Abstract
Objective: To determine the pattern and maternal determinants of neonatal morbidity in Neonatal Intensive Care Unit (NICU) patients admitted in Tertiary Care Hospitals of Rawalpindi. Methodology: This cross-sectional descriptive study was carried out among morbid neonates admitted in NICU of Holy Family Hospital and Benazir Bhutto Hospitals of Rawalpindi Medical University. A total of 240 alive newborn babies admitted from 25th March to 2 nd April 2019 were enrolled in this study through consecutive sampling technique. We used a semistructured questionnaire pertinent to gestational age, birth weight maternal age, mode of delivery, antenatal visits, maternal anemia, maternal obstetric history and pattern of neonatal morbidity. Results: Study included 120 neonates with mean birth weight of 2.1kg ± 0.80. Majority (51.7%) had low birth weight and 26.7% very low birth weight. Congenital malformations were observed in 6.7% neonates. Preterm babies constituted 63.3%. We found that 48.3% mothers were 26 – 30 years of age and 76.7% were administered tetanus toxoid during pregnancy. About 20% mothers had less than 3 antenatal visits. Hemoglobin level of 40% mothers was below 9 gm/dl. About 82% preterm neonates were admitted in ICU with severe infections. Conclusion: Preterm neonates were found to be more asphyxiated, low birth weight, infectious and jaundiced as compared to full term delivered babies. Maternal anemia should be adequately managed for outcome in neonates. Keywords: Neonatal ICU, maternal anemia, preterm neonates, tetanus toxoid, low birth weight.

Rizwana Shahid, Sana Bilal. (2022) Pattern and maternal determinants of neonatal morbidity in tertiary care hospitals of Rawalpindi medical university, Pakistan, , Volume 47, Issue 1.
  • Views 423
  • Downloads

Article Details

Volume
Issue
Type
Language