Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, Abakaliki
Aim: To audit the services of the neonatal Unit since its inception and determine the causes of morbidity and mortality among the neonates. Methods: This was a retrospective study. Case notes of all babies admitted into the neonatal Unit for the three-year study period were retrieved from the medic...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2004-01-01
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| Series: | International Journal of Medicine and Health Development |
| Subjects: | |
| Online Access: | http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2004;volume=9;issue=2;spage=93;epage=96;aulast=Ojukwu |
| _version_ | 1811220471709958144 |
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| author | J U Ojukwu C N Ogbu |
| author_facet | J U Ojukwu C N Ogbu |
| author_sort | J U Ojukwu |
| collection | DOAJ |
| description | Aim: To audit the services of the neonatal Unit since its inception and determine the causes of morbidity and mortality among the neonates.
Methods: This was a retrospective study. Case notes of all babies admitted into the neonatal Unit for the three-year study period were retrieved from the medical records department of the hospital and reviewed. The data reviewed included sex, gestational age, and mode of delivery, birth weight, in-born and out-born, maternal booking status and associated factors, indications for admission, diagnosis and outcome.
Results: A total of 536 neonates made up of 425 in-borns (79.3%) and 111 out-borns (20.7%) was admitted into the Unit, 186 (34.7%) were of low birth weight (LBW) and 139 (25.9%) preterms. There was an increase in the yearly admissions from 63 to 367. Major indications for admission included septicaemia (26.9%), prematurity and LBW (22.9%), birth asphyxia (20.9%), unconjugated hyperbilirubinaemia (11.4%), neonatal malaria (4.1%) and congenital malformation (3.2%). Two hundred and thirty-nine of the 536 babies (44.6%) were babies born to un-booked mothers. There were 80 deaths, giving an overall mortality of 14.9%. LBW contributed to 55.0% of the overall mortality. Others were birth asphyxia (18.7%), septicaemia (11.2%) and congenital malformation (7.5%). A total of 45/80 (56.3%) of the mortality cases was in-born but 58/80 (72.5%) of the deaths was delivered to unbooked mothers.
Conclusion: Preventable conditions are the main causes of morbidity and mortality in our centre. Identifiable causes included lack of antenatal care, low standard of available services and lack of essential equipment like ventilators and overcrowding in the unit. Measures that are needed to improve the care of newborns are highlighted. |
| first_indexed | 2024-04-12T07:43:29Z |
| format | Article |
| id | doaj.art-a3b09a00773b425cbc402ee427603f48 |
| institution | Directory Open Access Journal |
| issn | 2635-3695 |
| language | English |
| last_indexed | 2024-04-12T07:43:29Z |
| publishDate | 2004-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Medicine and Health Development |
| spelling | doaj.art-a3b09a00773b425cbc402ee427603f482022-12-22T03:41:46ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952004-01-01929396Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, AbakalikiJ U OjukwuC N OgbuAim: To audit the services of the neonatal Unit since its inception and determine the causes of morbidity and mortality among the neonates. Methods: This was a retrospective study. Case notes of all babies admitted into the neonatal Unit for the three-year study period were retrieved from the medical records department of the hospital and reviewed. The data reviewed included sex, gestational age, and mode of delivery, birth weight, in-born and out-born, maternal booking status and associated factors, indications for admission, diagnosis and outcome. Results: A total of 536 neonates made up of 425 in-borns (79.3%) and 111 out-borns (20.7%) was admitted into the Unit, 186 (34.7%) were of low birth weight (LBW) and 139 (25.9%) preterms. There was an increase in the yearly admissions from 63 to 367. Major indications for admission included septicaemia (26.9%), prematurity and LBW (22.9%), birth asphyxia (20.9%), unconjugated hyperbilirubinaemia (11.4%), neonatal malaria (4.1%) and congenital malformation (3.2%). Two hundred and thirty-nine of the 536 babies (44.6%) were babies born to un-booked mothers. There were 80 deaths, giving an overall mortality of 14.9%. LBW contributed to 55.0% of the overall mortality. Others were birth asphyxia (18.7%), septicaemia (11.2%) and congenital malformation (7.5%). A total of 45/80 (56.3%) of the mortality cases was in-born but 58/80 (72.5%) of the deaths was delivered to unbooked mothers. Conclusion: Preventable conditions are the main causes of morbidity and mortality in our centre. Identifiable causes included lack of antenatal care, low standard of available services and lack of essential equipment like ventilators and overcrowding in the unit. Measures that are needed to improve the care of newborns are highlighted.http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2004;volume=9;issue=2;spage=93;epage=96;aulast=Ojukwunewbornneonatal admissionsmorbiditymortalityhospital-basedabakalikinigeria |
| spellingShingle | J U Ojukwu C N Ogbu Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, Abakaliki International Journal of Medicine and Health Development newborn neonatal admissions morbidity mortality hospital-based abakaliki nigeria |
| title | Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, Abakaliki |
| title_full | Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, Abakaliki |
| title_fullStr | Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, Abakaliki |
| title_full_unstemmed | Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, Abakaliki |
| title_short | Analysis and outcome of admissions in the special care baby unit of the Ebonyi State University teaching hospital, Abakaliki |
| title_sort | analysis and outcome of admissions in the special care baby unit of the ebonyi state university teaching hospital abakaliki |
| topic | newborn neonatal admissions morbidity mortality hospital-based abakaliki nigeria |
| url | http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2004;volume=9;issue=2;spage=93;epage=96;aulast=Ojukwu |
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