An Analytical Study Of Factors Affecting Neonatal Surgical Morbidity And Mortality

AIM: Neonatal surgery is extremely challenging and should have a negligible margin of error.Timely interventions play a crucial role in determining better outcomes, thereby improving quality of life & reducing disability. Hence this study is to assess various factors affectingthe neonate preoperatively, intraoperatively, and postoperatively regardingmorbidity and mortality. So that predictors of mortality can be identified and managed. The aims and objectives of this study are (1)To provide a holistic assessment of the factors affecting neonatal surgical morbidity and mortality. (2)To stratify patients into different risk groups. (3)To study the results over a time for the improvement of services. MATERIALS AND METHODS: Hundred(100)Neonates presenting at Government General Hospital/ Rangarayamedical college, Kakinada, with conditions requiring surgical intervention from July 2021 to December 2022. RESULTS: Mean age at presentation is six days, mean birth weight is 2.2kgs, 62% male, 67% were outborn, gestational age associated with poor outcome was less than 34weeks, 11% cases were ventilated preoperatively, 21% cases were associated with anomalies. Mortality rate of 26% was reported.