Abstract

BIRTH DISORDER PREVALENCE IN THE HILLY REGION OF UTTARAKHAND

Jyoti Upadhyay*, Mahendra Rana, Amita Rana and Satpal Singh Bisht

Abstract

Birth disorders defined as any abnormality in the newborn during fetal development. These disorders are burden to the family and associated with substantial morbidity and mortality. In developing countries the data on the incidences of congenital disorders is very limited. The main objective of this study is to determine the incidence and profile of the congenital disorders present at birth in the newborn. This is a prospective, observational study conducted in government and private nursing home of Pithoragarh District, Uttarakhand. The information objectives of the survey were reflected in the content of the survey questionnaire included child age, gender, disorders at the time of birth. The data shows 200 cases of child birth disorders and intrauterine foetal death observed during five month period. A total of 144 cases of by birth disorders were reported and 56 cases of child death due to disorders and intrauterine foetal death were observed. 144 cases of child birth disorder included severe birth asphyxia (29.86%), neonatal jaundice (21.52%), caput (20.13%), meconium asphyxia (11.8%), hypothermia (6.94%), low birth weight preterm (4.16%), cleft lip (2.1%), meningocele (1.39%), and hydrocephalus (2.1%). Out of 56 cases, intrauterine foetal death (40%) and death due to severe birth asphyxia (32.5%), meconium asphyxia (15%), pneumonia (5%), neonatal jaundice (5%) and birth defect hydrocephalic meningocele with club paralysis (2.5%) were observed. Our findings showed the incidences of birth disorders. For reducing the infant mortality and improving the health of the children, better understanding of risk factors associated with these disorders is required which will also helps in reducing them.

Keywords: Birth disorders, birth asphyxia, neonatal jaundice, intrauterine foetal death.