news-room/fact-sheets/detail/levels-andtrends-in-child-mortality-report-2021.
  • 3.   Neonatal mortality [Internet]. UNICEF data. [cited 2022 Apr 16]. Available from: https:// data.unicef.org/topic/child-survival/ neonatal-mortality/
  • 4.   Rammohan A, Iqbal K, Awofeso N. Reducing Neonatal Mortality in India: Critical Role of Access to Emergency Obstetric Care. PLOS one. 2013 Mar 27;8(3):e57244.
  • 5.   Data Warehouse [Internet]. UNICEF DATA. [cited 2021 Dec 21]. Available from: https:// data.unicef.org/resources/data_explorer/ unicef_f/.
  • 6.   Transforming our world: the 2030 Agenda for Sustainable Development | Department of Economic and Social Affairs [Internet]. [cited 2022 Apr 16]. Available from: https://sdgs. un.org/2030agenda.
  • 7.   World Health Organization. World health statistics 2018: monitoring health for the SDGs, sustainable development goals [Internet]. World Health Organization; 2018 [cited 2022 Apr 16]. viii, 86 p. Available from: https:// apps.who.int/iris/handle/10665/272596.
  • 8.   Kumar M, Paul VK, Kapoor SK, Anand K, Deorari AK. Neonatal Outcomes at a Subdistrict Hospital in North India. J Trop Pediatr. 2002 Feb 1;48(1):43–6.
  • 9.   Rakholia. Neonatal morbidity and mortality of sick newborns admitted in a teaching hospital of Uttarakhand [Internet]. [cited 2021 Dec 20]. Available from: https://www.cjhr.org/article. asp?issn=2348-3334;year=2014;volume=1;issue =4;spage=228;epage=234;aulast=Rakholia.
  • 10.   Singh H, Yadav G, Mallaiah R, Joshi P, Joshi V, Kaur R, et al. iNICU – Integrated Neonatal Care Unit: Capturing Neonatal Journey in an Intelligent Data Way. J Med Syst. 2017 Jul 26;41(8):132.
  • 11.   Neogi SB, Malhotra S, Zodpey S, Mohan P. Challenges in scaling up of special care newborn units-lessons from India. Indian Pediatr. 2011 Dec 1;48(12):931–5.
  • 12.   Saini N, Chhabra S, Chhabra S, Garg L, Garg N. Pattern of neonatal morbidity and mortality: A prospective study in a District Hospital in Urban India. J Clin Neonatol. 2016 Jul 1;5(3):183.
  • 13.   Bokade CM, Meshram RM. Morbidity and mortality patterns among outborn referral neonates in central India: Prospective observational study. J Clin Neonatol. 2018 Jul 1;7(3):130.
  • 14.   Isayama T, Lee SK, Yang J, Lee D, Daspal S, Dunn M, et al. Revisiting the Definition of Bronchopulmonary Dysplasia: Effect of Changing Panoply of Respiratory Support for Preterm Neonates. JAMA Pediatr. 2017 Mar 1;171(3):271–9.
  • 15.   Ramaswamy VV, More K, Roehr CC, Bandiya P, Nangia S. Efficacy of noninvasive respiratory support modes for primary respiratory support in preterm neonates with respiratory distress syndrome: Systematic review and network meta-analysis. Pediatr Pulmonol. 2020;55(11):2940–63.
  • 16.   Steer P. The management of large and small for gestational age fetuses. Semin Perinatol. 2004 Feb;28(1):59–66.
  • 17.   Moraitis AA, Wood AM, Fleming M, Smith GCS. Birth weight percentile and the risk of term perinatal death. Obstet Gynecol. 2014 Aug;124(2 Pt 1):274–83.
  • 18.   Kim SY, Sharma AJ, Sappenfield W, Salihu HM. Preventing large birth size in women with preexisting diabetes mellitus: The benefit of appropriate gestational weight gain. Prev Med. 2016 Oct;91:164–8.
  • 19.   Luoto R, Kinnunen TI, Aittasalo M, Kolu P, Raitanen J, Ojala K, et al. Primary Prevention of Gestational Diabetes Mellitus and Largefor-Gestational-Age Newborns by Lifestyle Counseling: A Cluster-Randomized Controlled Trial. PLOS Med. 2011 May 17;8(5):e1001036.
  • 20.   Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. The Lancet. 2008 Jan 5;371(9606):75–84.
  • 21.   Newborn health: Caring for preterm babies [Internet]. [cited 2022 May 5]. Available from: https://www.who.int/news-room/questionsand-answers/item/newborn-health-caringfor-preterm-babies.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


About this article


Cite this article

Rajiv Ranjan Tiwari, Srinivasa Murthy D, Anil S Bilimale, et. al./Factors Associated with Mortality of Neonates Admitted to a Tertiary Care Neonatal Unit/Int J Pediatr Nurs. 2022;8(3):99–105.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
August 27, 2022 September 28, 2022 December 30, 2022

DOI: https://doi.org/10.21088/ijpen.2454.9126.8322.4

Keywords

Low birth weightRespiratory supportNeonate sizeDegree of care

Article Level Metrics

Last Updated

Tuesday 29 September 2026, 13:48:31 (IST)


1498

Accesses

3
286
00

Citations


NA
NA
NA

Download citation


Article Keywords


Keyword Highlighting

Highlight selected keywords in the article text.


Timeline


Received August 27, 2022
Accepted September 28, 2022
Published December 30, 2022

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Access this article



Share