Published: 2018-12-26

Morbidity and mortality profile of neonates admitted in special newborn care unit of a teaching hospital in Uttarakhand, India

Rakesh Kumar, Rajlaxmi Mundhra, Anand Jain, Suchitra Jain


Background: India accounts for 24% of global neonatal mortality. It is important to study the mortality and morbidity pattern as it helps to implement new treatment protocols, interventions, planning and policy making which helps in better survival and improvement in the quality of life among survivors. The aim of the project study was to determine the causes of morbidity and mortality in neonates admitted in our hospital.

Methods: This study was conducted at Special Newborn Care Unit (SNCU) of Veer Chandra Singh Garhwali Government Institute of Medical Science and Research providing level II neonatal care. This is a retrospective hospital based observational study. Data from admission and discharge registers were extracted, compiled and analyzed from March 2016 to February 2018. Neonates taken against medical advice and those referred to tertiary care centers were excluded in calculation of survival outcome. Statistical analysis was done in form of percentage, proportions and chi square test was used to find statistical significance.

Results: 1582 neonates were admitted during the study period. 60.80% were inborn and 39.20% were outborn. 59.54% were male and 40.46% were female. Major causes of admission were jaundice (24.72%), sepsis (20.48%), birth asphyxia (18.52%), meconium aspiration syndrome (10.11%). Birth asphyxia was the major cause of mortality, followed by sepsis and prematurity. Mortality was more in outborn babies 14.67% compared to inborn babies 9.80%.

Conclusions: Neonatal jaundice, birth asphyxia and sepsis were the commonest causes of morbidity. Common causes of mortality were birth asphyxia and sepsis and prematurity. More deliveries at institutions with SNCU facility, early identification of danger signs and timely referral to tertiary care centers can prevent neonatal deaths.


Garhwal, Morbidity, Mortality, Neonate, SNCU

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United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2017, Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation’, United Nations Children’s Fund, New York, 2017.

Wardlaw T, You D, Hug L, Amouzou A, Newby H. UNICEF Report: enormous progress in child survival but greater focus on newborns urgently needed. Reproductive health. 2014 Dec;11(1):82.

Registrar General of India. Sample registration system (SRS) statistical report 2016. Available at:

Malik S, Gohiya P, Khan IA. Morbidity profile and mortality of neonates admitted in Neonatal Intensive Care Unit of a Central India Teaching Institute: a prospective observational study. J Clin Neonatol. 2016;5(3):168-73.

Baruah MN, Panyang PP. Morbidity and mortality profile of newborns admitted to the special care newborn unit (SCNU) of a teaching hospital of upper Assam, India- a three year study. J Med Sci Clin Res. 2016 Aug;4(08):11689-95.

Patil R, Koppad R, Shreeshail B. Clinical profile and. outcome of babies admitted to Neonatal Intensive Care Unit (NICU), Mc Gann Teaching Hospital. Shivamogga, Karnataka: a longitudinal study. Sch J App Med Sci. 2014;2(6G):3357-60.

Rakholia R, Rawat V, Bano M, Singh G. Neonatal morbidity and mortality of sick newborns admitted in a teaching hospital of Uttarakhand. CHRISMED J Health Res. 2014 Oct 1;1(4):228.

Willis JR, Kumar V, Mohanty S, Singh P, Singh V, Baqui AH, et al. Gender differences in perception and care-seeking for illness of newborns in rural Uttar Pradesh, India. J Health Population Nutr. 2009 Feb;27(1):62-71

Modi R, Modi B, Patel JK, Punitha KM. Study of the Morbidity and the Mortality Pattern in the Neonatal Intensive Care Unit at a Tertiary Care teaching Hospital in Gandhinagar District, Gujarat, India. J Res Med Den Sci. 2015;3(3):208-12.

Prasad V, Singh N. Causes of morbidity and mortality in neonates admitted in Government Medical College, Haldwani in Kumaun region (Uttarakhand) India. JPBS. 2011;8(8):1-4.

Sridhar PV, Thammanna PS, Sandeep M. Morbidity pattern and hospital outcome of neonates admitted in a tertiary care teaching hospital, Mandya. Int J Sci Stud. 2015;3(6):126-9.

Kotwal YS, Yatoo GH, Ahmed Jan FA. Morbidity and mortality among neonates admitted to a neonatal intensive care unit of a tertiary care teaching hospital of Jammu and Kashmir (India). Neonat Pediatr Med. 2011;3:136.

Saini N, Chhabra S, Chhabra S, Garg L, Garg N. Pattern of neonatal morbidity and mortality: a prospective study in a district hospital in urban India. J Clin Neonatol. 2016 Jul 1;5(3):183-8.

Manikyamba D, Madhavi N, Prasad AK, Padmavathi IV, Anitha D. Morbidity and Mortality Profile of LBW Babies and Their Growth and Neurodevelopment Outcome at 1 year- NICU, Government General Hospital, Kakinada. Sch J App Med Sci. 2015 July;3(4B):1721-5.

Indian Council of Medical Research. National Neonatal Perinatal Database Network, New Delhi 2002- 2003; ICMR, 2005:2437. Available at: Accessed 03 March 2018.