Impact of mode of transport on the outcome of extramural newborns in a tertiary care centre
DOI:
https://doi.org/10.18203/2349-3291.ijcp20173792Keywords:
CRT, Extramural babies, Hypoglycemia, HypothermiaAbstract
Background: Neonatal transport system in our country is a major gap in holistic newborn care and acute neonatal physiology deranged during neonatal transport which adversely affects the mortality and morbidity of sick newborns. To determine the effect of mode of transport on outcome of extramural newborns. To determine the effect of mode of transport on extramural newborns outcome at the level of tertiary care center.
Methods: This is a prospective cohort study carried out in chengalpattu medical college and hospital, NICU over a period of 6 months. Inclusion criteria were all admitted extramural babies, readmitted intramural babies and those babies died while transport. Exclusion criteria were those babies born in the institution of study. A predesigned and tested proforma was used to record the required information for the study at the time of admission. Data was analysed and tabulated, for analysis of data software STATISTIX was used.
Results: Out of 490 newborns 11% were died, 84% were discharged and 2.45% were gone against medical advice. About the mode of transport was 60% by Ambulances, 10.6% by Auto, 22% by Bus and 6.8% by Car.
Conclusions: The study concludes that even though the mode of transport accompanied by a health personnel no difference in the outcome of babies. So, we suggest well trained and equipped transport system to improve the outcome.
References
Lawn JE, Cousens S, Zupan J, Lancet Neonatal Survival Steering Team. 4 million neonatal deaths: when? Where? Why?. The lancet. 2005;365(9462):891-900.
Singh M. Care of the newborn. 6th ed. Sagar Publications;2009
UNICEF. The Indian News. Dec 10th 2007. Available at https://www.unicef.org
PHFI, AIIMS and SC, State of India’s Newborn (SOIN) 2014 - a report In: Zodpey S, Paul VK, editors Public Health Foundation of India. New Delhi, India AIIMS and save the children; 2014
Government of India 2000; sample registration system bulletin; 2003:1-3.
Prinja S, Jeet G, Kaur M, Aggarwal AK, Manchanda N, Kumar R. Impact of referral transport system on institutional deliveries in Haryana, India. Ind J Medic Res. 2014;139(6):883.
Babinard J, Roberts P Maternal and child Developmental Goals. What can transport sector Do? The world bank Group. Transport paper.
Dhaded SM, Neonatal referred and transport In: Bhat SB, editor. Achar text book of pediatrics. 4th Edition: Bhat SB; Neonatal referral and transport In. 112-9.
Hsieh TT. Perinatal Transport Status in developing countries. J Neonatol. 2005;4:321-2.
Paul VK, Jain V, Regionalization of perinatal health and effective neonatal transport where do we stand and what future holds J neonatology. 2005:336:341
Govt of India a strategic approach to reproductive, meternal, newborn, child and adolescent health (RMNCH +A) in India: For healthy mother and child. Newdelhi: Ministry of Health and Family welfare, Government of India; 2013. Available at http://cghealth.nic.in/ehealth/2016/RMNCH/1_RMNCHA_Strategy.pdf
EMRI/ Patient transport service National Ambulances Service (NAS). Available from http://www :nrhm gov in/ nrhm components /health –systems-strenthening/emir-transport-service-html
Rao SK, Bajaj N, Rawat A. Pre transport factors and transport quality affecting the neonatal outcome. J Evol Medic Dent Sci. 2015;4(12):1991-5.
Dalal E, Vishal G, Solanki D. Study on neonatal transport at tertiary care centre. IJSR. 2013;2(12):289:292.
Kumar PP, Kumar CD, Shaik FA, Ghanta SB, Venkatalakshmi A. Prolonged neonatal interhospital transport on road: relevance for developing countries. Ind J Pediatr. 2010;77(2):151-4.