Neonatal Morbidity Patterns and Admission Outcomes: A Cross Sectional Study at a Tertiary Care Hospital in Pakistan

Abstract

Objective: To determine the neonatal mortality and ascertain the disease patterns at neonatal ward in a tertiary care hospital Material and Methods: Design: Hospital based cross sectional study. Participants: Two thousand, two hundred and seventy five neonates were registered using retrospective data from 1st January 2020 to 31st Dec 2020. We recorded gender, birth weight, cause of admission, and admission outcome.  Data was analyzed using Microsoft excel data spread sheet. Results: There were 2275 patients registered from CPDR (complete patient data record register) from 1st January 2020 to 31st Dec 2020.  The mean birth weight was 2.35 kg, with lowest birth weight of 0.9kg and highest birth weight of 4.8kg (SD 0.8 and SE 0.01, CI 0.025).  Out of 2175 admitted neonates 506 (23.2%) died, 1250 (57.4%) were discharged after desired improvement, most common presenting complaint and cause of admission was HIE grade 1 , followed by Sepsis, 418 (18.5%), 380(16.9%), respectively. Conclusions: Hypoxic Ischemic Encephalopathy grade I is the most common morbidity pattern in our study, the mortality rate was observed very high, indicators of birth weight were also poor. There is a great need for improvement of antenatal care for mothers to enhance different measures of newborn welfare and wellbeing.