Early neonatal morbidity and mortality in a city based medical college nursery.

ABSTRACT

Early neonatal morbidity & mortality were studied in 7972 viable live born babies over one year period in Medical College, Calcutta. Early neonatal morbidity and mortality rate were 66.85 & 32.86 respectively. About 48% of Early neonatal deaths occurred in 1st 48 hours & 80% within first 72 hours of life. Early neonatal mortality rate per 1000 was maximum in babies born of a primi (43.03) and grand multiparous mother (103.89); maternal age less than 20 yrs. (44.15), and more than 30 yrs. (46.04) & in multiple pregnancy (142.85). It was highest in breech delivery (114.28) & with maternal disease like dribling (179), hypertension (146) & APH (116). Birth asphyxia contributed 65.26% of early neonatal deaths, followed by septicaemia (10.3%). Klebsiella was the most common (55%) organism.