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Detailed report on neonatal admissions including baby details, diagnoses, complications, and risk factors, in February 2005 based on birth weight and gestational age. Total admissions, deaths, mortality rates, and specific cases like CHD and hyperbilirubinemia are highlighted.
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OUTBORN STATISTICS ` FEBRAURY 2005
TOTAL NO OF ADMISSIONS 92 (78 ) • TOTAL NO OF DEATHS 08 (09) • MORTALITY RATE 8.69%(11.5%)
ADMISSIONS TO NICU(BASED ON DIAGNOSIS ) TOTAL NO OF ADMISSIONS 92 (78 )
OTHERS • CHD-9(3 -PDA,2- ASD,1-PPHTN,2-VSD,1-PDA WITH ASD) • HYPERBILIRUBINEMIA-7 ABO incompatibility –6 Rh incompatibility --1
90% 50% 10% Preterm Term Posterm WEEK OF GESTATION
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 amBCIAB 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
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
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 1pmwent to goripalya hospsent back not Labour paincame home at 2pm delivered preterm male conducted by untrained dai,cord was cut & tied by unclean blade & threadBCIABgoripalya hosprefered 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 .
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 6pm1 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
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 6pmuttarahalli hosp.KCG hosp 16/2/05 3pm delivered preterm female baby on 17/2/05 at 6.30am BCIABh/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.
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 at11.15pmBCIABbreast fed after 2hrsdischarged on 26/1/05since3rd 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
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 10.30amwent 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
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 8.20amBDCIAB 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
CULTURE SENSITIVITY TOTAL-5 4 BLOOD SAMPLES,1 CSF SAMPLES Resistant to all except oflaxicin .