Vol. 1, Issue 1, Part A (2019)

Introduction: Neonatal period is a very vulnerable period of life due to many problems. India alone contributes to about 25% of neonatal mortality around the world. In spite of advances in perinatal and neonatal care, neonatal mortality is still high in developing countries. This study was undertaken to study the disease pattern and outcome of neonates admitted to the sick neonatal intensive care unit (SNCU) of a tribal teaching hospital Adilabad Study Design: This study is a retrospective, descriptive study of medical record carried out in the (SNCU) Department of Pediatrics, at the Rajiv Gandhi Institute of Medical Sciences, Adilabad, Telangana, for a period of 1 year from January 2015 to December 2015. Materials and Methods: Neonates admitted to SNCU, Adilabad Rajiv Gandhi institute of medical sciences included in the study; the data which were recorded in predesigned proforma in SNCU software. The data were analyzed using appropriate statistical tool. Results: A total of 1326 neonates were admitted to SNCU during the study period, 147neonates left against medical advice (LAMA), 51 were referred to other centre hence excluded from analysis. The ratio of the males to female admitted was 1.42:1. In this study, overall mortality rate was 13.7%. Most of the deaths were due to birth asphyxia (49.55%), RDS (38%), neonatal sepsis (10.6%), Neonates with birth weight <1500 gm had poor outcome compared to neonates with birth weight more than 2500 gm. Conclusion: This study identified birth asphyxia, RDS and neonatal sepsis as the major contributors to the neonatal mortality. Improving antenatal care, maternal health improve neonatal outcome.