ABSTRACT
Background: Among the causes of under-five mortalityneonatal mortality contributes the highest. This indicatorpossesses a great impact towards achieving SDG forBangladesh. This study will help in understanding theindicators and to plan allowance of proper resource andplanning to the proper field.Objective: To describe the pattern of neonatal admission andoutcome in a level II SCANU in a medical college hospital innorthern part of Bangladesh.Method: A retrospective descriptive study of neonataladmissions in SCANU of Rangpur Medical College Hospitalfrom January 2017 to December 2019 total 2 years.Results: A total 6583 babies were admitted in this period.Among them 1808 (27.4%) was inborn and 4775(72.5%) outborn. Male 4103(62.3%) Female 2480(37.6%), male femaleratio 1.6:1. Major causes of admission was prematurity lowbirth weight 2786(42.3%), birth asphyxia 2100(31.9%),neonatal jaundice721 (10.9%), neonatal sepsis 710(10.8%),others 266(4.04%). Common Diseases contributing to deathwere prematurity low birth weight 246(39.6%), Birth asphyxia240 (38.6%), neonatal sepsis 86 (13.8%).Overall mortality ratewas 9.43%.Conclusion: Preterm low birth weight and its complicationswas the major cause of mortality while perinatal asphyxia wasthe important cause of admission among the outborn neonates.Most of the cases were preventable if we ensure properantenatal care and counselling for hospital delivery, properresuscitation practice and timely referral to facility.Improvement in neonatal care at different levels will furtherreduce the neonatal mortality.