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

Ni Luh Ayu Sumbia Indriani; Made Sukmawati; I Wayan Dharma Artana; I Made Kardana; Putu Junara Putra; Putu Mas Vina Paramita Cempaka

doi:doi:10.11648/j.ajp.20220804.13

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

Ni Luh Ayu Sumbia Indriani, Made Sukmawati, I Wayan Dharma Artana, I Made Kardana, Putu Junara Putra, Putu Mas Vina Paramita Cempaka

Published in American Journal of Pediatrics (Volume 8, Issue 4)

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), 2024. Published by Science Publishing Group

Keywords

Neonatal, Audit, Hospital

References

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[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.
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[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.
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[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.
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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

Ni Luh Ayu Sumbia Indriani

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

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

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

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

Department of Chid Health, Medical Faculty, Udayana University, Prof. Dr. I Goesti Ngoerah Gde Ngoerah Hospital, Denpasar, Indonesia
Putu Mas Vina Paramita Cempaka

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

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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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