Epidemiological determinants of infant deaths occurring in a teaching hospital: an observational study

M. N. Soumyashree, R. G. Viveki, Sunanda Halki


Background: India has the highest number of infant deaths, contributing about 23% to the global burden of infant deaths. Sustainable development goal states that, by 2030, preventable deaths of new-borns and children under 5 years of age should be ended, with all countries aiming to reduce neonatal mortality to at least as low as 12 per 1000 live births and under-5 mortality to at least as low as 25 per 1000 live births. Aims of the study: (1) to understand the socio-demographic profile of the study cases, (2) to correlate the causes of infant deaths with age, parity and other obstetrics parameters.

Methods: The present study was undertaken for the period of one year from January to December 2016. The study included 120 deceased infants from department of Pediatrics, Belagavi Institute of Medical Sciences (BIMS) Hospital, Belagavi. Information regarding socio-demographic profile, antenatal, intranatal and infant details were collected using a structured questionnaire.

Results: 61.6% of study cases were male and three-fourth of them resided in rural area. 56.2% of the deceased infants were LBW, followed by VLBW (34.9%) and ELBW (8.9%).  The common causes of death among the deceased infants were prematurity (45%) followed by, birth asphyxia (34.2%), sepsis (12.5%), pneumonia (3.3%) and congenital anomalies and other (2.5%).

Conclusions: Age of the infants, gestational age, place of delivery, delivery assisted and LBW were associated with infant deaths. There is a need for proper implementation of programmes related to mother and child health care.


Determinants, Infant deaths, Teaching hospital

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Sumana M, Sreelatha CY, Girija BS, Sundar M, Gowda D. Low birth weight and its determinants in a teaching hospital of Karnataka, India. Int J Community Med Public Health. 2016;3:610-4.

Prasad VK, Thomas V, Padmaleela K. A retrospective study on the infant deaths in government teaching hospitals in Andhra Pradesh. Nat J Med Dental Res. 2013;1(4):29-33.

Shukla S, Das KD, Behera JN. Post Neonatal Under Five Mortality–A Hospital Based Study. J Dental Med Sci. 2015;14(2):42-5.

National Family and Health survey, India fact sheet, 2016. Available at Accessed on 28 July 2016.

NITI Aayog, State statistics, 2016. Available at: Accessed on 28 July 2016.

Millennium development goals India country report. Social Statistics Division Ministry of Statistics and Programme Implementation government of India, 2015. Available at: Accessed on 12 August 2015.

United Nations development Programme. SDGs, 2016. Available at: http:// Accessed on 28 August 2016.

World Health Organization. SDG 3: Ensure healthy lives and promote wellbeing for all at all ages, 2016. Available at: Accessed on 28 August 2016.

Upadhyaya S, Shetty S, Kumar SS, Dongre A, Deshmukh P. Institutionalizing district level infant death review: an experience from Southern India. WHO South-East Asia J Public Health. 2012;1(4):446-56.

Patil SW, Godale LB. Mortality pattern of hospitalized children in a tertiary care hospital in Latur: A record based retrospective analysis. Nati J Med Dental Res. 2013;4(1):96-9.

Sharifzadeh GR, Namakin K, Mehrjoofard H. An epidemiological study on infant mortality and factors affecting it in rural areas of Birjand, Iran. Iran J Pediatrics. 2008;18(4):335-42.

Patil RB, Koppad R, Shreeshail B. Clinical profile and outcome of babies admitted to Neonatal Intensive Care Unit (NICU), Mc Gann teaching hospital Shivamogga, Karnataka: A Longitudinal Study. J Applied Med Sci. 2014;2(6G):3357-60.

Dube L, Taha M, Asefa H. Determinants of infant mortality in community of Gilgel Gibe Field Research Center, Southwest Ethiopia: a matched case control study. BMC Public Health. 2013;13:401.

Manandhar SR, Ojha A, Manandhar DS, Shrestha B, Shrestha D, Saville N, et al. Causes of stillbirths and neonatal deaths in Dhausha district, Nepal: A verbal autopsy study. Kathmandu University Med J. 2010;8(29):62-72.

Titaley CR, Dibley MJ, Agho K, Roberts CL, Hall J. Determinants of neonatal mortality in Indonesia. BMC Public Health. 2008;8(1):232-43.

Weldearegawi B, Melaku AY, Abera SM, Ashebir Y , Haile F, Mulugeta A, et al. Infant mortality and causes of infant deaths in rural Ethiopia: a population-based cohort of 3684 births. BMC Public Health. 2015;15:1-7.

Singh A, Kumar A, Kumar A. Determinants of neonatal mortality in rural India, 2007-2008. Peer J. 2013;75:1-26.

Ezeh KO, Agho KE, Dibley MJ, Hall J, Page AN. Determinants of neonatal mortality in Nigeria: evidence from the 2008 demographic and health survey. BMC Public Health. 2014;14(1):521-31.

Schoeps D, Almeida MF, Alencar GP, França Jr I, Novaes HMD, Siqueira AAF, et al. Risk factors for early neonatal mortality. Rev Saude Publica. 2007;41(6):1013-22.

Kusneniwar GN, Mishra AK, Balasubramanian K, Reddy PS. Determinants of infant mortality in a developing region in rural Andhra Pradesh. National Institutes Health Public Access. 2013;4(4):20-6.

Nair SD, Singh L, Gulati BK, Pandey A. Levels, trends & predictors of infant & child mortality among Scheduled Tribes in rural India. Indian J Med Res. 2015;141:709–19.

Kananura RM, Tetui M, Mutebi A, Bua JN, Waiswa P, Kiwanuka SN, et al. The neonatal mortality and its determinants in rural communities of Eastern Uganda. J Reproductive Health. 2016;13(1):13-22.

Mekonnen Y, Tensou B, Telake DS, Degefie T, Bekele A. Neonatal mortality in Ethiopia: trends and determinants. BMC Public Health. 2013;13:483-97.

Ramadurg UY, Ghattargi CH, Gagan S, Manjula R, Mayappanavar RY, Bhadja D, et al. A study of causes of neonatal mortality in tertiary care hospital, Bagalkot. Int J Health Information Med Res. 2014;1(2):26-8.

Bapat U, Alcock G, More NS, Das S, Joshi W, Osrin D. Stillbirths and newborn deaths in slum settlements in Mumbai, India: a prospective verbal autopsy study. BMC Pregnancy Childbirth. 2012;12:1-10.