Home Print this page Email this page Small font sizeDefault font sizeIncrease font size
Users Online: 386
About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Advertise Login 
Year : 2018  |  Volume : 7  |  Issue : 3  |  Page : 130-135

Morbidity and mortality patterns among outborn referral neonates in central India: Prospective observational study

Department of Pediatrics, Government Medical College, Nagpur, Maharashtra, India

Correspondence Address:
Dr. Rajkumar Motiram Meshram
Department of Pediatrics, Government Medical College, Nagpur, Maharashtra
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcn.JCN_27_18

Rights and Permissions

Background: Accurate assessment of morbidity and mortality patterns of neonates are reported of inborn babies treated in neonatal intensive care unit, but data on outborn neonates treated suboptimally in general pediatric ward is lacking. Objective: The objective of the study is to document the morbidity and mortality pattern of outborn referral neonates. Materials and Methods: This was a prospective observational study undertaken at a tertiary care teaching government hospital, for 1 year. All outborn referral neonates admitted were included in the study. Relevant maternal and neonatal data were included and analyzed. Results: A total of 1077 outborn referral neonate were admitted during the study, out of which 39 were excluded from the study. As a result, 1038 neonates were included for analysis with 58.96% male and 41.04% female giving a male to female ratio 1.4:1. Most of them were from rural area and lower socioeconomic class. About 96.92% mothers were registered either at primary, secondary, or tertiary health-care facilities. The average distance traveled by neonate was 84.81 km. The leading cause of admission was sepsis (37.37%), prematurity with respiratory distress syndrome (14.55%), perinatal asphyxia (17.53%), jaundice (9.73%), and others such as malformations, meconium aspiration syndrome, genetic syndrome, and metabolic complication. Neonatal mortality rate was 31.98% and more than two-thirds deaths were within 1st week of life, with no sex predilection. The most common cause of mortality was sepsis (34.94%), followed by perinatal asphyxia (22.29%) and prematurity with respiratory distress. Conclusion: Neonatal mortality was 31.98% in our study. Systemic infection, prematurity with respiratory distress and perinatal asphyxia were the leading causes of admission in our study. These preventable causes should be urgently addressed if we hope to achieve the millennium developmental goal.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded442    
    Comments [Add]    
    Cited by others 2    

Recommend this journal