RAJAH

MUTHIAH MEDICAL COLLEGE HOSPITAL

DEPARTMENT OF PAEDIATRICS
NEONATOLOGY UNIT
DEATH SUMMARY

BABY DETAILS
Baby of SNCU ID: IND/CUE/ IP.NO:912470B
(Mother’s name):Indhumathi SICU/44/249

Father’s name: Chandrasekar Address & Contact no:

Main road , Dharmasamuthiram , Udayarpalayam (tk)

Sex:Female Place of delivery:RMMCH

Type of admission: Inborn Referred from (for outborn): -

Date of birth & time: Birth weight (Kg): 1.50kg

15/04/2022@11:17am

Maturity (weeks):37 AGA / SGA / LGA:SGA

Cried at birth:yes APGAR: at 1min: 5 at 5min: 7

Resuscitation at birth : Yes (Initial steps )

Date of admission & time: Age at admission: HOL-0

15/04/2022@11:17am

Date of death & time:23/04/2022@2:45PM Age at death: 8 Days

Time interval between onset & death: 30min

Time interval between admission & death: 8 days and 3 hours

MOTHER DETAILS
Age:30
G:4 P:2 L:1 A:2
Consanguinity: non consanguineous
Maternal problems: nil
Mode of delivery: LSCS
 Indication for Admission: LBW care, Major congenital malformation

Final Diagnosis: TERM/SGA/LBW(1.5kg)/VACTERL ANOMALY

Cause of Death: DIC

COURSE IN THE HOSPITAL:

Clinical presentation:

Problems at birth: Major Congenital Malformation

Vitals
RR(breaths/min): 66 HR(beats/min):134 CRT:<3sec Pulse134

Spo2(RA): 98% Spo2(O2): 98% Color: pink Temperature:

normothermic

General examination: Cry, suck, activity –fair

Systemic examination: CVS:s1s2+, no murmur.

RS:Bae+, no added sound
P/A:soft, BS+
CNS:Tone N, B/L Perl +

Clinical progression & management:

Baby was admitted in NICU. Started on oxygen, IV `luids ,IV antibiotics and other supportive measures. Vitals
monitored serially.

On day 4 of admission baby had Episode of seizure , followed by features of sepsis, for which blood culture was
sent and culture shows growth of klebsiella, baby had recurrent episode of seizure , hence the baby was intubated and
connected to mechanical ventilator

On day 5 , baby had features of septicaemia , for which FFP was transfused , vitals were monitored serially, and
all supportive measures continued,

On day 8 of admission , Baby went in for Cardio-Respiratory arrest around 2pm ,CPR was initiated. Inspite of
intensive care and above resuscitative measures, baby could not be revived, ECG showed `lat line and declared death
on 23/4/2022@ 2:45pm

Duty Medical OfMicer Signature &Name:

Dr.Praveen Kumar

Neonatology Unit Chief Signature & Name:

Dr.S.CHIDAMBARANATHAN