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Abstract
Neonatal care has made tremendous improvements in developing countries. However, there are number of challenges to be met as neonatal mortality remains unacceptably high. In contrast to this, neonatal care in developed nations has moved ahead of a pre-occupation of reducing the neonatal mortality only. The main reasons for this gap are poor infrastructure, resource limitations and lack of systems developed by neonatal units in the developed nations.
Ain Shams Children hospital is a tertiary care hospital. The NICU (which provides level III neonatal care) was constructed shortly after the hospital construction but a main start of the NICU’s was the innovation done to the NICU in year 1994 and also in years 1997 and 2005. Its full capacity had never exceeded 13 neonates at a time.
This study describes the epidemiological aspects of all neonates admitted along 2 years (2006-2007) in NICU of Children hospital of Ain Shams University. Along the 2 years concerned, the NICU worked by half of its capacity with periods of closure for reconstruction and sterilization. Working days were 602 days out of 712 days.
Medical records were retrospectively examined all through the admission data, NICU stay and discharging outcome. The data were collected via a computer data input program till analysis was achieved. It included patient’s admission data (e.g. demographic data, mode of delivery, gestational age), NICU stay data (e.g. average duration of stay, requirements for assisted ventilation) and discharge data (e.g. clinical outcome, follow up in neonatology clinic). However, it is worthy to say that this study was restricted by the limited data resources.