Structure Funding Hospital Umum Sarawak, Kuching, Sarawak
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2. Data Set 2.1 Participating Centres in 2008:
1. Hospital Sultanah Bahiyah, Alor Setar, Kedah 2. Hospital Ampang, Selangor
3. Hospital Batu Pahat, Johor 4. Hospital Universiti Sains Malaysia, Kelantan
5. Hospital Raja Perempuan Bainun, Ipoh, Perak 6. Hospital Tuanku Fauziah, Kangar, Perlis
7. Hospital Kajang, Selangor 8. Hospital Keningau, Sabah
9. Hospital Raja Perempuan Zainab II, Kota Bahru, Kelantan 10. Hospital Kuala Lumpur, Kuala Lumpur Federal Territory
11. Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu 12. Hospital Likas, Kota Kinabalu, Sabah
13. Hospital Melaka, Melaka 14. Hospital Miri, Sarawak
15. Hospital Pakar Sultanah Fatimah, Muar, Johor 16. Hospital Pulau Pinang, Pulau Pinang
17. Hospital Putrajaya, Putrajaya Federal Territory 18. Hospital Seberang Jaya, Pulau Pinang
19. Hospital Selayang, Selangor 20. Hospital Serdang, Selangor
21. Hospital Tuanku Jaafar, Seremban, Negri Sembilan 22. Hospital Seri Manjung, Perak
23. Hospital Sibu, Sarawak 24. Hospital Sg. Buloh, Selangor
25. Hospital Sultan Abdul Halim, Sg. Petani, Kedah 26. Hospital Sultanah Aminah, Johor Bharu, Johor
27. Hospital Taiping, Perak 28. Hospital Tengku Ampuan Rahimah, Klang, Selangor
29. Hospital Tengku Ampuan Afzan, Kuantan, Pahang 30. Hospital Teluk Intan, Perak
31. Hospital Sultan Haji Ahmad Shah, Temerloh, Pahang 32. Hospital Umum Sarawak, Kuching, Sarawak
Centre numbers allocated to centres were different from the numbers above. 2.2 Levels of Neonatal Care
Care for the newborn is provided at three levels. See Appendix 1 Hospitals with a Level III NICU provide all the above levels of care and were referred to in this report
as tertiary hospitals. Most Level III NICUs are in Ministry of Health hospitals and a few are in university hospitals. A total of about 40 government and three university hospital centres in the
country provided neonatal intensive care to sick babies in 2008, and 32 of these NICUs are source
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data producers SDPs of the MNNR 31 NICUs in government hospitals and one NICU attached to a university.
The majority of the state hospitals or larger NICUs in Selangor offered Level IIIB care in all aspects except for the availability of HFOV and nitric oxide and subspecialties in some hospitals. These
hospitals would accept the more ill and smaller babies from the smaller NICUs Level IIIA Hospitals in the study, although the latter hospitals do manage the ELBW extremely low birth weight babies
in smaller numbers. There were neonatologists in 14 out of the 32 centres. Many hospitals in the country provide only Level I and II neonatal care and refer the more sick or ill
babies to Level III NICUs, when the need arises. 2.3 Registration criteria
The MNNR audit of critically ill babies admitted to Neonatal Units NNUs included A. All babies admitted to a Neonatal Unit who
1. had a gestation of 32 weeks i.e. up to 31 weeks + 6 days.
2. had a birth weight of 1500 g and below. 3. were ventilated.
4. had significant congenital anomalies. .
B. All neonatal deaths i.e. newborn babies 28days who die in the NNU, delivery room i.e. operating theatre, labour room, and in other wards
Both inborn and outborn babies will be included but outborn babies who die before arrival will be excluded. Babies who are admitted to the NNU at a corrected gestation of 4452 will not be
considered a neonatal case and hence will be omitted from the study.