ABSTRACT
Background: According to the World Health Organization(WHO) and UNICEF under-five death rate, often known byU5MR, neonatal mortality are nearly two-thirds of infantmortality rate and one-third of under-five mortalities worldwide.Objective: The objective of the studywas to document theamount, disease pattern and outcome of patients admitted tothe neonatal intensive care unit (NICU). Data acquired from thepattern of admission and outcome may uncover variousaspects and should contribute and help in managingresources, infrastructure, and skilled hands for a far betteroutcome within the future.Methods: This retrospective study was done on 343 neonateswho were admitted at Uttara Adhunik Medical College andHospital, Dhaka within the neonatal intensive care unit (NICU)within the Department of Pediatrics from July 2017 to July2018.Results: 343 newborns admitted within 28 days of birth wereincluded in the study. Among them, 199 were male and 144female neonates, (Male: female11:0.42). The low birth weight(LBW) babies were 21.25%, very low birth weight (VLBW)4.66% and only 0.29% were extremely low birth weight (ELBW)in our study. Among the varied disease pattern of NICUadmission, Neonatal Jaundice was present in 98 (28.57%) ofneonates, Perinatal Asphyxia of 81 (23.62%) and NeonatalSepsis 43 (12.54%) being the foremost common causes ofneonates. The incidence of Respiratory Distress Syndromewas 38 (11.04%). The neonatal mortality rate found 6% in ourstudy. IUGR and Transient Tachypnea were also found the 2others commonest causes of neonatal admission in NICU. Lowbirth weight records had the very best cases death rate, whichindicates the necessity to develop an efficient group of excessin teaching hospitals that will provide highly specialized andfocused care to the present cohort of vulnerable neonates.Conclusion: This study has shown neonatal jaundice,perinatal asphyxia, and sepsis because of the predominantcauses of neonatal morbidity. Perinatal asphyxia and sepsisare preventable among three. Our health-care programsshould be directed toward addressing the danger factors withinthe community liable for the event of those three morbidities.The preterm and low birth weight babies had significantly highmortality even with standard intensive care; therefore, a robustand effective antenatal program with extensive coverage of allpregnant females specifically in outreach areas should bedeveloped which can help in decreasing preterm deliveries andalso lower the incidence of low birth weight babies.