RESUMO
A retrospective study on diarrheal manifestation in newborn babies was conducted at the ward of Neonatology, Dr. Pirngadi Hospital Medan from January to December 1988. There were all 3367 babies hospitalized during the study period. One hundred and thirty five (4.0%) had diarrhea, including 106 (78.5%) babies with birth weights of greater than or equal to 2500 gram. Of 2478 babies with spontaneous delivery, 34 (1.4%) babies had diarrhea, while of 889 babies with obstetrical intervention delivery 101 (11.4%) babies had diarrhea. The difference was statistically significant (p less than 0.001). Of 135 babies with diarrhea, there were 82 (60.7%) with moderate and 31 (23.0%) with severe dehydration. The mortality rate was 47.5% in patients with accompanying diseases and 0.0% in them without. The mortality rate in babies with birth weights less than 2500 gr was 37.9% and 16.9% in babies with birthweights greater than or equal to 2500 gram (p less than 0.001). The mortality rate increased with the increase of severity of dehydration (p less than 0.03).
Assuntos
Desidratação/epidemiologia , Diarreia Infantil/epidemiologia , Peso ao Nascer , Comorbidade , Desidratação/etiologia , Desidratação/mortalidade , Parto Obstétrico/métodos , Diarreia Infantil/complicações , Diarreia Infantil/mortalidade , Feminino , Idade Gestacional , Hospitais , Humanos , Incidência , Indonésia/epidemiologia , Recém-Nascido , Masculino , Estudos Retrospectivos , Fatores de RiscoRESUMO
A retrospective study was conducted on babies born during January 1985 to December 1986 at Dr. Pirngadi Hospital Medan. The aim of this study was to evaluate perinatal mortality and morbidity, and various possible factors related to the subject matter. The main results can be summarized as follows: There were 7102 deliveries during the study period consisting of 999 babies weighing less than 2500 gram and 6103 with body weight of 2500 gram or more. Perinatal mortality rate was 563.56% in the first group and 78.49% in the second while the overall++ mortality rate was 146.72%. Rate of perinatal demise was high in babies born from mothers in the age groups of below 20 and above 35 years, namely 681.82% and 202.19%. It was also high among primiparae (165.67%) and more so among grandmultiparae (246.46%). There were 1966 (30.49%) ill newborn babies with asphyxia neonatorum accounting for 44.91%, infection 30.42% and respiratory problems 9.21% of the main causes of illness, while respiratory problems (40.05%) and infection (28.68%) constituted the main causes of death. We concluded that the rate of perinatal mortality and morbidity is still high at this hospital. Quality of prenatal and neonatal care with extensive public health education is necessary to be enhanced for the reduction of perinatal mortality and morbidity.
Assuntos
Hospitais , Mortalidade Infantil , Morbidade , Causas de Morte , Parto Obstétrico/métodos , Feminino , Humanos , Indonésia , Recém-Nascido , Idade Materna , Paridade , Estudos RetrospectivosRESUMO
A study on the incidence of congenital malformation had been assessed among 15,185 newborns delivered in the Neonatal Unit, Dr. Pirngadi Hospital Medan during 1981-1984. Still-births were not included in this study. Out of these 15,185 newborns there were 77 cases (0.51%) of congenital malformation. The four leading malformations were pes-equinovarus 7 cases (9.1%), labiognathopalatoschizis, hydrocephalus and anencephalus 6 cases each (7.7%). The number of congenital malformations was higher in the age group of mothers older than 35 years (0.78%) and in the group of babies born in the birth order as third and further (53.85%) and as first born babies (33.33%). From 77 cases with congenital malformation only 2 (2.56%) were operated soon after birth, while 49 cases (64.1%) went home without surgical intervention, and 28 cases (35.9%) died during hospitalization.