The Prevalance of Gastrointestinal Obstruction and Mortality Rate in Neonates

Gastrointestinal obstruction is a common problem in neonatal period and one of the causes of mortality in newborns. The prevallance and its outcome vary in different gerogrephical regions. Moreover, other studies have reported different contributing factors for this problem.
This study was conducted to investigate the prevallance of gastrointestinal obstruction, mortality rate and some associated factors in hospitalized neonates.
This study is a retrospective descriptive one on 103 cases of hospitalized newborns with gastrointestinal obstruction at 17 Sharivar hospital in Rasht from 2009 to 2013. The data of these cases were collected which assessed, gestational age, gender, birth weight, morbidity and mortality rate. Data were analyzed by SPSS (V. 20) software.
In this study, 103 hospitalized newborns with gastrointestinal obstruction were studied. Most of them were term, male, with normal birth weight and Apgar score at birth more than seven. Upper and lower gastrointestinal obstructions of these newborns were 39.8% and 60.2%, respectively. In addition, morbidity and mortality was observed in %0.9 and %5.8 of newborns, respectively.There was a statistically significant correlation between gastrointestinal obstraction and amniotic fluid volume as well as diagnosis time of obstraction (P According to the present findings, specific paraclinical diagnostic tests for evaluation of gastrointestinal obstructions due to congenital anomalies sould be considered and is effective for early diagnosis and treatment.