Kundu Tapan K, Chatterjee Abhilash, Bera Mitali, Chowdhury Aditi, Guchhait Riya
Department of Pediatrics, Midnapore Medical College, Midnapore, West Bengal, India.
Indian J Community Med. 2025 Jan-Feb;50(1):197-201. doi: 10.4103/ijcm.ijcm_213_23. Epub 2025 Jan 23.
The 2030 Sustainable Development Goal (SDG) envisions eliminating preventable newborn deaths and reducing neonatal mortality to 12 per 1000 live births. There is a paucity of data on outborn newborns. By doing this study, areas for further reductions in neonatal mortality rate (NMR) can be identified and interventions can target these areas for reduction of NMR. The objectives of this study were to determine the causes of admission of outborn newborns, identify the timing and causes of mortality, distinguish between possibly preventable or probably unpreventable deaths, and identify areas for further reductions in NMR. A cross-sectional, retrospective, and descriptive study was conducted on outborn newborns at a Special Newborn Care Unit (SNCU) of a medical college hospital in eastern India from January 1, 2021 to December 31, 2021. Admission and mortality data were collected after ethics committee approval and analyzed. Sick outborn newborns admitted to the SNCU were 1671. Deaths occurred in 281. Males were 62.28%. The highest number of deaths occurred in birth weight ≤999 g, (91.84%), gestational age <28 weeks (100%). The causes of death were sepsis in 35.23%, perinatal asphyxia in 22.78%, and prematurity (<28 weeks) and ELBW (≤999 grams) in 16.73%. First-day deaths were 55.87%, deaths in the first 2 days were 69.85%, and deaths in the first 7 days were 86.83%. To reduce NMR, interventions should target male gender, scheduled tribe social category, <28 weeks gestation, birth weight ≤999 g, cases of sepsis, perinatal asphyxia, and prematurity.
2030年可持续发展目标（SDG）设想消除可预防的新生儿死亡，并将新生儿死亡率降低至每1000例活产12例。关于院外出生新生儿的数据匮乏。通过开展本研究，可以确定进一步降低新生儿死亡率（NMR）的领域，干预措施可以针对这些领域来降低NMR。本研究的目的是确定院外出生新生儿的入院原因，确定死亡时间和原因，区分可能可预防或可能不可预防的死亡，并确定进一步降低NMR的领域。2021年1月1日至2021年12月31日，在印度东部一所医学院医院的特殊新生儿护理病房（SNCU）对院外出生新生儿进行了一项横断面、回顾性和描述性研究。在伦理委员会批准后收集并分析了入院和死亡数据。入住SNCU的患病院外出生新生儿有1671例。死亡281例。男性占62.28%。死亡人数最多的是出生体重≤999g（91.84%）、胎龄<28周（100%）的新生儿。死亡原因中败血症占35.23%，围产期窒息占22.78%，早产（<28周）和极低出生体重（≤999克）占16.73%。首日死亡占55.87%，前两天死亡占69.85%，前七天死亡占86.83%。为降低NMR，干预措施应针对男性、在册部落社会类别、胎龄<28周、出生体重≤999g、败血症病例、围产期窒息和早产情况。
