20
Table 1: No. of babies according to place of birth
Hospitals Admission Status
Total Inborn
Outborn
19 n
265 115
380 69.7
30.3 100
20 n
130 15
145 89.7
10.3 100
21 n
175 18
193 90.7
9.3 100
22 n
392 43
435 90.1
9.9 100
23 n
377 194
571 66
34 100
24 n
420 79
499 84.2
15.8 100
25 n
211 75
286 73.8
26.1 100
26 n
154 46
200 77
23 100
27 n
212 39
251 84.5
15.5 100
28 n
42 14
56 75
25 100
29 n
357 27
384 93
7 100
30 n
279 11
290 96.2
3.8 100
31 n
292 53
345 84.6
15 100
32 n
487 23
510 95.5
4.5 100
33 n
599 47
646 92.7
7.3 100
34 n
101 18
119 84.9
15.1 100
35 n
25 2
27 92.6
7.4 100
T
n
10,290 1843
12,132 84.8
15.2 100
Hospitals Admission Status
Total Inborn
Outborn
2 n
548 178
726 75.5
24.5 100
3 n
417 80
497 83.9
16.1 100
4 n
219 21
240 91.3
8.8 100
5 n
575 131
706 81.4
18.6 100
6 n
335 108
443 75.6
24.4 100
7 n
672 91
763 88.1
11.9 100
8 n
417 91
508 82.1
17.9 100
9 n
359 22
381 94.2
5.8 100
10 n
429 42
471 91.1
8.9 100
11 n
116 4
120 96.7
3.3 100
12 n
256 50
306 83.7
16.3 100
13 n
189 77
266 75.4
28.9 104
14 n
140 10
150 93.3
6.7 100
15 n
226 48
274 82.5
17.5 100
16 n
404 23
427 94.6
5.4 100
17 n
330 37
367 89.9
10.1 100
18 n
139 11
150 92.7
7.3 100
21
Figure 2 Frequency distribution of all babies in MNNR according to gestational age
COMMENT: For the ategories ≥ eeks, the ase distri utio does ot i lude all li e irths i that respe ti e gestational age group. See inclusion criteria
0.0 2.0
4.0 6.0
8.0 10.0
12.0 14.0
23 23
24 25
26 27
28 29
30 31
32 33
34 35
36 37
38 39
40 41
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
22
Table 2 : Frequency distribution of all babies in MNNR according to gestational age
Gestational age in completed weeks at birth Frequency
Percent
23 34
0.3 23
59 0.5
24 131
1.1 25
183 1.5
26 249
2.1 27
282 2.3
28 442
3.6 29
466 3.8
30 685
5.6 31
798 6.6
32 965
8.0 33
823 6.8
34 858
7.1 35
669 5.5
36 684
5.6 37
753 6.2
38 1226
10.1 39
1002 8.3
40 1626
13.4 41
175 1.4
42 22
0.2 Total included
12132 100
Total no. of missing GA Overall Total babies
12132
23
Figure 3 Frequency distribution of all babies in MNNR according to according to birth weight
Table 3 Birth weight grams
Frequency Percent from total number of babies
500 46
0.4 501-1000
1183 9.8
1001-1500 2550
21.0 1501-2500
3867 31.9
More than 2500 4486
37.0 Total included
12132 100
Total no. of missing BW Overall total no. babies
12132
COMMENT: For the category 1500 grams birth weight , calculated percentage does not include all live births in the hospitals who do not fit inclusion criteria.
5 10
15 20
25 30
35 40
501-1000 1001-1500
1501-2500 2500
P e
rc e
n ta
g e
o f
b a
b ie
s
Birth Weight grams
24
Figure 4 Survival to Discharge of All Live Births Admitted to MNNR Hospitals According to Gestational Age
Table 4 Gestational age completed
weeks
Total number of inborn outborn
babies Number of survivors
survival
23 34
1 4.3
23 59
4 8.9
24 131
11 9.9
25 183
50 30.5
26 249
131 53.7
27 282
178 64.0
28 442
323 74.8
29 466
404 87.3
30 685
606 89.1
31 798
715 90.5
32 8803
7692 87.9
Total included 12132
10115 83.4
Total no. of missing GA Overall Total babies
12132 COMMENT: For the category
≥ 32 weeks gestational age, calculated survival rate only include all admitted live births in that category who fullfill inclusion criteria. Includes inborn and outborn babies.
10 20
30 40
50 60
70 80
90
23 23
24 25
26 27
28 29
30 31
P e
rc e
n ta
g e
o f
b a
b ie
s
Gestational Age weeks
25
Figure 5 Survival to discharge of all babies in the MNNR according to birth weight categories
Table 5 Birth weight grams
Total number of babies Number of survivors survivors
500 46
2 4.3
501-1000 1183
587 49.6
1001-1500 2550
2201 86.3
1501-2500 3867
3367 87.1
2500 4486
3958 88.2
Total included 12132
10115 83.4
Total no. of missing BW Overall Total babies
12132
COMMENT: For the category more than 1500 gram birth weight, the calculated percentage does not include all live births in the hospitals who do not fit inclusion criteria.
10 20
30 40
50 60
70 80
90
501-1000 1001-1500
1501-2500 2500
P e
rc e
n ta
g e
o f
b a
b ie
s
Birth Weight grams
26
Figure 6 Prevelance of patent ductus arteriosus PDA among all admitted inborn babies in the MNNR by gestational age
Table 6 Gestational age
Total number of admitted inborn babies
PDA Confirmed
by ECHO Indomethacin
Ibuprofen Ligation
completed weeks n
n n
n n
23 19
0.2 1
5.3 1
0.0 1
5.3 0.0
23 42
0.4 4
9.5 2
50.0 0.0
0.0 24
103 1.0
18 17.5 16
88.9 8
44.4 0.0
25 143
1.4 32 22.4
29 90.6
22 68.8
2 6.3
26 211
2.1 87 41.2
76 87.4
45 51.7
2 2.3
27 244
2.4 80 32.8
62 77.5
45 56.3
1 1.3
28 365
3.6 134 36.7
121 90.3
67 50.0
3 2.2
29 386
3.8 105 27.2
95 90.5
67 63.8
0.0 30
590 5.8
126 21.4 113
89.7 60
47.6 2
1.6 31
674 6.6
118 17.5 101
85.6 46
39.0 0.0
32 7366
72.6 529
7.2 500
94.5 102
19.3 7
1.3 Total included
10143 100
1234 12.2 1116
90.4 463
37.5 17
1.4 Total no. of missing GA
Overall Total babies 10143
COMMENT: For the category ≥ 32 weeks gestation, calculated percentage does not include all livebirths in the hospital
that do not fit inclusion criteria.
6 12
18 24
30 36
42
23 23
24 25
26 27
28 29
30 31
P e
rc e
n ta
g e
o f
b a
b ie
s w
it h
P D
A
Gestational Age weeks
27
Figure 7 Prevelance of Patent Ductus Arteriosus PDA among all admitted inborn babies in the MNNR by birth weight
Table 7
Birth weight grams
Total number of admitted inborn
babies PDA
Confirmed by ECHO
Indomethacin Ibuprofen
Ligation n
n n
n n
500 35
0.3 1
2.9 1
0.0 0.0
0.0 501-1000
974 9.6
304 31.2 260 85.5
154 50.7
6 2.0
1001-1500 2150
21.2 442 20.6
398 90.0 223
50.5 5
1.1 1501-2500
3285 32.4
298 9.1
273 91.6 73
24.5 3
1.0 2500
3699 36.5
189 5.1
184 97.4 13
6.9 3
1.6 Total included
10143 100
1234 12.2 1116 90.4
463 37.5
17 1.4
Total no. of missing BW Total babies
10143
5 10
15 20
25 30
35
501-1000 1001-1500
1501-2500 2500
P e
rc e
n ta
g e
o f
b a
b ie
s w
it h
P D
A
Birth Weight grams
28
Table 8 Treatment of patent ductus arteriosus PDA in admitted inborn babies by gestational age categories
Gestational age at birth
weeks
Total no. of admitted
inborn babies No. of babies
with data available
on PDA diagnosis
No. of babies with
diagnosed PDA
Confirmed by ECHO
Treatment Indo-
methacin Ibuprofen
Ligation n
n n
n n
n
22-24 159
5.7 159
100 22
13.8 18
81.8 8
36.4 00
25-27 598
21.6 598
100 199
33.3 167
83.9 112
56.3 5
2.5 28-31
2015 72.7
2015 100
483 24.0
430 89.0
240 49.7
5 1.0
Total included
2772 100
2772 100
704 25.4
615 87.4
360 51.1
10 1.4
Table 9 Treatment of patent ductus arteriosus PDA in admitted inborn babies by birth weight categories
Birth weight
grams
Total number of admitted
inborn babies No. of babies
with data available on
PDA diagnosis
No. of babies with
diagnosed PDA
Confirmed by ECHO
Treatment Indo-
methacin Ibuprofen
Ligation n
n n
n n
n
750 352
11.1 352
100 72
20.5 62 86.1
35 48.6 3
4.2 751-1000
657 20.8
657 99.8
233 35.5
199 85.4 119 51.1
3 1.3
1001-1250 900
28.5 900
100 243
27.0 219 90.1
127 52.3 4
1.6 1251-1500
1250 39.6
1250 100
199 15.9
179 89.9 96 48.2
1 0.5
Total included
3159 100
3159 100
747 23.6
659 88.2 377 50.5
11 1.5
29
Figure 10 Incidence of Intraventricular Haemorrhage IVH in admitted inborn babies 32 weeks gestational age
Table 10
Gestational age completed weeks
Total no. of
admitted inborn
babies
Babies with
CUS NO IVH
IVH Grade 1
Grade 2 IVH
Grade 3 IVH
Grade 4 No. of
babies with CUS
Alive Dead
22-24 n
159 86
49 11
14 12
13 73
5.7 54.1
57.0 12.8
16.3 14.0
25-27 n
598 21.6
515 86.0
217 42.1
170 33.0
77 15.0
51 9.9
303 212
28-31 n
2015 72.7
1882 93.4
1361 72.3
400 21.3
78 4.1
43 2.3
1674 208
Total included n
2772 100
2483 89.5
1627 65.5
581 23.4
169 6.8
106 4.3
1990 493
Total no. of missing GA
Total babies 2772
CUS
– cranial untrasound
20 40
60 80
100
22-24 25-27
28-31
P e
rc e
n ta
g e
o f
B b
a ie
s
Gestational Age weeks
Grade 4 Grade 3
Grade 1 2 No IVH
30
Figure 11 Incidence of Intraventricular Haemorrhage IVH in
ad itted i or a ies ≤ 5 gra s irth eight
Table 11
Birth weight grams
Total no. of admitted
inborn babies
Babies with
CUS NO IVH
IVH Grade 1
Grade 2 IVH
Grade 3 IVH
Grade 4 No. of
babies with CUS
Alive Dead
750 n
352 242
126 55
20 41
93 149
11.1 68.8
52.1 22.7
8.3 16.9
751-1000 n
657 20.8
594 90.4
275 46.3
194 32.7
79 13.3
46 7.7
416 178
1001-1250 n
900 28.5
856 95.1
573 66.9
219 25.6
36 4.2
28 3.3
731 125
1251-1500 n
1250 39.6
1132 90.6
945 83.5
158 14.0
18 1.6
11 1.0
1037 95
Total included n
3159 100.0
2824 89.4
1919 68.0
626 22.2
153 5.4
126 4.5
2277 547
Total no. of missing GA
Total babies 2954
20 40
60 80
100
751-1000 1001-1250
1251-1500
P e
rc e
n ta
g e
o f
B a
b ie
s
Birth Weight grams
Grade 4 Grade 3
Grade 1 2 No IVH
31
Figure 12 Blood culture positive early onset sepsis in admitted inborn babies
Table 12 Gestational age at birth
Total number of admitted inborn babies
No. of babies with early infection completed weeks
n n
22-24 159
2 1.3
25-27 598
21 3.5
28-31 2015
29 1.4
Total included 2772
52 1.9
Total no. of missing GA Total babies
2772
1 2
3 4
22-24 25-27
28-31
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
32
Figure 13 Incidence of blood culture positive late onset sepsis in admitted inborn babies by gestational age
Table 13 Gestational age
weeks
Total number of admitted inborn
babies No. of babies who
survived beyond day 3 after birth
No. of babies with at least one episode of late
onset sepsis n
n n
22 – 24
159 5.7
14 0.7
3 21.4
25 – 27
598 21.6
307 14.9
69 22.5
28 – 31
2015 72.7
1743 84.4
117 6.7
Total included 2772
100 2064
100 189
9.2 Total no. of
missing GA Total babies
2772
5 10
15 20
25
22-24 25-27
28-31
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
33
Figure 14 Incidence of blood culture positive late onset sepsis in admitted inborn babies by birth weight
Table 14 Birth weight
grams
Total number of admitted inborn
babies No. of babies who
survived beyond day 3 after birth
No. of babies with at least one episode of late
onset sepsis n
n n
750 352
11.1 93
3.9 21
22.6 751-1000
657 20.8
420 17.6
67 16.0
1001-1250 900
28.5 743
31.2 70
9.4 1251-1500
1250 39.6
1125 47.2
48 4.3
Total included
3159 100
2381 100
206 8.7
Total no. of missing BW
Overall total babies
3159
2 4
6 8
10 12
14 16
18 20
22 24
751-1000 1001-1250
1251-1500
P e
rc e
n ta
g e
o f
B a
b ie
s
Birth Weight weeks
34
Figure 15 Incidence of necrotizing enterocolitis NEC in admitted inborn babies according to gestational age
Table 15 Gestational age
weeks
Total number of admitted
inborn babies Babies with
NEC No NEC
Surgical treatment Yes
No n
n n
n n
22-24 159
5 3.5
154 96.9
1 20.0
4 80.0
25-27 598
49 8.2
549 91.8
13 26.5
36 73.5
28-31 2015
100 5.0
1915 95.0
20 20.0
80 80.0
Total included
2772 154
5.6 2618
94.4 34
22.1 120
77.9 Total no. of
missing GA Overall Total
babies 2772
Co e t: NEC refers to those ith at least Stage odified Bell’s riteria
1 2
3 4
5 6
7 8
9
22-24 25-27
28-31
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
35
Figure 16 Incidence of necrotizing enterocolitis NEC in admitted inborn babies according to birth weight
Table 16
Birth weight grams
Total number admitted of
inborn babies Babies with NEC
No NEC Surgical treatment
Yes No
n n
n n
n
750 352
22 6.3
330 93.8
4 18.2
18 81.8
751-1000 657
52 7.9
605 92.1
10 19.2
42 80.8
1001-1250 900
50 5.6
850 94.4
15 30.0
35 70.0
1251-1500 1250
45 3.6
1205 96.4
7 15.6
38 84.4
Total included
3159 169
5.3 2990
94.7 36
21.3 133
78.7 Total no. of
missing BW Overall total
babies 3159
Co e t: NEC refers to those ith at least Stage odified Bell’s riteria
1 2
3 4
5 6
7 8
751-1000 1001-1250
1251-1500
P e
rc e
n ta
g e
o f
B a
b ie
s
Birth Weight weeks
36
Figure 17a Antenatal corticosteroid for all inborn babies born at 32 weeks gestational age according to centres
Figure 17b Antenatal corticosteroid for all outborn babies born at 32 weeks gestational age according to centres
10 20
30 40
50 60
70 80
90 100
2 3
4 5
6 7
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
P e
rc e
n ta
g e
o f
g iv
e n
a n
te n
a ta
l st
e ro
id
Centre Number
10 20
30 40
50 60
70 80
90 100
2 3
4 5
6 7
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
P e
rc e
n ta
g e
o f
g iv
e n
a n
te n
a ta
l st
e ro
id
Centre Number
37
Table 17: Antenatal corticosteroid for all babies born at 32 weeks gestational age according to centres
Hospitals Inborn
Outborn Total number
of babies Given
Antenatal Steroid
Unknown Total number of
babies Given Antenatal
Steroid Unknown
n n
n n
n n
Overall 2872
100 2087
72.7 101
457 100
172 37.6
43 2
137 4.8
90 65.7
20 39
8.5 12
30.8 11
3 166
5.8 141
84.9 9
18 3.9
10 55.6
5 4
40 1.4
36 90.0
5 1.1
4 80.0
5 245
8.5 165
67.3 2
31 6.8
7 22.6
6 84
2.9 57
67.9 10
16 3.5
9 56.3
1 7
199 6.9
135 67.8
1 24
5.3 8
33.3 8
139 4.8
114 82.0
2 21
4.6 7
33.3 2
9 122
4.2 95
77.9 7
5 1.1
2 40.0
10 76
2.6 29
38.2 2
10 2.2
1 10.0
11 25
0.9 16
64.0 1
1 0.2
0.0 1
12 73
2.5 51
69.9 3
16 3.5
9 56.3
1 13
44 1.5
30 68.2
7 18
3.9 8
44.4 2
14 56
1.9 50
89.3 1
2 0.4
1 50.0
15 92
3.2 60
65.2 6
17 3.7
5 29.4
4 16
98 3.4
81 82.7
2 5
1.1 2
40.0 17
83 2.9
48 57.8
1 9
2.0 3
33.3 18
54 1.9
50 92.6
1 0.2
1 100.0
19 89
3.1 76
85.4 29
6.3 10
34.5
38 Table 17 continued:
Antenatal corticosteroid for all babies born at 32 weeks gestational age according to centres
Hospitals Inborn
Outborn Total number
of babies Given
Antenatal Steroid
Unknown Total number of
babies Given Antenatal
Steroid Unknown
n n
n n
n n
20 38
1.3 23
60.5 5
1.1 3
60.0 21
58 2.0
40 69.0
4 0.9
1 25.0
22 92
3.2 76
82.6 13
2.8 1
7.7 1
23 109
3.5 71
65.1 8
51 11.2
26 51.0
5 24
129 4.5
102 79.1
1 17
3.7 7
41.2 25
60 2.1
53 88.3
20 4.4
14 70.0
26 78
2.7 44
56.4 15
3.3 3
20.0 1
27 53
1.8 40
75.5 2
15 3.3
5 33.3
4 28
17 0.6
8 47.1
5 1.1
2 40.0
29 88
3.1 59
67.0 4
5 1.1
2 40.0
30 50
1.7 33
66.0 7
2 0.4
0.0 31
88 3.1
74 84.1
4 20
4.4 6
30.0 4
32 102
3.6 76
74.5 5
1.1 1
20.0 1
33 39
1.4 25
64.1 1
4 0.9
0.0 34
37 1.3
29 78.4
9 2.0
2 22.2
35 12
0.4 10
83.3 0.0
39
Figure 18a Antenatal corticosteroid for all inborn babies
or at ≤ 5 gra s irth eight according to centres
Figure 18b Antenatal corticosteroid for all outborn babies
or at ≤ 5 gra s irth eight according to centres
10 20
30 40
50 60
70 80
90 100
2 3
4 5
6 7
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
P e
rc e
n ta
g e
o f
g iv
e n
a n
te n
a ta
l st
e ro
id
Centre Number
10 20
30 40
50 60
70
2 3
4 5
6 7
8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
P e
rc e
n ta
g e
o f
g iv
e n
a n
te n
a ta
l st
e ro
id
Centre Number
40
Table 18 : Antenatal corticosteroidfor all babies
or at ≤ 5 gra s irth eight according to centres
Hospitals Inborn
Outborn Total number
of babies Given
Antenatal Steroid
Unknown Total number of
babies Given Antenatal
Steroid Unknown
n N
n n
n N
Overall 3259
100 2300
70.6 110
520 100
174 33.5
47 2
153 4.7
91 59.5
24 43
8.3 15
34.9 10
3 188
5.8 160
85.1 9
17 3.3
8 47.1
5 4
46 1.4
40 87.0
6 1.2
4 66.7
5 257
7.9 170
66.1 2
30 5.8
6 20.0
6 96
2.9 67
69.8 10
25 4.8
10 40.0
3 7
210 6.4
137 65.2
1 23
4.4 10
43.5 8
144 4.4
110 76.4
2 23
4.4 6
26.1 2
9 129
4.0 104
8.6 7
5 1.0
2 40.0
10 115
3.5 46
40.0 1
14 2.7
3 21.4
11 28
0.9 18
64.3 1
2 0.4
0.0 1
12 87
2.7 57
65.5 3
17 3.3
8 47.1
2 13
54 1.7
34 63.0
9 23
4.4 10
43.5 3
14 62
1.9 56
90.3 1
1 0.2
0.0 15
87 2.7
55 63.2
5 16
3.1 5
31.3 3
16 109
3.3 87
79.8 2
5 1.0
1 20.0
1 17
96 2.9
56 58.3
1 9
1.7 3
33.3 18
55 1.7
48 87.3
1 0.2
0.0 1
19 118
3.6 97
82.2 1
38 7.3
11 28.9
41 Table 18 continued:
A te atal orti osteroid for all a ies or at ≤ 5 gra s irth eight according to centres
Hospitals Inborn
Outborn Total number
of babies Given
Antenatal Steroid
Unknown Total number of
babies Given Antenatal
Steroid Unknown
N n
n N
N N
20 45
1.4 24
53.3 5
1.0 3
60.0 21
60 1.8
44 73.3
3 0.6
1 33.3
22 117
3.6 99
84.6 14
2.7 1
7.1 1
23 114
3.5 75
65.8 7
53 10.2
22 41.5
7 24
148 4.5
111 75.0
2 20
3.8 7
35.0 25
71 2.2
59 83.1
23 4.4
15 65.2
26 97
3.0 53
54.6 1
18 3.5
4 22.2
1 27
68 2.1
50 73.5
2 14
2.7 7
50.0 2
28 10
0.3 4
40.0 8
1.5 2
25.0 29
102 3.1
64 62.7
3 6
1.2 2
33.3 30
56 1.7
36 64.3
9 4
0.8 0.0
31 98
3.0 81
82.7 4
20 3.8
5 25.0
4 32
113 3.5
82 72.6
1 7
1.3 1
14.3 1
33 75
2.3 44
58.7 2
14 2.7
0.0 34
40 1.2
31 77.5
12 2.3
2 16.7
35 11
0.3 10
90.9 1
0.2 0.0
42
Figure 19 Incidence of retinopathy of prematurity ROP in admitted inborn babies by gestational age
Table 19 Gestation
al age at birth
weeks
Total number of
admitted inborn
babies
No. of babies alive at 6
weeks No. of babies
with known eye
examination results
Retinopathy of prematurity
No ROP ROP
Stage 1 2 ROP
Stage 3 ROP
Stage 4 5 n
n n
n n
n n
22-24 159
5.7 18
11.3 12
66.7 2
16.7 6
50 4
33.3 0.0
25-27 598
21.6 324
54.2 295
91.0 177
60.0 90
30.5 28
9.5 0.0
28-31 2015
72.7 1772
87.9 1138
64.2 962
84.5 151
13.3 23
2.0 2
0.2 Total
included 2772
100 2114
76.3 1445
68.4 1141
79.0 247
17.1 55
3.8 2
0.1 Comment: Percentage of ROP is based on number of babies having had screening eye examinations. Percentage of
babies with eye examinations based on total number of babies admitted according to each gestational age category
20 40
60 80
100
22-24 25-27
28-31
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
Stage 4 Stage 3
Stage 1 2 No IVH
43
Figure 20 Incidence of retinopathy of prematurity ROP in admitted inborn babies by birth weight
Table 20 Birth
weight grams
Total no of admitted
inborn babies
No. of babies
alive at 6 weeks
No. of babies with known
eye examination
results Retinopathy of prematurity
No ROP Stage 1 2
Stage 3 Stage 4 5
n n
n n
n n
n
750 352
11.1 96 27.3
88 91.7
48 54.5 27
30.7 3
3.4 0.0
751-1000 657
20.8 446 67.9
403 90.4
272 67.5 101
25.1 29
7.2 1
0.2 1001-1250
900 28.5
757 84.1 599
79.1 498 83.1
88 14.7
12 2.0
1 0.2
1251-1500 1250
39.6 1136 90.9
611 53.8
559 91.5 46
7.5 6
1.0 0.0
Total included
3159 100
2435 77.1 1701
69.9 1377 81.0
262 15.4
50 2.9
2 0.1
Comment: Babies screened for ROP after discharge are not included
20 40
60 80
100
751-1000 1001-1250
1251-1500
P e
rc e
n ta
g e
o f
B a
b ie
s
Birth Weight grams
Stage 4 Stage 3
Stage 1 2 No IVH
44
Figure 21 Cryotherapy laser therapy for admitted inborn babies with retinopathy of prematurity by gestational age
Table 21 Gestational age at
birth weeks
Total number of admitted inborn
babies No. of babies with
known eye examination results
Cryotherapy Laser therapy
n n
n n
22-24 159
5.7 12
7.5 1
8.3 2
16.7 25-27
598 21.6
295 49.3
0.0 22
7.5 28-31
2015 72.7
1138 56.5
1 0.1
17 1.5
Total included 2772
100 1445
52.1 2
0.1 41
2.8 Total no. of missing
GA Total babies
2772
2 4
6 8
10 12
14 16
18
22-24 25-27
28-31
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
Cryotherapy Laser therapy
45
Figure 22 Cryotherapy laser therapy for admitted inborn babies with retinopathy of prematurity by birth weight
Table 22
1 2
3 4
5 6
7 8
9 10
751-1000 1001-1250
1251-1500
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
Cryotherapy Laser therapy
Birth weight grams
Total number of admitted inborn
babies No. of babies with
known eye examination results
Cryotherapy Laser therapy
n n
n n
750 352
11.1 96
25.0 1
1.1 8
9.1 751-1000
657 20.8
446 61.3
0.0 23
5.7 1001-1250
900 28.5
757 66.6
1 0.2
8 1.3
1251-1500 1250
39.6 1136
48.9 0.2
4 0.7
Total included 3159
100 2435
53.81 2
0.1 43
2.5 Total no. of
missing BW Total babies
3159
46
Figure 23 Incidence of oxygen dependency among admitted inborn babies with gestational age 32 weeks
10 20
30 40
50 60
70 80
22-24 25-27
28-31
P e
rc e
n ta
g e
o f
B a
b ie
s
Gestational Age weeks
Day 28 Week 36
47
Table 23 : Incidence of oxygen dependency among admitted inborn babies with gestational age 32 weeks
Gestational age at birth
weeks Total no
of admitted
inborn babies
babies alive at day 28
Babies with oxygen
dependency beyond day 28
among survivors Babies alive at 36
weeks postmenstrual age
Babies with oxygen
dependency beyond
36 weeks among survivors
22-24
n
159 19
14 12
9 5.7
11.9 73.7
7.5 75.0
25-27
n
598 322
190 216
87 21.6
53.8 59.0
36.1 40.3
28-31
n
2015 1396
293 876
146 72.7
69.3 21.0
43.5 16.7
Total Included
n 2772
100 1737
62.7 497
28.6 1104
39.8 242
21.9 Total no. of
missing GA Overall Total
babies 2772
48
Figure 24 Incidence of oxygen dependency among admitted inborn babies
ith irth eight ≤ 5 gra s
10 20
30 40
50 60
70
751-1000 1001-1250
1251-1500
P e
rc e
n ta
g e
o f
B a
b ie
s
Birth Weight grams
Day 28 Week 36
49
Table 24: Incidence of oxygen dependency among admitted inborn babies
ith irth eight ≤ 5 gra s
Birth Weight grams
Total no of
admitted inborn
babies
Babies alive at 28
Babies with oxygen
dependency beyond day 28
among survivors Babies alive at 36
weeks postmenstrual age
Babies with oxygen
dependency beyond
36 weeks among survivors
750
n
352 98
62 90
44 11.1
27.8 63.3
25.6 48.9
751- 1000
n
657 450
210 369
92 20.8
68.5 46.7
56.2 24.9
1001 - 1250
n
900 718
136 558
64 28.5
79.8 18.9
62.0 11.5
1251 - 1500
n
1250 842
65 747
27 39.6
67.4 7.7
59.8 3.6
Total Included
n 3159
100 2018
66.7 473
22.4 1764
55.8 227
12.9 Total no. of
missing GA Total babies
3159
50
Table 25a Gestational age specific mortality or significant morbidity in admitted inborn babies five morbidities
Gestational age at birth
weeks Total
no. of
admitt- ed
inborn babies
Surviv ed
No. with any one
morbiditi es
prior to discharge
among survivors
No. with any two
morbiditi es
prior to discharge
among survivors
No. with any three
morbiditi es
prior to discharge
among survivors
No. with any four
morbiditi es
prior to discharge
among survivors
No. with any five
morbiditi es
prior to discharge
among survivors
No. without
any five
morbiditi es
prior to discharge
among survivors
22-24 n
159 5.7
14 8.8
4 28.6
2 14.3
3 21.4
0.0 0.0
5 35.7
25-27 n
598 21.6
309 51.7
114 36.9
33 10.7
14 4.5
1 0.3
0.0 147
47.6 28-31
n 2015
72.7 1756
87.1 276
15.7 48
2.7 9
0.5 0.0
0.0 1423
81.0 Total
Included n
2772 100
2079 75.0
394 19.0
83 4.0
26 1.3
1 0.0
0.0 1575
75.8 Total no. of
missing GA -
Total babies 2772
i. PDA requiring surgical ligation ii. Stage 3 or 4 ROP
iii. Oxygen dependency at 36 weeks or discharge iv. Confirmed sepsis
v. NEC
51
Table 25b Birth Weight specific mortality or significant morbidity in admitted inborn babies five morbidities
Gestational age at birth
weeks Total no.
of admitted
inborn babies
Survived No.
with any one
morbiditi es
prior to discharge
among survivors
No. with any
two morbiditi
es prior to
discharge among
survivors No.
With any three
morbiditi es
prior to discharge
among survivors
No. With any
four morbiditi
es prior to
discharge among
survivors No.
without any four
morbiditi es
prior to discharge
among survivors
n 352
11.1 93
26.4 38
40.9 22
23.7 5
5.4 1
1.1 27
29.0 751 - 1000
n 657
20.8 424
64.5 125
29.5 33
7.8 13
3.1 0.0
253 59.7
1001 - 1250 n
900 28.5
748 83.1
149 19.9
20 2.7
6 0.8
0.0 573
76.6 1251
– 1500 n
1250 39.6
1128 90.2
105 9.3
10 0.9
1 0.1
0.0 1012
89.7 Total
included n
3159 100
2393 75.8
417 17.4
85 3.6
25 1.0
0.0 1865
77.9 Total no. of
missing GA -
Total babies 3159
i. PDA requiring surgical ligation ii. Stage 3 or 4 ROP
iii. Oxygen dependency at 36 weeks or discharge iv. Confirmed sepsis
v. NEC
52
Table 26 Days on ventilatory support by birth weight for admitted inborn babies discharged directly home from MNNR
hospitals
Birth weight grams
Total number of
admitted inborn
babies
Number ventilated
Ventilatory Days
n n
Mean SEM
Min 1st
Quar -tile
Median 3rd
Quartile Max
750 352
11.1 186 52.8
11.9 1.6
1 3
11 301
751-1000 657
20.8 549 83.6
11.5 0.9
1 4
11 197
1001-1250 900
28.5 649 72.1
5.4 0.3
1 2
6 88
1251-1500 1250
39.6 635 50.8
3.0 0.2
1 3
99 Total
included 3159
100 2019 63.9
6.6 0.3
1 2
6 301
Total no. of missing BW
- Total no. of
babies discharged
home 3159
53
Figure 27a Duration of hospital stay according to gestational age in admitted inborn babies
54
Table 27a : Duration of hospital stay according to gestational age in admitted inborn babies
Gestational age weeks
Total no. of admitted
inborn babies No. of babies
discharged alive
Mean SEM
Min 1st
Quartile Median
3rd Quartile
Max n
n
22-24 159
5.7 14
8.8 10.9
2.0 1
1 1
3 153
25-27 598
21.6 309
51.7 46.8
2.1 1
2 38
80 461
28-31 2015
72.7 1756
87.1 41.3
0.7 1
23 38
54 395
Total included 2772
100 2079
75.0 40.4
0.7 1
11 36
58 461
Total no. of missing GA
Total no. of babies discharged home
from network hospitals
2079 Total no. of babies
who died or were transferred
out
693 Total babies
2772
55
Figure 27b Duration of hospital stay according to birth weight in admitted inborn babies
56
Table 27b : Duration of hospital stay according to birth weight in admitted inborn babies
Birth Weight grams
Total no. of admitted
inborn babies No. of babies
discharged alive
Mean SEM
Min 1st
Quartile Median
3rd Quartile
Max n
n
352 11.1
93 26.4
27.1 2.3
1 1
1 22
366 751 -1000
657 20.8
424 64.5
54.4 1.8
1 7
58 79
461 1001 - 1250
900 28.5
748 83.1
46.0 1.0
1 32
46 59
323 1251 - 1500
1250 39.6
1128 90.2
34.8 0.7
1 25
33 43
395 Total included
3159 100
2393 75.8
41.0 0.6
1 16
37 56
461 Total no. of missing
GA Total no. of babies
discharged home from network
hospitals 2393
Total no. of babies who died or
were transferred out
766 Total babies
3159
57
APPENDICES
58
Appendix 1 Level of Neonatal Care
Adapted from Committee on Foetus and Newborn, Levels of Neonatal Care, Paediatrics, Vol. 114 no. 5, November 2004, p.1345
Level I Neonatal Care Basic, well- newborn nursery: has the capability to:
Provide neonatal resuscitation at every delivery
Evaluate and provide postnatal care to healthy newborn infants
Stabilise and provide care for infants born at 35 to 37 weeks gestation who remain physiologically stable
Stabilise newborn infants who are ill and those born at 35 weeks gestation, until transfer to a hospital that can provide the appropriate level of neonatal care
Level II Neonatal Care Specialty, Special care nursery: Level II units are subdivided into two categories on the basis of their ability to provide assisted ventilation including continuous positive airway pressure
1. Level II A has the capability to:
