Cause-specific neonatal mortality in a neonatal care unit in Northern Tanzania: a registry based cohort study

This research was conducted to determine the number, disease pattern, and outcome of the patients admitted at the Neonatal Care Unit (NCU) at Al-Bayda medical center (AMC) in Libya. A retrospective cross-sectional descriptive study was carried out on all neonates admitted to the NCU between January 2008 and December 2008. The collected data include age, gender, mode and site of delivery, number of gestations, maturity, duration of stay, cause of admission, and outcome. Total infants delivered were 10075, 620 (6.1%) of them were admitted to NCU with a (6.15%) admission rate, 56.5% were male and 43.5% were female, of whom 613 (98.9%) were inborn and 519 (83.7%) were term neonates; 523 (84.4%) of total born were by normal vaginal delivery (NVD). 48.7% of total admissions occurred during the first 24 hours of life. The average length of hospital stay for term births was 5.6 days (SD 5.4) and for preterm 8.7 days (SD 8.55). The common causes of admission were neonatal jaundice (29.3%), followed by neonatal infections (17.6%) were prematurity accounts for (16.3%), and respiratory distress (11.1%). The majority of the admitted neonates improved and were discharged 517 (83.4%), 37(6%) left against medical advice (LAMA) and nineteen (3%) were referred to other specialized hospitals for further management. The neonatal mortality rate was 0.4%, and the overall hospital neonatal mortality rate was 7.6%. According to the cause-specific death rate analysis, prematurity was the most common cause of death (29.8%), followed by sepsis (17%) and birth asphyxia (12.8%). In conclusion, neonatal jaundice, infection, and prematurity complications were the leading causes of morbidity in neonates. The case-fatality rate was high for prematurity, sepsis, and birth asphyxia. Most of these etiologies are preventable to some extent by regular prenatal visits, healthy delivery practices, and timely referral to hospitals which can reduce NCU burden and improve outcomes

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Neonatal Mortality Rate in Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital in Missan Province From 2011 to 2014

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n27p55 ◽

2016 ◽

Vol 12 (27) ◽

pp. 55

Author(s):

Esraa Abd Al-Muhsen Ali

Keyword(s):

Mortality Rate ◽

Neonatal Mortality ◽

Teaching Hospital ◽

Causes Of Death ◽

Neonatal Period ◽

Birth Asphyxia ◽

Neonatal Care ◽

Neonatal Mortality Rate ◽

Neonatal Deaths ◽

Neonatal Care Unit

Background: The neonatal mortality rate is a key outcome indicator for newborn care and directly reflects prenatal, natal, and postnatal care. Early neonatal deaths are more closely associated with pregnancy-related factors and maternal health, whereas late neonatal deaths are associated more with factors in the newborn‘s environment. Objectives: To estimate the neonatal mortality rate in Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital in Missan Province during period (2011-2014). To determine the most common causes of death in the neonatal period. Patients and methods: A hospital-based study was done depending on data collected from records of the Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital in Missan Province to calculate the number of deaths within the neonatal period (0-28 days) that was conducted from 2011 to 2014. The other line of data was collected from Obstetrical Ward by calculating number of live births for the same period. Then Neonatal Mortality Rate is calculated and conducted for each year according to the method recommended by WHO. Results: The neonatal mortality rates were 12.15, 13.51, 16.37 and16.11 in 2011 to 2014 respectively in which there was an increment in mortality rate. The main causes of death were respiratory distress syndrome, birth asphyxia and congenital anomalies. Conclusion: Neonatal mortality rate was high in the Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital, but it was less than the previous period in Iraq since 1990. These results suggest, that to decrease neonatal mortality, improved health service quality is crucial.

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Transfer of newborns to neonatal care unit: a registry based study in Northern Tanzania

BMC Pregnancy and Childbirth ◽

10.1186/1471-2393-11-68 ◽

2011 ◽

Vol 11 (1) ◽

Cited By ~ 12

Author(s):

Blandina T Mmbaga ◽

Rolv T Lie ◽

Gibson S Kibiki ◽

Raimos Olomi ◽

Gunnar Kvåle ◽

...

Keyword(s):

Neonatal Care ◽

Northern Tanzania ◽

Neonatal Care Unit

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Predictive factors of neonatal mortality in intensive neonatal care unit at Goma Eastern Democratic Republic of Congo

Journal of Pediatrics & Neonatal Care ◽

10.15406/jpnc.2019.09.00376 ◽

2019 ◽

Vol 9 (2) ◽

Author(s):

Many Mashako Ruhanga

Keyword(s):

Neonatal Mortality ◽

Predictive Factors ◽

Democratic Republic ◽

Democratic Republic Of Congo ◽

Neonatal Care ◽

Republic Of Congo ◽

Neonatal Care Unit

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The outcome of newborn admitted in neonatal care unit, center teaching hospital of pediatric , Baghdad Al-krakh, 2015

AL-Kindy College Medical Journal ◽

10.47723/kcmj.v15i1.77 ◽

2019 ◽

Vol 15 (1) ◽

pp. 43-51

Author(s):

Riyadh Mraweh Ibrahim ◽

Bushra Jabbar Hashem

Keyword(s):

Mortality Rate ◽

Neonatal Mortality ◽

Teaching Hospital ◽

Child Death ◽

Neonatal Care ◽

World Health ◽

Bacterial Sepsis ◽

Related Condition ◽

The World ◽

Neonatal Care Unit

Background: Neonatal period is a very vulnerable period of life due to many problems, In spite of advances in perinatal and neonatal care still, the mortality rate of neonate high especially in developing country The World Health Organization estimates that globally four million neonatal deaths per year, Developing countries account for around 99% of the neonatal mortality in the world, In Iraq. Neonatal mortality rate about 19 per 1000 live births which represent 56% of child death below 5 years age in 2012. The hospital in the study represents the larger pediatric hospital in Iraq. It contains 400 children's beds and 24 neonatal incubators. Aims of the study: are to determine the institutional new-born case fatality rate and the cause of death in the neonatal care unit. Method; The study is cross-section study of the population sample of neonatal care unit of central teaching hospital of pediatric in Baghdad Al-krakh health directorate Result: Study appear total neonate admission during 2015 was 1977 neonates mortality rate 9% Four main causes of death were Respiratory related condition, Bacterial sepsis, Disorder related to short gestational and low birth weight not relayed to elsewhere classification and congenital malformation 37.5%, 33.3%, 7.1% and 7.1% respectively while the main primary cause of morbidity were Neonatal jaundice, Respiratory related condition, Bacterial sepsis and 37.5%, 35.2%. 14.1% respectively Conclusions: The majority of morbidity and mortality can prevent by appropriate intervention

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Neonatal mortality and associated factors in newborn infants admitted to a Neonatal Care Unit

Archivos Argentinos de Pediatria ◽

10.5546/aap.2018.eng.42 ◽

2018 ◽

Vol 116 (1) ◽

Cited By ~ 2

Keyword(s):

Neonatal Mortality ◽

Associated Factors ◽

Newborn Infants ◽

Neonatal Care ◽

Neonatal Care Unit

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Neonatal mortality and associated factors in the specialized neonatal care unit Asmara, Eritrea

BMC Public Health ◽

10.1186/s12889-019-8118-x ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 3

Author(s):

Amanuel Kidane Andegiorgish ◽

Mihreteab Andemariam ◽

Sabela Temesghen ◽

Liya Ogbai ◽

Zemichael Ogbe ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Respiratory Distress Syndrome ◽

Neonatal Mortality ◽

Associated Factors ◽

Distress Syndrome ◽

Congenital Abnormalities ◽

Very Low Birth Weight ◽

Neonatal Care ◽

Neonatal Care Unit

Abstract Background Limited knowledge on the magnitude of neonatal mortality and associated factors is hampering early intervention in African countries. Objective: To determine neonatal mortality and associated factors in the Specialized Neonatal Care Unit Asmara, Eritrea. Methods Medical records of all neonates admitted to the Specialized Neonatal Care Unit in 2016 were reviewed using a cross-sectional study. The most important causes of admission and mortality were analyzed. Univariate and multivariate logistic regression analysis was used to evaluate the strength of risk factors associated with neonatal mortality. Variables significant at P < 0.20 level in the univariate analysis were retained in the multivariate model. Model fit was evaluated using Hosmer and Lemeshow test (Chi-square = 12.89, df = 8; P = 0.116), implies the model’s estimates fit the data at an acceptable level. Collinearity was assessed using variance inflation factor (VIF) < 4. P-value < 0.05 was considered statistically significant. Results Of the 1204 (59.9% boys and 40.1% girls) neonates admitted in 2016, 79 (65.6/1000 live births) died. The major causes of admission were sepsis (35.5%), respiratory distress syndrome (15.4%) and perinatal asphyxia (10%). Major causes of death were respiratory distress syndrome (48.1%); extremely low birth weight (40.9%) and very low birth weight (30.5%). After adjustment, low birth weight (Adjusted odds ratio (AOR) = 4.55, 95% CI,1.97–10.50), very low birth weight (AOR = 19.24, 95% CI, 5.80–63.78), late admission (24 h after diagnosis) (AOR = 2.96, 95% CI, 1.34–6.52), apgar score (in 1 min AOR = 2.28, 95% CI, 1.09–4.76, in 5 min AOR = 2.07, 95% CI, 1.02–4.22), and congenital abnormalities (AOR = 3.95, 95% CI, 1.59–9.85) were significantly associated with neonatal mortality. Neonates that stayed > 24 h in the Specialized Neonatal Care Unit (AOR = 0.23, 95% CI, 0.11–0.46) had a lower likelihood of death. Overall 95.8% of mothers of neonates attended antenatal care and 96.6% were facility delivered. None of the maternal conditions were associated with neonatal mortality in this study. Conclusions Low birth weight, late admission, low apgar scores and congenital abnormalities were significantly associated with neonatal mortality in the Specialized Neonatal Care Unit. Early management of low birth weight, preterm births, and neonatal complications should be the priority issues for controlling local neonatal deaths.

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