Abstract

This study was to evaluate the clinical profile and various prenatal risk factors of high risk new born in tertiary care centre.
Methods: A total of 100 subjects (sick neonate) with age of 1 hour to 71 hours who admitted to the neonatal intensive care unit (NICU) of  Paediatric ward of NC Medical were included for this study. New born babies were admitted in NICU for fifteen days. Antibiotics and other therapy were used as on requirement of treatment of babies condition in NICU.
Results: Majorities of neonates were males (59%). Most of the babies (94%) were born in hospital. majorities of mothers (48%) were in age greater than 30 years. 34 % mothers age were less than 20 years. Average weight of male and female babies were 2124 grams and 1923 grams respectively. 55% had premature rapture of membrane (PROM). 38% babies were born in poor hygiene. 44% new born babies had hypothermia. 64%) new born babies were lethargic at the time of admission in NICU. 35% new born babies had slug reflex. 38% neonates were distress. 26% new born babies were in shock. And 5 % neonates were expired during the intervention in NICU. 95% neonates were survived and satisfactory discharge from NICU.
Conclusions: Neonatal sepsis is more preponderance in males than females. Maternal age, premature rupture of membrane (PROM), poor hygiene are the major prenatal causes of sepsis in neonates. Low birth weight, lethargy or refusal to feed, hypothermia, distress, sluggish reflex, shock are the common features of neonatal sepsis/high risk new born. So that, we should organise health check up camp in urban and rural area for the awareness of pregnancy, prenatal care and high risk new born. And also needed for the early diagnosis and prompt treatment of neonatal sepsis to reduce the mortality of neonates