J Med Assoc Thai 2000; 83 (10):1167

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Early Neonatal Mortality at Songklanagarind Hospital from 1987 to 1997
Chanvitan P Mail, Janjindamai W , Dissaneevate S

During the
II
year period ( 1987-1997), there were 23584 livebirths at Songklanagarind
Hospital. The average incidence of low birth weight was 8.17 per cent, it has increased slightly
during the last 6 year period (8.53 per cent) compared to the first 5 year period (7.59 per cent).
There has been little decrease in the early neonatal mortality rate (ENMR) during the last 6
years (3.94 per 1000 livebirths) compared to the first 5 years (4.71 per 1000 livebirths). ENMR
was markedly reduced when we compared ENMR of the first year (6.73 per 1000 livebirths in
1987) to the last year (1.52 per 1000 livebirths in 1997). During the last 6 year period, early
neonatal mortality (ENM) of neonates less than
I
000 g and
I
000-1499 g has greatly reduced
from 57.14 per cent to 16.67 per cent and from 50 per cent to 6.25 per cent respectively.
The major cause of ENM was congenital anomalies in the first 5 year and the last 6
year period and all birth weight groups except the group less than 1000 g of which the leading
cause of death was respiratory distress syndrome.
Key word : Neonatal Mortality, Neonatal Death, Songklanagarind Hospital

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