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Neonatal Audit in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in Two Years

Received: 9 September 2022     Accepted: 8 October 2022     Published: 18 October 2022
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Abstract

Introduction: The first month of life is the most vulnerable period for child survival, with 2.4 million newborns dying in 2020. Neonatal audit is important to support quality improvement in neonatal unit. This study is to comprehend factors that influence neonatal morbidity and mortality in neonatology unit Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in year of 2020 and 2021. Material and Methods: This study was descriptive cross sectional study, the sample were all neonates treated in neonatology unit and registered by medical record in neonatology unit. Results: This study involved 2270 neonates in both years. Neonates who were born in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital was decreased 13.4% in 2021 and cesarean section was the highest mode of delivery in both year (59.3% and 65.9%). The majority of gestational age was more than 37 weeks (53.1% and 60.6%) and also the majority of birth weight was more than 2500 gram (59.7% and 54.3%). There also had increasing case of sepsis with 9.3% in 2021. There was no significantly difference of surfactant exogen administration in both year (1.3% and 1.2%). Neonates with Retinopathy of prematurity (ROP) and mother used steroid in pregnancy was decreased 0.9% in 2021. Respiratory distress syndrome was increased 4.9% in 2021. Cardiac and blood vessel anomaly was the highest cause of congenital anomaly in both years (35.5% and 38.5%). Neonates who use ventilator support increased 9.7% in 2021 with duration of ventilator usage less than 7 days. There was decreased 0.7% neonatal death in 2021. The most common cause of mortality was sepsis (77.3% and 61.5%), respectively. Neonates who were born less than 28 weeks and birth weight less than 1000 gram were the highest case of mortality in both year. Conclusion: The neonatal audit is important to do to know more precise data about the situation among neonatal care in the hospital. Some strategies were needed to reduce neonatal mortality such as decreasing premature and low birth weight deliveries and prevention of neonatal sepsis.

Published in American Journal of Pediatrics (Volume 8, Issue 4)
DOI 10.11648/j.ajp.20220804.13
Page(s) 207-212
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Neonatal, Audit, Hospital

References
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[2] Sulistiarini D., Berliana SM. Faktor-faktor yang Mempengaruhi Kelahiran Prematur di Indonesia: Analisis Data RISKESDAS 2013. 2016: 2 (1): 109-115.
[3] Saudubray J, Baumgartner M, Walter J. Inborn Metabolic Diseases. 2016; (6): 1-32.
[4] Royal College of Paeditrics and Child Health. National Neonatal Audit Programme 2017 Annual Report on 2016 Data. National Health Service. 2017.
[5] Royal College of Paeditrics and Child Health. National Neonatal Audit Programme 2020 Annual Report on 2019 Data. National Health Service. 2020.
[6] Phuong, C., Ho, B., Stensballe, L., Pedersen, F., Greisen, G. Identification of important ad potentially avoidable risk factors in a prospective audit study of neonatal deaths in a pediatric hospital Vietnam. ActaPediatrica. 2014: 139-144.
[7] Minuye Birihane B., Alebachew Bayih W., Yeshambel Alemu A., Belay D., Demis A. The burden of hyaline membrane disease, mortality and its determinant factors among preterm neonates admitted at Debre Tabor General Hospital, North Central Ethiopia: A retrospective follow up study. PLOS ONE. 2021; 16 (3): 1-10.
[8] Bissinger R., Carlson C., Michel Y., Dooley C. Secondary surfactant administration in neonates with respiratory decompensation. Journal of Neonatology. 2018: 192-29.
[9] Heljic, S., Maksic, H., Krdallic, B. The effects of corticosteroid and surfactant replacement on neonatal respiratory distress syndrome. Journal of Basic Medical Sciences. 2009; 9 (3): 226-228.
[10] Mwita S., Konje E., Kamala B., Izina A., Kilonzo S., Kigombola A et al. Association between antenatal corticosteroid use and perinatal mortality among preterm births in hospitals in Tanzania. PLOS ONE. 2021; 16 (7): 1-12.
[11] Rathod B., Mhaske S., Bulsara L., Kadam V. Neonatal Mechanical Ventilation: Indications and Outcome. Indian Journal of Maternal-Fetal and Neonatal Medicine. 2016; 3 (2): 81-86.
[12] Koti J., Murki S., Gaddam P., Reddy A., Dasaradha et al. Bubble CPAP for respiratory distress syndrome in preterm infants. Indian Pediatrics. 2010; 47 (2): 139-143.
[13] Choi Y., Lee J., Park J., Jun Y. Impact of Prolonged Mechanical Ventilation in Very Low Birth Weight Infants: Results From a National Cohort Study. The Journal of Pediatrics. 2018; 194: 34-39.
[14] Chandra G., Jayakusuma AAN., Wiradnyana AAG., Megadhana IW., Aryana MBD. The Characteristics of Congenital Anomalies in a Tertiary Teaching Hospital: Sanglah Birth Defect Integrated Center (SIDIC) Program Sanglah Hospital, Indonesia.
[15] Titaley C, et. al. Determinants of neonatal mortality in Indonesia. BMC Public Health. 2008; 8: 322.
[16] World Health Organization. Making Every Baby Count: Audit and Review of Stillbirths and Neonatal Deaths: Highlights from the World Health Organization 2016 Audit Guide. World Health Organization. 2016; 1-4.
[17] Budha, M., Kardana, M., Retayasa, W. Early neonatal mortality rate and the risk factor in Wangaya Hospital. PaediatriciaIndonesiana. 2008; 48 (8): 306-311.
[18] Putra, JP. Insiden dan Faktor-faktor yang Berhubungan dengan Sepsis Neonatus di RSUP Sanglah Denpasar. Sari Pediatri. 2012; 14 (3): 205-210.
[19] Titaley C., Dibley M., Agho K., Roberts C., Hall J. Determinants of neonatal mortality in Indonesia. BMC Public Health. 2008; 8 (1).
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  • APA Style

    Ni Luh Ayu Sumbia Indriani, Made Sukmawati, I Wayan Dharma Artana, I Made Kardana, Putu Junara Putra, et al. (2022). Neonatal Audit in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in Two Years. American Journal of Pediatrics, 8(4), 207-212. https://doi.org/10.11648/j.ajp.20220804.13

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    ACS Style

    Ni Luh Ayu Sumbia Indriani; Made Sukmawati; I Wayan Dharma Artana; I Made Kardana; Putu Junara Putra, et al. Neonatal Audit in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in Two Years. Am. J. Pediatr. 2022, 8(4), 207-212. doi: 10.11648/j.ajp.20220804.13

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    AMA Style

    Ni Luh Ayu Sumbia Indriani, Made Sukmawati, I Wayan Dharma Artana, I Made Kardana, Putu Junara Putra, et al. Neonatal Audit in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in Two Years. Am J Pediatr. 2022;8(4):207-212. doi: 10.11648/j.ajp.20220804.13

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  • @article{10.11648/j.ajp.20220804.13,
      author = {Ni Luh Ayu Sumbia Indriani and Made Sukmawati and I Wayan Dharma Artana and I Made Kardana and Putu Junara Putra and Putu Mas Vina Paramita Cempaka},
      title = {Neonatal Audit in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in Two Years},
      journal = {American Journal of Pediatrics},
      volume = {8},
      number = {4},
      pages = {207-212},
      doi = {10.11648/j.ajp.20220804.13},
      url = {https://doi.org/10.11648/j.ajp.20220804.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220804.13},
      abstract = {Introduction: The first month of life is the most vulnerable period for child survival, with 2.4 million newborns dying in 2020. Neonatal audit is important to support quality improvement in neonatal unit. This study is to comprehend factors that influence neonatal morbidity and mortality in neonatology unit Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in year of 2020 and 2021. Material and Methods: This study was descriptive cross sectional study, the sample were all neonates treated in neonatology unit and registered by medical record in neonatology unit. Results: This study involved 2270 neonates in both years. Neonates who were born in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital was decreased 13.4% in 2021 and cesarean section was the highest mode of delivery in both year (59.3% and 65.9%). The majority of gestational age was more than 37 weeks (53.1% and 60.6%) and also the majority of birth weight was more than 2500 gram (59.7% and 54.3%). There also had increasing case of sepsis with 9.3% in 2021. There was no significantly difference of surfactant exogen administration in both year (1.3% and 1.2%). Neonates with Retinopathy of prematurity (ROP) and mother used steroid in pregnancy was decreased 0.9% in 2021. Respiratory distress syndrome was increased 4.9% in 2021. Cardiac and blood vessel anomaly was the highest cause of congenital anomaly in both years (35.5% and 38.5%). Neonates who use ventilator support increased 9.7% in 2021 with duration of ventilator usage less than 7 days. There was decreased 0.7% neonatal death in 2021. The most common cause of mortality was sepsis (77.3% and 61.5%), respectively. Neonates who were born less than 28 weeks and birth weight less than 1000 gram were the highest case of mortality in both year. Conclusion: The neonatal audit is important to do to know more precise data about the situation among neonatal care in the hospital. Some strategies were needed to reduce neonatal mortality such as decreasing premature and low birth weight deliveries and prevention of neonatal sepsis.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Neonatal Audit in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in Two Years
    AU  - Ni Luh Ayu Sumbia Indriani
    AU  - Made Sukmawati
    AU  - I Wayan Dharma Artana
    AU  - I Made Kardana
    AU  - Putu Junara Putra
    AU  - Putu Mas Vina Paramita Cempaka
    Y1  - 2022/10/18
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajp.20220804.13
    DO  - 10.11648/j.ajp.20220804.13
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 207
    EP  - 212
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20220804.13
    AB  - Introduction: The first month of life is the most vulnerable period for child survival, with 2.4 million newborns dying in 2020. Neonatal audit is important to support quality improvement in neonatal unit. This study is to comprehend factors that influence neonatal morbidity and mortality in neonatology unit Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital in year of 2020 and 2021. Material and Methods: This study was descriptive cross sectional study, the sample were all neonates treated in neonatology unit and registered by medical record in neonatology unit. Results: This study involved 2270 neonates in both years. Neonates who were born in Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital was decreased 13.4% in 2021 and cesarean section was the highest mode of delivery in both year (59.3% and 65.9%). The majority of gestational age was more than 37 weeks (53.1% and 60.6%) and also the majority of birth weight was more than 2500 gram (59.7% and 54.3%). There also had increasing case of sepsis with 9.3% in 2021. There was no significantly difference of surfactant exogen administration in both year (1.3% and 1.2%). Neonates with Retinopathy of prematurity (ROP) and mother used steroid in pregnancy was decreased 0.9% in 2021. Respiratory distress syndrome was increased 4.9% in 2021. Cardiac and blood vessel anomaly was the highest cause of congenital anomaly in both years (35.5% and 38.5%). Neonates who use ventilator support increased 9.7% in 2021 with duration of ventilator usage less than 7 days. There was decreased 0.7% neonatal death in 2021. The most common cause of mortality was sepsis (77.3% and 61.5%), respectively. Neonates who were born less than 28 weeks and birth weight less than 1000 gram were the highest case of mortality in both year. Conclusion: The neonatal audit is important to do to know more precise data about the situation among neonatal care in the hospital. Some strategies were needed to reduce neonatal mortality such as decreasing premature and low birth weight deliveries and prevention of neonatal sepsis.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Department of Chid Health, Medical Faculty, Udayana University, Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar, Indonesia

  • Department of Chid Health, Medical Faculty, Udayana University, Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar, Indonesia

  • Department of Chid Health, Medical Faculty, Udayana University, Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar, Indonesia

  • Department of Chid Health, Medical Faculty, Udayana University, Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar, Indonesia

  • Department of Chid Health, Medical Faculty, Udayana University, Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar, Indonesia

  • Department of Chid Health, Medical Faculty, Udayana University, Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar, Indonesia

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