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Original Article

Author(s): Akter AHMM, Ali MA, Khatun S, Rahman M, Nuruzzaman M, Das K, Rabeya T, Bari MA, Ahammad AN

PAH Med Col J. Jul 2024; 1(1): 8-12

Abstract

Background: The neonatal period is a critical phase for a child’s survival, with neonatal deaths accounting for approximately half of all under-five mortalities in developing countries. Disease patterns among neonates can vary across regions and over time.

Objective: Analyzing these patterns in healthcare settings helps identify gaps in care and strategies to reduce neonatal morbidity and mortality.

Methods: This hospital-based retrospective study assessed admission patterns and outcomes in the neonatal care unit of President Abdul Hamid Medical College Hospital, Kishoreganj, reviewing medical records from March 2022 to February 2023.

Results: Of 408 neonates admitted, 249 (61%) were male and 159 (39%) were female. Inborn neonates accounted for 190 cases (46.6%), while 218 (53.4%) were referred from other facilities. The leading causes of admission were birth asphyxia (35.2%) and prematurity (32.4%), followed by meconium aspiration (14.7%) and sepsis (9.8%). Among admitted neonates, 250 (61.3%) improved and were discharged, 35 (8.6%) left against medical advice, 34 (8.3%) were referred elsewhere, and 89 (21.8%) died. Prematurity with low birth weight was the primary cause of mortality (35.9%), followed by sepsis (30.4%) and perinatal asphyxia (24.7%).

Conclusion: Strengthening antenatal care and ensuring prompt neonatal resuscitation at the community and delivery room levels are essential strategies to reduce neonatal mortality and improve survival outcomes.

Keywords

Low birth weight, Morbidity, Mortality, Perinatal asphyxia, Prematurity

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How to cite: Akter AHMM, Ali MA, Khatun S, Rahman M, Nuruzzaman M, Das K, Rabeya T, Bari MA, Ahammad AN. Pattern of Admission and Related Outcomes in the Neonatal Care Unit of a Tertiary Care Hospital, Kishoreganj. PAH Med Col J. Jul 2024; 1(1): 8-12.