Fazlur Rahim, Amin Jan, Jan Mohummad, Hamid Iqbal.
Pattern and outcome of admissions to neonatal unit of Khyber Teaching Hospital, Peshawar.
Pak J Med Sci Jan ;23(2):249-53.

Objectives: To determine the number, disease pattern and outcome of admitted patients to neonatal unit. Khyber Teaching Hospital, Peshawar N.W.F.P from 1st Jan, 2005 to 31st Dec, 2005. Methodology: Data of all the neonatal admissions was recorded and analyzed for age, weight at the time of admission, sex, reason for admission, duration of hospital stay and final outcome of these patients. Their referral source was also determined. Results: A total of 1694 neonates were admitted during the year 2005. Among them male were 1219(71.96%) and females were 475 (28.04%). Maximum number of patients was admitted during 1st 24 hours of life. Majority 1056 (62.33%) were referred from hospitals & maternity homes along with 458 (27.03%) home deliveries. Low birth weight accounted for 41.20% of total admissions. Neonatal infections were the next commonest cause of neonatal admissions which includes sepsis (26.03%), pneumonia (1.71%) and Meningitis (1.18%), premature babies (26.50%), N.N.J (19.95%), and birth asphyxia (16.52%). Other causes of neonatal admission were congenital heart disease (1.41%), meconium aspiration syndrome (1.18%), I.U.G.R (0.82%) and R.D.S (0.59%). Among total admissions 1212 (71.54%) were sent home after their complete recovery, 252 (14.87%) expired, left against medical advise (L.A.M.A) 120 (7.08%) and discharged on their attendants request 107 (6.31%). Conclusion: Pre-maturity, neonatal infection, neonatal jaundice and birth asphyxia were the main causes of neonatal admissions. Increased awareness for in time referral to tertiary level hospitals is mandatory by those health workers who conduct deliveries at private hospital /maternity homes as well as those who conduct deliveries at homes.

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