Lessons from improved neonatal survival at Chandigarh.

Abstract:

:We observed a significant fall in neonatal mortality in babies weighing less than 2 kg during 1986 as compared to 1973 (7.94% vs 12.88%; p less than 0.005), and in preterm babies the mortality fell from 26.88 to 11.5% (p less than 0.001) during 1986. This was achieved despite 2-3 fold increase in the high risk babies and without any increase in the number of neonatal special care beds or nurses. Effective utilisation of the facilities was made possible through: (a) reduction in admissions to neonatal special care unit of babies with birth weight more than 1500 g; (b) early discharge of babies to home from NSCU; (c) involvement of the mothers in the care of their high risk babies: and (d) care of babies with sucking difficulties and asymptomatic birth asphyxia outside NSCU. All babies discharged home at less than 2 kg weight, and living in Chandigarh were followed for 3 months and 98.2% were doing well. This observation highlights the judicious use of neonatal special care facilities and mothers for the care of high risk neonates.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Bhakoo ON,Khajuria R,Desai A,Narang A

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

234-40

issue

3

eissn

0019-6061

issn

0974-7559

journal_volume

26

pub_type

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