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OUTBORN STATISTICS

OUTBORN STATISTICS. ` FEBRAURY 2005. TOTAL NO OF ADMISSIONS 92 (78 ) TOTAL NO OF DEATHS 08 (09) MORTALITY RATE 8.69%(11.5%). BASED ON BIRTH WEIGHT. BASED ON GESTATIONAL AGE. ADMISSIONS TO NICU (BASED ON DIAGNOSIS ). TOTAL NO OF ADMISSIONS 92 (78 ). OTHERS

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OUTBORN STATISTICS

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  1. OUTBORN STATISTICS ` FEBRAURY 2005

  2. TOTAL NO OF ADMISSIONS 92 (78 ) • TOTAL NO OF DEATHS 08 (09) • MORTALITY RATE 8.69%(11.5%)

  3. BASED ON BIRTH WEIGHT

  4. BASED ON GESTATIONAL AGE

  5. ADMISSIONS TO NICU(BASED ON DIAGNOSIS ) TOTAL NO OF ADMISSIONS 92 (78 )

  6. OTHERS • CHD-9(3 -PDA,2- ASD,1-PPHTN,2-VSD,1-PDA WITH ASD) • HYPERBILIRUBINEMIA-7 ABO incompatibility –6 Rh incompatibility --1

  7. 90% 50% 10% Preterm Term Posterm WEEK OF GESTATION

  8. B/O RANI /Male/900gms/234753/ DOA-5/2/05 at 10.40pm DOE-17/2/05 at 3.00pm DOS –12days 5hrs 20min. ANH MA 20 yrs ML 3yrs LMP-? EDD-? G2A1 h/o amenorrhea of 7month P1-abortion at 3rd month 3ANC at Hosur Corporation Hospital .2TT injection & 100 IFA tablet. T1,T2 no h/o pedal edema . h/o Labour pain 4/2/05 at 6pm h/o leaking P/v 4/2/05 at 6pm hosur hospital  delivered preterm male 5/2/05 at 8.20 amBCIAB VVCH DS-7 SS-3 RISK FACTORS 1.Preterm 2.ELBW 3.RDS 4.No antenatal steriods given. DIAGNOSIS Preterm (28+\-2)AGA ELBW RDS sec HMD COD Preterm (28+\-2)AGA ELBW with I VH

  9. B/OMUSKAN /M/ 1.1kg /1day/ 235066 / DOA –24/2/05 at 3.30pm DOE 24/2/05 at 9pm DOS 5hrs 30min ANH : MA 24yrs ML 1yrs Primi LMP -? EDD_-? 7 mon of amenorrhea 4ANC at Hindupur Hospital .2TT injection T1 ,T2-PIH ,h/o labour pain 23/2/05 at 1pm admitted to geetha nursing home 2.30pm no antenatal steriods given. Delivered preterm male 24/2/05 at 6.05 am BCIAB referred to vvch DS-7 SS-3 RISK FACTORS : 1. Preterm 2.ELBW 3.RDS 4.NO antenatal steriods given DIAGNOSIS Preterm (30+/-2) AGA ELBW RDS Sec HMD COD Preterm (30+/-2) AGA ELBW RDS Sec HMD

  10. B/O Shabana / M / 1.3kg /1day / 235007/DOA 21/2/05 at 3.30pm DOE 21/2/05 at 4.30 pm ANH MA 22yrs ML 4yrs P2 L2 LMP –22/8/04 EDD-29/5/05 P1-FTND ,M ,31/2yrs , A&H P2- FTND ,M ,9 mon , A&H h/o amennorrhea for 7 mon 3ANC at goripalya corp. hospital 2TT inj & 100 IFA tab taken T1, T2 no h/o pedal edema.h/o labour pain 21/2/05 at 1pmwent to goripalya hospsent back not Labour paincame home at 2pm delivered preterm male conducted by untrained dai,cord was cut & tied by unclean blade & threadBCIABgoripalya hosprefered to VVCH When baby brought to hosp. Gasping, pale, hypothermic RISK FACTORS 1. short spacing. 5.preterm . 2. Home delivery. 6.LBW 3.untrained dai. 7.hypothermia 4.unclean blade and thread. DIAGNOSIS preterm (30+\-2)AGA LBW HYPOTHERMIA EOS COD preterm (30+\-2)AGA LBW HYPOTHERMIA EOS with shock .

  11. B/O Madhu / 1.3kg / 1day / F / 234692/ DOA : 1/2/05 at 4.50am DOE : 1/2/05 at 9.30 am DOS;4hrs 40mins. ANH : MA 24 yrs ML 9months Primi , 8mon amenorrhea 3ANC at private nursing home. 100 IFA tabs and 2TT taken T1,T2,uneventful h/o labour pain 29/1/05 at 4pm went to pvt hosp admitted on 29/1/05at 6pm1 dose (betnosol) given delivered female baby 31/1/05 at 11.45pm BCIAB and referred toVVCH Blood CRP +ve with SS-4 ,DS-7 RISK FACTORS :1.primigravida 2.VLBW 3.RDS DIAGNOSIS Preterm(32+\-2)AGA VLBW EOS RDS sec HMD COD: Preterm(32+\-2)AGA VLBW EOS RDS sec HMD

  12. B/O GEETHA/ 1.9 kg / 1 day / female / 234929 DOA:17/2/05 at 10.45am DOE :17/2/05 at 3pm DOS 5hrs 15 mins ANH : MA 23yrs ML 2yrs G2A1 A1-spon abortion-3rd month LMP ? EDD ?H/O 8mon amenorrhoea.2 antenatal scans 4ANC at utarahalli corp hosp. 2TTand 100IFA tab taken.T1 , T2 PIH ,T3-bleeding P/V& pain abdomen on 15/2 /05 6pmuttarahalli hosp.KCG hosp 16/2/05 3pm delivered preterm female baby on 17/2/05 at 6.30am BCIABh/o grunt referred to VVCH Baby was pale, grunt+,&CFT>3sec. RISK FACTORS: 1.abruptio placenta • Preterm • LBW • PIH • RDS • shock COD : Preterm 32+/- 2 wks AGA with RDS with irreversible shock.

  13. B/ O Ayesha/ 2.2kg /16 days / female / 234832 / DOA: 10/2/05 3.45pm. DOE: 10/2 /05 12 midnight.DOS: 8hrs 15mins ANH: MA 27 yrs ML 8yrs LMP 15/5/05 EDD22/2/05 P3L2A1 Amenorrhea of 8 1/2mon. 3ANCat gosha hosp 2TT &100IFAtab taken.T1,T2-PIH,T3-h/o leaking P/V since 23/1/05 6pm. Labour pain since 23/1/05 at 6pm. leaking P/V since 23/1/05 6pm Went to KCG hosp 24/1/05 at 6am.delivered female baby on 25/1/05 at11.15pmBCIABbreast fed after 2hrsdischarged on 26/1/05since3rd day gave cow`s milk 1:1 dilution with breast milk.11th day baby had refusal of feed went to mediscope hosp admitted for 4 days treated with antibiotics suspecting meningitis, DAMA because of financial burden came to VVCH AF-bulged no cry, shallow respiration. LP-200 cells 80%PMN CRP positive, sugar 20mg/dl, protein 170mg/dl. RISK FACTORS : • PIH • PROM >48hrs • LBW • Top fed COD :preterm (34+/-2) LBW LOS pyogenic meningitis

  14. B/o Shashikala 1 day / female / 2.4 kg /234721/DOA : 3/2/05 11am DOE :4/2/05 1am. DOS:14hrs ANH : MA - 20 yrs ML - 1yr primi LMP 22/2/04 EDD 29/1/05 3ANC at palace guttahalli hosp.2TT & 100IFA tab taken. T1,T2,T3-uneventful. H/o of labour pain 2/2/05 at 10.30am, leaking P/V2/2/05 at 10.30amwent to hosp at 11am & delivered female baby 2/2/05 at 11.45pm. Baby had respiratory distress VVCH RISK FACTORS :1. Primi 2.thick MSAF 3.RDS COD :post term AGA RDS sec MAS

  15. B/O Vani/ 2 days / female / 2.5kg / 235079/ DOA: 25/2/05 6am, DOE: 25/2/05 3pm. DOS:9hrs ANH MA- 19 yrs ML- 1 yr primi. LMP ? EDD ? 3ANC at Ayappa Corporation hosp 2TT & 100 IFA tab T1, T2, T3 -uneventful labour pain 22/2/05 at 7.00pm.admitted 23/2/05 at 7.30 pm difficult labour delivered female 24/2/05 at 8.20amBDCIAB RISK FACTORS 1. Primi 2.birth asphyxia 3.RDS DIAGNOSIS Term with AGA Birth asphyxia HIE stage 2 COD:Term with AGA Birth asphyxia HIE stage 3

  16. CULTURE SENSITIVITY TOTAL-5 4 BLOOD SAMPLES,1 CSF SAMPLES Resistant to all except oflaxicin .

  17. Thank you

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