Clinico-socio demographic characteristics of neonates at NICU, Mediciti Hospital, Medchal, Telangana, India

Authors

  • Anusha Dunnapothula Department of Community Medicine, Mediciti Institute of Medical Sciences, Ghanpur, Medchal, Telangana, India
  • Leo S. Vaz Department of Community Medicine, Mediciti Institute of Medical Sciences, Ghanpur, Medchal, Telangana, India
  • Sameer Valsangkar Department of Community Medicine, Mediciti Institute of Medical Sciences, Ghanpur, Medchal, Telangana, India
  • Suguna Dummpala Department of Community Medicine, Mediciti Institute of Medical Sciences, Ghanpur, Medchal, Telangana, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241598

Keywords:

Neonatal morbidity, Low birth weight, Neonatal intensive care unit

Abstract

Background: Children face the greatest risk of disease and death in their first 28 days. Improvements in basic neonatal care such as thermoregulation and breastfeeding have substantially reduced neonatal mortality and morbidity. There is still a need to strengthen the provision of advanced care for neonates. Identifying factors impacting neonatal mortality and morbidity and addressing them through a package of evidence-based interventions are essential to avoiding preventable deaths.

Methods: The current study analyses data from a cross-sectional study in the rural outreach area of a tertiary hospital in Hyderabad, India to assess clinical and socio-demographic factors affecting neonatal morbidity. One hundred and fifty neonates admitted in neonatal intensive care unit and their mothers were included. A semi-structured questionnaire was used to obtain responses through face-to-face interview. Descriptive and inferential analyses were performed using R Statistical Software (version 4.3.2).

Results: Among the 150 neonates, 99 (66%) neonates were admitted for respiratory distress. 39 (26%) males were low birth weight and 28 (18.67%) females were low birth weight. There was no significant association between low birth weight, high risk pregnancy and gender of the neonate. A significant association was obtained between low socio-economic status and low birth weight.

Conclusions: Neonatal mortality and morbidity can be attributed to several factors including neonatal characteristics, maternal characteristics, health infrastructure and health manpower. However, prevalence of socio-demographic risk factors affecting neonates is disproportionately higher in low- and middle-income countries. A multi-pronged approach is required to address the multimodal causation of low birth weight and morbidity in neonates.

References

Sankar MJ, Neogi SB, Sharma J. State of newborn health in India. J Perinatol. 2016;36(s3):S3-8.

Newborns: Improving survival and well-being. Available at: https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality. Accessed on 20 April 2024.

National Family Health Survey (NFHS-5). Available at: https://rchiips.org/nfhs/factsheet_nfhs-5.shtml#. Accessed on 20 April 2024.

Hanson C, Singh S, Zamboni K. Care practices and neonatal survival in 52 neonatal intensive care units in Telangana and Andhra Pradesh, India: A cross-sectional study. PLoS Med. 2019;16(7):e1002860.

Pentapati SSK, Debnath DJ. Updated BG Prasad’s classification for the year 2022. J Family Med Prim Care. 2023;12(1):189-90.

Hadush MY, Berhe AH, Medhanyie AA. Foot length, chest and head circumference measurements in detection of Low-birth-weight neonates in Mekelle, Ethiopia: a hospital based cross sectional study. BMC Pediatr. 2017;17(1):111.

Kumar M, Swarnkar K, Vagha J. Clinical profile of low birth babies in NICU: a rural tertiary care hospital based study. Int J Contemp Pediatr. 2017;5(1):239.

Ys K, Gh Y, Jan F A. Morbidity and Mortality Among Neonates Admitted to a Neonatal Intensive Care Unit of a Tertiary Care Teaching Hospital of Jammu and Kashmir. Neonat Pediatr Med. 2017;3(2):12-5.

Kawale SN, Shinde MA, Shinde PS. Study of sociodemographic factors affecting outcome of babies admitted in neonatal care unit. Int J Community Med Public Health. 2019;7(1):83.

Parvin R, Haque MF, Ghosh NK, Sonia SF, Afroze S, Rahman S, et al. Disease Profile in neonates and their Outcome at a Tertiary Care Hospital in Bangladesh. JMRKSH. 2020;1(1):3-8.

Al Kibria GM, Khanam R, Mitra DK. Rates and determinants of neonatal mortality in two rural sub-districts of Sylhet, Bangladesh. PLoS One. 2018;13(11):e0206795.

Downloads

Published

2024-06-05

How to Cite

Dunnapothula, A., Vaz, L. S., Valsangkar, S., & Dummpala, S. (2024). Clinico-socio demographic characteristics of neonates at NICU, Mediciti Hospital, Medchal, Telangana, India. International Journal Of Community Medicine And Public Health. https://doi.org/10.18203/2394-6040.ijcmph20241598

Issue

Section

Original Research Articles