ABSTRACT
Neonatal mortality is declining in our FIRST MATERNAL HOSPITAL last few years but the number of preterm babies are increasing. Globally, the main causes of neonatal deaths are preterm birth complications (35 per cent), intrapartum-related complications (complications during labor and delivery) (24 per cent), and sepsis (15 per cent). Together, these three causes account for almost three quarters of all neonatal deaths.We have analyzed 51 medical records who have died in neonatal intensive care unit of Urgoo maternal hospital. 23 questionnaries were analyzed.Premature infant deaths basis of the mother’s birth disorders and mother abnormality. Furthermore, abruption placenta 25.1%, caesarian section 57.1%, hypertonus–21.4%.Prevention of fetal lung under development treatment did not affect 67.8% mortality. Chronic hypoxia is 46.4%, not a day mortality 25.4%, treating was 1–3 days mortality rate is 57.1% is the ability to live shows children die. Compared treated for complications premature infant mortality is 14.2%, causes premature infant mortality is ischemia of brain.Based on the study of maternal hospital mortality in the treatment of premature infants most important thing is CPAP machine it is premature to reduce infant mortality 30.7per cent. Is necessary to use with respiratory distress syndrome infant most important thing is surfactant treatment.
ABSTRACT
Congenital heart disease is the most common group of congenital disorder with a reported prevalence that rates from 8/1000 live births. Also, CHD accounts for nearly one-third of all major congenital anomalies. In recent years, the country’s congenital heart disorders diagnosis has improved significantly, but has been of late diagnosis of cases.Once the diagnosis of congenital heart disorders later case, the resultant complications occurred because the majority is unable to similarly cardiac surgical treatment. Therefore, early diagnosis of congenital heart defects, and thus treatment is necessary to solve the problem early.A retrospective, descriptive study was conducted from January 1st8 2012 and January 1st8 2013 there were 263 deliveries at the Urgoo maternal hospital and child health research center of Mongolia. We reviewed the medical records of all neonatal in 2012-2013 who were born in the Urgoo maternity hospital of Ulaanbaatar and NICU and NCU of National Center of Maternal and Child Health. A total of 263 infants with congenital heart disease.The number of neonatal intensive care unit and neonatal unit with Congenital heart defect was 99 (37.7%) in 2012 were as there 164 (62.3%) in 2013 increasing 1.4 times respectively. A total of 263 infants met the inclusion criteria, of whom 130 (55.1%) were males. The reasons for the higher incidence of congenital heart defect observed in infants remain unclear.The most frequently occurring conditions were patent ductus arteriosus /21.7%/, arterial septal defect with patent foramen ovale /41.2%/, other majority defect-31.9%, Dextracaria-5,2%. This raises question regarding the clinical significance of some of lesions, such as small VSDs, which are widely considered to be congenital heart defects. When all clinical presentations of heart disease were analyzed together, atrial septal defect (ASD), Ventricular septal defect (VSD), and Patent ductus arteriosus (PDA) accounted for 62.9% of all defects identified. From diagnosed CHD with percent less than was critical congenital heart defect, which required urgent surgical treatment in neonate period.CHD is expected to increase in the coming years. Thus, when the fetus is affected by a malignant diagnosis.According to the survey findings to diagnose congenital heart defects in the first weeks of the prognosis and treatment options, and shows that it is important to prevent complications. Obstetric and regional diagnostic centers in rural pediatric cardiologist and ultrasound machines shows that it is important for diagnosis and treatment.