Transcript OUTBORN STATISTICS

OUTBORN STATISTICS
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FEBRAURY 2005
TOTAL NO OF ADMISSIONS 92 (78 )
TOTAL NO OF DEATHS 08 (09)
MORTALITY RATE 8.69%(11.5%)
BASED ON BIRTH WEIGHT
35
30
25
20
15
10
5
0
30
26
24
8
4
1
3
3
1
0
<1 1-1.5 1.5- 2.5- >3.5
2.5 3.5
BIRTH WEIGHT
TOTAL NO OF
ADMISSIONS
TOTAL NO OF
DEATHS
BASED ON GESTATIONAL AGE
45
40
35
30
25
20
15
10
5
0
40
27
TOTAL NO OF
ADMISSIONS
TOTAL NO OF
DEATHS
21
4
4
0
<28 wks 28-32
wks
3
3237wks
1
3
0
37- >42 wks
42wks
ADMISSIONS TO NICU
(BASED ON DIAGNOSIS )
PRETERM
CARE
29%
OTHERS
17%
EOS/LOS
27%
THICK
MSAF
11%
TOTAL NO OF ADMISSIONS 92 (78 )
BIRTH
ASPHYXIA
16%
OTHERS
CHD-9(3 -PDA,2- ASD,1-PPHTN,2-VSD,1PDA WITH ASD)
HYPERBILIRUBINEMIA-7
ABO incompatibility –6
Rh incompatibility --1
4000
3800
3600
3400
3200
3000
2800
2600
2400
2200
2000
1800
1600
1400
1200
1000
800
600
400
200
0
90%
50%
10%
25 26 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42
Preterm
WEEK OF GESTATION
Term
Posterm
B/O RANI /Male/900gms/234753/ DOA-5/2/05 at
10.40pm DOE-17/2/05 at 3.00pm DOS –12days 5hrs
20min.
ANH MA 20 yrs ML 3yrs LMP-? EDD-? G2A1
h/o amenorrhea of 7month P1-abortion at 3rd month
3ANC at Hosur Corporation Hospital .2TT injection &
100 IFA tablet.
T1,T2 no h/o pedal edema .
h/o Labour pain 4/2/05 at 6pm
h/o leaking P/v
4/2/05 at 6pm hosur hospital
 delivered preterm male 5/2/05 at 8.20 amBCIAB
VVCH
DS-7 SS-3
RISK FACTORS 1.Preterm
2.ELBW
3.RDS
4.No antenatal steriods given.
DIAGNOSIS Preterm (28+\-2)AGA ELBW RDS sec HMD
COD Preterm (28+\-2)AGA ELBW with I VH
B/OMUSKAN /M/ 1.1kg /1day/ 235066 / DOA –24/2/05 at
3.30pm DOE 24/2/05 at 9pm DOS 5hrs 30min
ANH :
MA 24yrs ML 1yrs Primi LMP -? EDD_-?
7 mon of amenorrhea
4ANC at Hindupur Hospital .2TT injection
T1 ,T2-PIH ,h/o labour pain 23/2/05 at 1pm
admitted to geetha nursing home 2.30pm
no antenatal steriods given. Delivered preterm
male
24/2/05 at 6.05 am BCIAB referred to vvch
DS-7 SS-3
RISK FACTORS : 1. Preterm
2.ELBW
3.RDS
4.NO antenatal steriods given
DIAGNOSIS Preterm (30+/-2) AGA ELBW RDS Sec HMD
COD Preterm (30+/-2) AGA ELBW RDS Sec HMD
B/O Shabana / M / 1.3kg /1day / 235007/DOA 21/2/05 at
3.30pm
DOE 21/2/05 at 4.30 pm
ANH MA 22yrs ML 4yrs P2 L2 LMP –22/8/04 EDD-29/5/05
P1-FTND ,M ,31/2yrs , A&H
P2- FTND ,M ,9 mon , A&H
h/o amennorrhea for 7 mon
3ANC at goripalya corp. hospital
2TT inj & 100 IFA tab taken
T1, T2 no h/o pedal edema.h/o labour pain 21/2/05 at
1pmwent to goripalya hospsent back not Labour
paincame home at 2pm delivered preterm male
conducted by untrained dai,cord was cut & tied by unclean
blade & threadBCIABgoripalya hosprefered to VVCH
When baby brought to hosp. Gasping, pale, hypothermic
RISK FACTORS 1. short spacing.
5.preterm .
2. Home delivery.
6.LBW
3.untrained dai.
7.hypothermia
4.unclean blade and thread.
DIAGNOSIS preterm (30+\-2)AGA LBW HYPOTHERMIA EOS
B/O Madhu / 1.3kg / 1day / F / 234692/ DOA : 1/2/05
at 4.50am DOE : 1/2/05 at 9.30 am DOS;4hrs 40mins.
ANH : MA 24 yrs ML 9months Primi , 8mon
amenorrhea
3ANC at private nursing home. 100 IFA tabs and 2TT
taken
T1,T2,uneventful h/o labour pain 29/1/05 at 4pm went
to pvt hosp admitted on 29/1/05at 6pm1 dose
(betnosol) given delivered female baby 31/1/05 at
11.45pm BCIAB and referred toVVCH
Blood CRP +ve with SS-4 ,DS-7
RISK FACTORS :1.primigravida
2.VLBW
3.RDS
DIAGNOSIS Preterm(32+\-2)AGA VLBW EOS RDS sec HMD
COD: Preterm(32+\-2)AGA VLBW EOS RDS sec HMD
B/O GEETHA/ 1.9 kg / 1 day / female / 234929 DOA:17/2/05
at 10.45am DOE :17/2/05 at 3pm DOS 5hrs 15 mins
ANH : MA 23yrs ML 2yrs
G2A1
A1-spon abortion-3rd
month
LMP ? EDD ?H/O 8mon amenorrhoea.2 antenatal scans
4ANC at utarahalli corp hosp. 2TTand 100IFA tab taken.T1 ,
T2 PIH ,T3-bleeding P/V& pain abdomen on 15/2 /05
6pmuttarahalli hosp.KCG hosp 16/2/05 3pm delivered
preterm female baby on 17/2/05 at 6.30am BCIABh/o
grunt referred to VVCH
Baby was pale, grunt+,&CFT>3sec.
RISK FACTORS:
1.abruptio placenta
1. Preterm
2. LBW
3. PIH
4. RDS
5. shock
COD : Preterm 32+/- 2 wks AGA with RDS with irreversible
shock.
B/ O Ayesha/ 2.2kg /16 days / female / 234832 / DOA:
10/2/05 3.45pm. DOE: 10/2 /05 12 midnight.DOS: 8hrs
15mins
ANH: MA 27 yrs ML 8yrs LMP 15/5/05 EDD22/2/05 P3L2A1
Amenorrhea of 8 1/2mon. 3ANCat gosha hosp 2TT &100IFAtab
taken.T1,T2-PIH,T3-h/o leaking P/V since 23/1/05 6pm.
Labour pain since 23/1/05 at 6pm. leaking P/V since 23/1/05
6pm
Went to KCG hosp 24/1/05 at 6am.delivered female baby on
25/1/05 at11.15pmBCIABbreast fed after
2hrsdischarged on 26/1/05since3rd day gave cow`s
milk 1:1 dilution with breast milk.11th day baby had refusal
of feed went to mediscope hosp admitted for 4 days
treated with antibiotics suspecting meningitis, DAMA
because of financial burden came to VVCH
AF-bulged no cry, shallow respiration. LP-200 cells 80%PMN CRP
positive, sugar 20mg/dl, protein 170mg/dl.
RISK FACTORS :
1. PIH
2. PROM >48hrs
3. LBW
4. Top fed
COD :preterm (34+/-2) LBW LOS pyogenic meningitis
B/o Shashikala 1 day / female / 2.4 kg /234721/DOA : 3/2/05
11am DOE :4/2/05 1am. DOS:14hrs
ANH : MA - 20 yrs ML - 1yr primi LMP 22/2/04 EDD 29/1/05
3ANC at palace guttahalli hosp.2TT & 100IFA tab taken.
T1,T2,T3-uneventful. H/o of labour pain 2/2/05 at 10.30am,
leaking P/V 2/2/05 at 10.30amwent to hosp at 11am &
delivered female baby 2/2/05 at 11.45pm. Baby had
respiratory distress VVCH
RISK FACTORS :1. Primi
2.thick MSAF
3.RDS
COD :post term AGA RDS sec MAS
B/O Vani/ 2 days / female / 2.5kg / 235079/ DOA: 25/2/05 6am,
DOE: 25/2/05 3pm. DOS:9hrs
ANH
MA- 19 yrs ML- 1 yr primi. LMP ? EDD ?
3ANC at Ayappa Corporation hosp
2TT & 100 IFA tab
T1, T2, T3 -uneventful
labour pain 22/2/05 at 7.00pm.admitted 23/2/05 at 7.30 pm
difficult labour delivered female 24/2/05 at 8.20amBDCIAB
RISK FACTORS 1. Primi
2.birth asphyxia
3.RDS
DIAGNOSIS Term with AGA Birth asphyxia HIE stage 2
COD:Term with AGA Birth asphyxia HIE stage 3
CULTURE SENSITIVITY
1
1
3
klebsiella
strep
pseudo
TOTAL-5
4 BLOOD SAMPLES,1 CSF SAMPLES
Resistant to all except oflaxicin