Review of Infant and Child Death in a Tertiary Care Teaching Institute in Surat
Keywords:Child death, Infant death, Review, Cause of death, neonatal death, NICU, Low birth weight
Background: A systematic review of child Death (CDR) was required to improve the quality of neonatal health care to avoid more deaths in that particular group especially. So the present research was carried out to study the reasons behind neonatal mortality in the present tertiary care referral centre.
Material and Methods: A cross- sectional study by reviewing case paper of deceased children between 1-5 yrs died in a tertiary care hospital in Surat.
Results: Total live births were 7677, 197 died within 28 days, i.e neonatal mortality rate is 25.66 and 223 died within a year i.e. infant mortality rate is 29.04. Among the ELBW babies 68.1% died, in VLBW babies 29.5% died, in LBW babies 10.96% died and in normal weight baby 7.2% died. Out of total NICU admission 43.5 % were preterm, out of which 49.36% were extremely premature while 50.63% were premature. Out of total 197 neonatal deaths, sepsis was responsible in 69.54% cases followed by extreme prematurity or prematurity (52.1%).
Conclusions: Immediate cause of death was sepsis, HMD, MAS and birth asphyxia. Underlying cause was extreme prematurity, prematurity, sepsis and birth asphyxia. Contributory factors were ELBW, VLBW and LBW. Maturity and birth weight are two most important factors which needs emphasis for prevention of neonatal deaths.
UNICEF, WHO, World Bank Group, United Nations. Levels and trends in child mortality. Report 2017. Estimation be the UN inter-agency group of child mortality. New York, US: the United Nations Children’s Fund; 2017. pp3.
Blencowe H, Cousens S, Jassir FB, Say L, Chou D, Mathers C, et al. National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health 2016;4:e98 e108.
Bhutta ZA, Das JK, Bahl R, Lawn JE, Salam RA, Paul VK, et al. Can available interventions end preventable deaths in mothers, newborn babies, and stillbirths, and at what cost? Lancet 2014; 384:347- 370.
HM Government. Working together to safeguard children: March 2015,a guide to interagency working to safeguard and promote the welfare of child. Pp 85
Maternal and Neonatal Death Review System, A Manual for Health Workers in Eastern Visayas, March 2012 DOH/JICA/ IC Net Limited/HANDS
Bryce J, Black RE, Victora CG. Millennium Development Goals 4 and 5: progress and challenges. BMC Med. 2013;11(1):225.
Child death review operational guideline August 2014, child health division, ministry of health and family welfare, government of india. Nirman Bhavan, New Delhi, India
Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE et al. Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet 2015; 385(9966): 430–40
Animesh Biswas, Maternal and Neonatal Death Review Sys-tem to improve maternal and neonatal health care system in Bangladesh: Publisher: Örebro University 2015.
K.Park, Park’s Text Book of Preventive and Social Medicine 21st Ed. Jabalpur: M/s Banarsidas Bhanot, 2015. pp 409-415.
Sanjeev Upadhyayaa, Sudeep Shettyb, Selva S Kumarc, Amol Dongred, Pradeep Deshmukhe . Institutionalizing district level infant death review: an experience from south-ern India. WHO South-East Asia Journal of Public Health 2012;1(4):446-45
Dadhich JP, Paul V. National Neonatology Forum and Sav-ing Newborn Lives/Save the Children State of India’s New-borns. Ministry of health and family welfare, WHO, UNICEF, National Neonatology Forum Report. New Delhi:; 2004. Page no. 64-66.
Noor Mohammad The wire; Gujarat is not doing well on bringing down its infant mortality rate.. Nov 2017.
UNICEF data, The neonatal period is the most vulnerable time for a child. Monitoring the situation of children and women: current status & progress. Updated: Dec 2017.
Edward Fottrell, David Osrin1, Glyn Alcock1, Kishwar Azad2, Ujwala Bapat3, James Beard1, et al. Cause-specific neonatal mortality: analysis of 3772 neonatal deaths in Ne-pal, Bangladesh, Malawi and India. Global child health. 2018;
WHO, UNICEF. Every women every child. Every newborn progress report. May 2015, every newborn action plan. Page 8-12.
M. E. Tchamo1,2, A. Prista,2and C. G. Leandro3* Low birth weight, very low birth weight and extremely low birth weight in African children aged between 0 and 5 years old: a systematic review, journal of Developmental Origins of Health and Disease, page 1 of 8.Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2016, Review.
MJ Sankar, SB Neogi, J Sherma, M Chauhan, RShrivastava, PK Prabhakar, A Khera, RKumar, S Zodpey, VK Paul State of newborn health in India,.Journal of Perinatology 2016 Dec; 36(Suppl 3): S3–S8.Published online 2016 Dec 7. doi: 10.1038/jp.2016.183.
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