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OUTBORN STATISTICS

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B/O RANI /Male/900gms/234753/ DOA-5/2/05 at 10.40pm DOE-17/2/05 at 3.00pm DOS ... COD :preterm (34 /-2) LBW LOS pyogenic meningitis ... – PowerPoint PPT presentation

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Title: OUTBORN STATISTICS


1
OUTBORN STATISTICS
  • FEBRAURY 2005

2
  • TOTAL NO OF ADMISSIONS 92 (78 )
  • TOTAL NO OF DEATHS 08 (09)
  • MORTALITY RATE 8.69(11.5)

3
BASED ON BIRTH WEIGHT
4
BASED ON GESTATIONAL AGE
5
ADMISSIONS TO NICU (BASED ON DIAGNOSIS )
TOTAL NO OF ADMISSIONS 92 (78 )
6
  • OTHERS
  • CHD-9(3 -PDA,2- ASD,1-PPHTN,2-VSD,1-PDA WITH ASD)
  • HYPERBILIRUBINEMIA-7
  • ABO incompatibility 6
  • Rh incompatibility --1

7
90 50 10
Preterm
Term Posterm
WEEK OF GESTATION
8
  • 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

9
  • 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

10
  • 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 , AH
  • P2- FTND ,M ,9 mon , AH
  • 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?goripal
    ya 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
  • COD preterm (30\-2)AGA LBW HYPOTHERMIA EOS
    with shock .

11
  • B/O Madhu / 1.3kg / 1day / F / 234692/ DOA
    1/2/05 at 4.50am DOE 1/2/05 at 9.30 am DOS4hrs
    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

12
  • B/O GEETHA/ 1.9 kg / 1 day / female / 234929
    DOA17/2/05 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,CFTgt3sec.
  • RISK FACTORS
  • 1.abruptio placenta
  • Preterm
  • LBW
  • PIH
  • RDS
  • shock
  • COD Preterm 32/- 2 wks AGA with RDS with
    irreversible shock.

13
  • 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
    cows milk 11 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 80PMN CRP positive, sugar 20mg/dl, protein
    170mg/dl.
  • RISK FACTORS
  • PIH
  • PROM gt48hrs
  • LBW
  • Top fed
  • COD preterm (34/-2) LBW LOS pyogenic
    meningitis

14
  • B/o Shashikala 1 day / female / 2.4 kg
    /234721/DOA 3/2/05 11am DOE 4/2/05 1am.
    DOS14hrs
  • 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

15
  • B/O Vani/ 2 days / female / 2.5kg / 235079/ DOA
    25/2/05 6am, DOE 25/2/05 3pm. DOS9hrs
  • 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
  • CODTerm with AGA Birth asphyxia HIE stage 3

16
CULTURE SENSITIVITY
TOTAL-5
4 BLOOD SAMPLES,1 CSF SAMPLES Resistant to all
except oflaxicin .
17
  • Thank you
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