NMH

43 Neonatal and Infant M tality NMH Annual Rep t | 2020 Late Neonatal Deaths and Early Infant Deaths (14) Case No. EGA BW (g) Gender Delivery method Apgars (1, 5, 10 mins) Age at death (days) Place of death External Referral IUGR Placental Histology Cause of death PM 1 23+3 620 Male LSCS 5, 7 8 NICU Yes No No abnormal histology reported Hypoxic respiratory failure, renal failure, extreme prematurity, extremely low birth weight, dichorionic twin pregnancy. No 2 25+2 770 Female LSCS 2, 5, 8 28 Paediatric hospital No No Severe acute choriamnionitis. Necrotising enterocolitis, extreme prematurity, extremely low birth weight. No 3 25+5 580 Female LSCS 1, 5, 8 11 NICU Yes Suspected antenatally Severe MVM. E.Coli pneumonia, extreme prematurity, intrauterine growth restriction secondary to severe placental maternal vascular malperfusion. Yes 4 26+0 535 Female LSCS 7, 8 53 NICU Yes Suspected antenatally MCDA. MVM. Necrotising enterocolitis, extreme prematurity, extremely low birth weight (535g), monochorionic twin pregnancy. Yes 5 28+3 550 Male LSCS 6, 7 39 NICU No Suspected antenatally Severe MVM and FVM. Klebsiella sepsis, trisomy 21, transient abnormal myelopoiesis, necrotising enterocolitis, hypothyroidism, extreme prematurity, extremely low birth weight, growth failure, bone marrow failure, bilateral cystic kidneys. No 6 28+4 635 Female SVD 3,6,8 12 months Paediatric hospital Yes Suspected antenatally Hypercoiled cord. Diffuse chorioamnionic haemosideriosis. Moderate MVM with high grade FVM. Complications of Trisomy 21, congenital heart disease and prematurity and extremely low birth weight. No 7 29+2 1390 Male LSCS 3, 5, 8 7 NICU No No No abnormal histology reported Congenital anomaly, grossly abnormal neurological examination; genetic and metabolic investigations ongoing. No 8 30+0 1040 Female LSCS 1, 4, 8 8 Paediatric hospital Yes Suspected antenatally Mild MVM. Necrotising enterocolitis, prematurity, extremely low birth weight, dichorionic twin pregnancy. No 9 30+2 1830 Male LSCS 4, 5, 5 3 months Paediatric hospital No No Normal. Cardiopulmonary arrest secondary to cardiac failure, congenital heart block. No 10 31+6 545 Female LSCS 4, 7 6 months Paediatric hospital Yes Suspected antenatally DCDA. Moderate MVM and high grade FVM. Severe chronic lung disease, persistent pulmonary arterial hypertension, pulmonary vein stenosis, severe intra uterine growth restriction, dichorionic twin pregnancy. No 11 38+0 3220 Male LSCS 6, 7 6 months Paediatric hospital Yes No Gross only. Multiple congenital anomalies; right sided congenital diaphragmatic hernia, tetralogy of fallot, functional asplenia, dysplastic left kidney. No 12 38+6 2285 Female LSCS 3, 7 7 weeks Paediatric hospital Yes Suspected antenatally High grade FVM. Multiple congenital anomalies, Trisomy 9. No

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