PREDICTORS OF MORTALITY IN VERY LOW BIRTH WEIGHT AND EXTREMELY LOW BIRTH WEIGHT NEONATES IN JAIPUR
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Keywords
Mortality, Very Low Birth Weight Babies (VLBW), Extremely Low Birth Weight Babies (ELBW), Neonates
Abstract
In low- and middle-income countries, the majority of neonatal deaths occur without a clear cause of
death (i.e., pre-maturity). Due to the paucity of data for Neonatal mortality & associated factors in
our geographical area, this study has been planned to determine the predictors of mortality in very
low birth weight babies (VLBW) and extremely low birth weight babies (ELBW).
Materials & Methods: This observational descriptive study was conducted in the Neonatal ICU,
National Institute of Medical Sciences and Research, Jaipur, Rajasthan. All neonates with very low
birth weight (VLBW) & extremely low birth weight (ELBW) admitted to NICU were included.
Univariate analysis and logistic regression analysis were done to determine the predictors of shortterm outcomes & mortality.
Results: 174 neonates were studied. 104 (59.77%) were male children and 70 (40.23%) were female.
Mortality was seen among 6.15% VLBW babies & 45.5% ELBW babies. Febrile illness during
pregnancy, Birth weight, Gestational age, need for resuscitation after birth, elevated CRP, Low RBS,
and SAS Score less than 7 were found statistically significant and were independent predictors of
mortality.
Conclusions: The incidence of early neonatal mortality in low-birth-weight newborns and incredibly
higher in Extremely low weight. There is an urgent need for dedicated special care for ELBW &
VLBW neonates by primary health care providers and other stakeholders on the first day of
admission.
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Gajjar Jay Daxay
Post Graduate, Department of Paediatrics, NIMS, Jaipur, Rajasthan
Anurag Tomar
Professor, Department of Paediatrics, NIMS, Jaipur, Rajasthan
Amit Kumar
Assistant Professor, Department of Neonatology, NIMS, Jaipur, Rajasthan