Volume : 7, Issue : 2, February - 2018

A study of Neonatal admission pattern and outcome from Rural Haryana

Preeti Raikwar, Dhiraj Parihar, Manoj Rawal, Arvinder Pal Singh Batra, Jeewandeep Kaur, Palkin Juneja, Ishita Kak

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;text-justify:inter-ideograph;line-height:normal;mso-layout-grid-align:&#10;none;text-autospace:none"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Introduction:<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;text-justify:inter-ideograph;line-height:normal;mso-layout-grid-align:&#10;none;text-autospace:none"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">India contributes to one fifth of global live birth and more than a quarter of neonatal deaths. There is huge disparity in Neonatal Mortality rate between and even the states. This disparity include rural &ndash;urban, poor rich and gender differentials. The first step in improving neonatal survival is to document the number and rate of deaths and identify their common causes.<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;text-justify:inter-ideograph;line-height:normal;mso-layout-grid-align:&#10;none;text-autospace:none"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Aims: This study was undertaken to study the disease pattern and outcome<o:p></o:p></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;text-justify:inter-ideograph;line-height:normal;mso-layout-grid-align:&#10;none;text-autospace:none"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">of neonates admitted to the neonatal intensive care unit (NICU) of a<span style="mso-spacerun:yes">&nbsp; </span>rural tertiary care centre located in<span style="mso-spacerun:yes">&nbsp; </span>BPS government medical college for women, khanpur kalan Sonipat ,Haryana.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:&#10;115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Inclusion criteria<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">All neonate<span style="mso-spacerun:yes">&nbsp; </span>admitted in NICU during one year study period(Jan to </span><span style="font-size:14.0pt;line-height:115%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&quot;Arial Unicode MS&quot;">Dec</span><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"> 2017)<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:&#10;115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Exclusion criteria<o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Newborn<span style="mso-spacerun:yes">&nbsp; </span>admitted<span style="mso-spacerun:yes">&nbsp; </span>after surgical intervention and<span style="mso-spacerun:yes">&nbsp; </span>referred due to non availability of beds were excluded. <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:&#10;115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion <o:p></o:p></span></b></p> <p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">More emphasis should we given to increase awareness to antenatal visits in rural areas ,maternal education ,increasing maternal age at first pregnancy, prolongation of deliveries till term and timely referral<span style="mso-spacerun:yes">&nbsp; </span>with adequate<span style="mso-spacerun:yes">&nbsp; </span>numbers of health care staff may improve neonatal outcome in rural India.<o:p></o:p></span></p>