1367 Neonatal Motality and Mobidity Rates Who Were Admitted to the Neonatal ICU of Konya In Two Years

Objective

Our purpose was to determine mortality and morbidity rates and selected outcome variables for infants especially weighing less than 1500 grams, who were admitted to the neonatal intensive care unit of our hospital from January 2007 to December 2008.

Material and Methods

We evaluated infants who were admitted to the neonatal intensive care unit of our hospital (Konya University, Meram Medical Faculty) from January 2007 to December 2008.

Results

The percent of VLBW admissions to the our NICU was 14.3% in 2007 and 17.4% in 2008. The mean birth weight and gestational age of the infants were 1027±308grams (min-max: 400–1470gr), 28.3±3.8weeks (min-max:22–36weeks) in 2007, 998±309grams (min-max:400–1490gr), 28.4±3.4weeks (min-max:22–36weeks) in 2008, respectively. Overall survival rate was 50% during two years. Respiratory support were given to 65% and 69.4% VLBW newborns, in 2007 and 2008, respectively. Among selected outcomes, bronchopulmonary dysplasia, retinopathy of prematurity(ROP), severe intraventricular hemorrhage (IVH), nosocomial infection, necrotizing enterocolitis(NEC), respiratory distress syndrome (RDS) were encountered in 1.66%, 4.6%, 1.9%, 10.8%, 1.2%, 16.3% of the premature infants during two years, respectively.

Conclusion

As a result the majority of neonatal deaths were due to complications of premature labor. Scientific and technological advances in Neonatology have led to increased rates of survival and long term morbidities in very low birth weight infants. Prevention of premature labor, sufficient antenatal maternal care and establishment of good delivery conditions to decrease neonatal infections and medical care after delivery could help to decrease neonatal mortality rates.