Abstract
A total of 2063 live births were studied during one year period from July 1994 to June 1995. Neonatal mortality rate (NMR) was 35.4 per thousand live births. The case fatality rate among low birth weight and preterms was 10.1% and 18.1% respectively. Though, low birth weight babies accounted for 27.8% of the live births but contributed for 79.5% of neonatal deaths [p<0.001]. Similarly, preterm babies accounted for 13.2% of the live births but contributed for 69.9% of neonatal deaths [p<0.001]. The causes of neonatal deaths found were birth asphyxia (31.1%), infections (23.3%), immaturity (17.8%), hypothermia (9.6%), hyaline membrane disease (2.7%) and cogenital malformation (1.4%). There is need to identify strategies to reduce the incidence of prematurity and low birth weight babies. Comprehensive antenatal coverage and adequate care followed by optimal management of newborns at birth is likely to reduce NMR and improve quality of life among survivors.
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References
Hogarth J. Glossary of health care terminology, 1978;WHO Copenhagen.
Meharban Singh. Hospital based data on perinatal and neonatal mortality in India.Indian Pediatrics 1986; 23: 579–584.
Sarna MS, Saili A, Dutta AK, Kumari S. Neonatal mortality patterns in an urban hospital.Indian Pediatrics 1991; 28: 719–723.
Singh M. In:Care of the newborn, 3rd ed. Sagar Publications, New Delhi, 1985; p. 1.
Wigglesworth JS. Monitoring perinatal mortality—a pathophysiological approach.Lancet 1980; 684–686.
Bhakoo ON, Narang A, Kulkarni KN. Neonatal mortality and morbidity in hospital born babies.Indian Pediatrics 1975; 12: 443–450.
Garg VK, Singh MN, Misra OP. Neonatal mortality rate. A Hospital study.Indian Pediatrics 1987; 24: 639–643.
Wegman ME. Annual summary of vital statistics—1989.Pediatrics 1990; 86 (6): 835–847.
Bhatia BD, Mathur NB, Chaturvedi P, Dubey AP. Neonatal mortality pattern in rual based medical college hospital.Ind. J Pediatr. 1984; 51: 309–312.
Singh M, Deorari AK, Khajuria RC. Perinatal and neonatal mortality in a hospital.Indian J Med Res 1991; 94 (B): 1–5.
Karan S, Mathur BP, Surainder YA. Incidence and causes of perinatal mortality. Hyderabad—AP.Indian Pediatric 1972; 2: 99–106.
Gupta S, Chopra K, Pramanick A. Perinantal and neonatal mortality and morbidity in hospital born babies.Indian Pediatrics 1972; 9: 586–592.
Chance GW, Mathew JD, Gash G. Neonatal transport: A controlled study of skilled assistance.J Pediatric 1978; 93: 662–666.
Mir NA, Javied S. Transport of sick neonates. Practical consideration.Indian Pediatrics 1989; 26: 755–764.
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Kaushik, S.L., Parmar, V.R., Grover, N. et al. Neonatal mortality rate: Relationship to birth weight and gestational age. Indian J Pediatr 65, 429–433 (1998). https://doi.org/10.1007/BF02761138
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DOI: https://doi.org/10.1007/BF02761138