Abstract

Background: Neonatal intensive care units are of great importance in the care of neonatal in diagnosing them, providing the necessary services, and reducing pain, which contributes to the improvement in the quality of life of neonatal. Objective: This study was aimed to analyse and assess clinical outcomes associated with neonatal intensive care units. Patients and methods: This study recruited 50 children who were admitted to the intensive care unit and whose ages ranged from (less than 24 hours to 30 days). Clinical data for newborns was collected from different hospitals in Iraq for a period that lasted from January 5, 2022, to April 20, 2023. This study determined pain management for neonatal quality of life, which measured vital signs of respiratory rate, heart rate, systolic blood pressure, diastolic blood pressure, as well as complication rate and mortality rate. Results: Neonatal clinical data were recorded, which included neonates where <2% were neonates. One thousand grams includes three cases, and from 1000 to 2500 cases. g included 27 cases, g ≥ 2500 included 20 cases, neonatal age including ≥ 24 hours was 28, (2 – 8) days included 15 cases, and (9 – 30) days included 7 cases, as is the case in male newborns. 60%, and females 40%, as low birth weight newborns included 3 cases, small for gestational age included 2 cases, and a major birth defect included 1 case, Apgar, 1 minute, was 4.06 ± 1.53, Apgar, 5 minutes, was 2.63 ± 0.21. The neonatal mortality rate included 4 cases, the heart rate was 132.86 ± 8.04, the respiratory rate was 51.64 ± 2.53, the temperature was 37.12 ± 0.08, the systolic blood pressure was 83.10 ± 6.92, and the diastolic blood pressure was 44.10 ± 5.88, asphyxiation in The perinatal period included 6 cases, neonatal jaundice included 8 cases, neonatal sepsis included 3 cases, congenital malformations included 1 case, and invasive ventilation included 19 cases. , initiation of breastfeeding was 46 cases, length of stay (LOS) in the neonatal intensive care unit was 47 [35 – 60], skin-to-skin during the first week was 10 cases, swaddling included during the first week was 40 cases, overall satisfaction rates with Quality of neonatal intensive care unit management, which includes excellent with 30 cases, good with 12 cases, fair with 5 cases, and poor with 3 cases. Conclusion: Our cross-sectional study indicates that neonatal intensive care units play a positive role in managing neonatal in a way that enhances the improvement of their physical health, which effectively affects their survival rate