印度北方邦患病新生儿护理单位收治新生儿的发病率概况和结果

Satya Prakash Singh, Harish Chandra Paliwal, Saket Shekhar, Poonam Kushwaha
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引用次数: 0

摘要

介绍和目的。儿童发病率和死亡率的降低是基础设施和公共保健服务质量提高的结果。仅印度就占全球新生儿死亡的30%,这是由于可预防的原因造成的。因此,本研究的目的是评估印度北方邦sncu观察到的新生儿死亡模式和状况。材料和方法。描述性研究基于2014年4月至2016年3月期间从北方邦89个政府支持的新生儿生病护理单位(SNCU)在线数据库中获得的二级数据。获得的数据包括年龄、体重、性别、诊断和结果。结果:共纳入新生儿22933例,其中男性14269例(62.2%),女性8664例(37.8%)。大多数的主题(20070;87%)为0 ~ 5日龄组。入院新生儿大部分(72.5%)好转出院。低出生体重与预后显著相关(χ 2 = 1334.2, p<0.001)。出生窒息导致的死亡人数最多(36.11%),其次是呼吸窘迫综合征(25.21%)、败血症(15.38%)、早产和极低出生体重(5.8%)。结论。改善产前保健、改善利用保健设施的机会、及时转诊高风险病例、能力建设、强化介入管理,可降低新生儿死亡率及其并发症。研究还需要进行深入的以社区为基础的定性研究,以确定具体性别的平等问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Morbidity profile and outcome of new-born admitted in sick newborn care units of Uttar Pradesh, India
Introduction and aim. Reduction in child morbidity and mortality is result of upgradation of infrastructure and quality of public health care services. India alone accounts for 30% of the global neonatal deaths occur in India that occurs due to preventable cause. So, the aim of this study was to assess the pattern and status of neonatalmortality observed in SNCUs of Uttar Pradesh, India. Material and methods. Descriptive study was conducted based on secondary data obtained from sick new born care units (SNCU) online database from 89 Government-supported SNCUs of Uttar Pradesh, from April 2014 to March 2016. Data obtained included age, weight, sex, diagnosis, and outcome. Results. 22933 neonates admitted in SNCU were included in study with 14269 (62.2%) were males and 8664 (37.8%) females. Majority of the subject (20070; 87%) were in 0-5 days old age group. Most (72.5%) of admitted new-born improved and discharged. Low birth weight was significantly (χ 2 = 1334.2, p<0.001) related with outcome. Birth asphyxia contributed to maximum (36.11%) number of deaths, followed by respiratory distress syndrome (25.21%), sepsis (15.38%), prematurity and extremely low birth weight (5.8%). Conclusion. Improved antenatal care, improved access to health facility, timely referral of high-risk cases, capacity building, intensive interventional management can reduce neonatal mortality and its complications. Study also warrants, in-depth community-based qualitative study to identify gender-specific, equity issues.
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