scholarly journals Early Neonatal Mortality’s Determinants in the Neonatology Department of Mohamed V Hospital in Tangier, Morocco

2021 ◽  
Vol 8 ◽  
Author(s):  
Ettoini Kaoutar ◽  
Yousra El Boussaadni ◽  
Abdallah Oulmaati
Keyword(s):  
Neonatal Mortality ◽  
Perinatal Asphyxia ◽  
Neonatal Infection ◽  
Effective Management ◽  
Third Place ◽  
Pediatric Department ◽  
Early Neonatal Mortality ◽  
Prenatal Consultation ◽  
Education Of Women ◽  
A Prospective Study

Objective: This study aims to identify the determinants of early neonatal mortality in the neonatology department of Mohamed V hospital in Tangier.Material and methods: This is a prospective study including all newborns hospitalized and deceased in the pediatric department of the hospital Mohammed V from June 1 to December 31, 2019. The recorded cases were processed and analyzed by SPSS software.Results: 529 newborns were hospitalized in the pediatric department during the study period, of which 92 died (17.39%) between 0 and 7 days. Four leading causes justified this frequency: prematurity occupies first place (59%), followed by perinatal asphyxia (22%), neonatal infection (15%) in third place, congenital malformations (3%) in fourth place. Parturients aged between 20 and 35 years are the most affected (76%). The majority of women (71.4%) in our series had not undergone prenatal consultation (PNC) or had done so in insufficient numbers.Conclusion: Neonatal mortality remains high. Improvement of this situation requires education of women, reinforcement of surveillance before, during pregnancy, during delivery, and the postpartum period, as well as effective management of premature newborns in the first week of life, should improve the neonatal prognosis by reducing the intra-hospital incidence of neonatal mortality in our setting.

Mortality and Morbidity in Infants Less Than 1,001 Grams Birth Weight

PEDIATRICS ◽  
1982 ◽  
Vol 69 (1) ◽  
pp. 21-26
Author(s):  
John M. Driscoll ◽  
Yvonne T. Driscoll ◽  
Mary E. Steir ◽  
Raymond I. Stark ◽  
Barbara C. Dangman ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Perinatal Asphyxia ◽  
Birth Asphyxia ◽  
Retrolental Fibroplasia ◽  
Mortality And Morbidity ◽  
Intellectual Deficit ◽  
Static Encephalopathy ◽  
A Prospective Study ◽  
Lost To Follow Up

A prospective study of 54 infants with birth weights of 1,000 gm or less was conducted over a period of two years. Of the 26 infants who survived, 24 weighed between 750 and 1,000 gm; two infants died after discharge and one was lost to follow-up, leaving 23 in whom serial observations were made over 18 months to 3 years of age. The incidence of neurologic deficit in these infants was 17% and of intellectual deficit, 13%. Of the four who were abnormal neurologically, two had spastic quadriparesis, one static encephalopathy, and one hydrocephalus secondary to intraventricular hemorrhage. The three with intellectual deficit had a developmental quotient <85. Of the perinatal factors examined, only birth asphyxia correlated significantly with both neonatal mortality and subsequent morbidity. Six (26%) of the surviving infants had mild, nonblinding retrolental fibroplasia; only one of them had a significant refractive error that required corrective lenses for vision. Sepsis was a significant contributor to neonatal mortality in ten of 28 infants who died, but was detected in only one survivor. Although the prognosis for the infant weighing 1,000 gm or less at delivery has improved significantly, there is promise for still further improvement by reducing perinatal asphyxia.

scholarly journals The Contribution of Lumbar Puncture in Neonatal Infections - About 206 cases

2021 ◽  
Vol 8 ◽  
Author(s):  
Ettoini Kaoutar ◽  
Yousra El boussaadni ◽  
Abdallah Oulmaati
Keyword(s):  
High Risk ◽  
Lumbar Puncture ◽  
Clinical Evidence ◽  
Neonatal Infection ◽  
Neonatal Meningitis ◽  
Neonatal Infections ◽  
Pediatric Department ◽  
Serious Infection ◽  
Biological Criteria ◽  
A Prospective Study

Background: Neonatal meningitis is a serious infection, no clinico-biological score has been established to accurately identify neonates at high risk of developing neonatal meningitis.Objective: The aim of this work is to clarify the place of lumbar puncture in neonatal infections and to identify the predictive factors of meningeal localization in case of neonatal infection.Materials and methods: This is a prospective study of 861 observations of newborns hospitalized in the pediatric department of Mohammed V Hospital, CHU of Tangier, during a 14-month period from 1January 2019 to 29 February 2020. Among these patients the diagnosis of neonatal infection (NNI) was retained in 473 cases. Initial lumbar puncture was performed in 206 cases (43%). We included neonates aged 0 to 28 days, suspected of NNI, who had a lumbar puncture. Neonates treated as carriers of neonatal infection without sufficient anamnestic and clinical evidence and with an inconclusive or unperformed biological workup were excluded from the study.Results: During the study period, 861 newborns were hospitalized and the diagnosis of neonatal infection was retained in 473 cases, a rate of 55%, and the initial lumbar puncture was performed in 206 cases (43%). 61 newborns were diagnosed with neonatal meningitis, with fever in 76% of cases, 85% with convulsions, hypotonia and/or refusal to suckle in 63% of cases, and CRP >25mg/l in 67% of newborns.Conclusion: Lumbar puncture is the only diagnostic means of meningitis. Indeed, the indication of this procedure should not be systematic, but it should be dictated by the careful and simultaneous analysis of the anamnestic, clinical and biological criteria evocative of the infection and its meningeal localization in order to diagnose meningitis early and treat it correctly. The need to establish scores combining these different parameters, in order to accurately identify newborns at high risk of developing neonatal meningitis

scholarly journals Preventable newborn deaths: analysis of the newborn infection component in Brazil from 2007 to 2017

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E S Oliveira ◽  
A F di Moura ◽  
T R F Viana ◽  
N R Oliveira ◽  
L P Barbosa ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Congenital Syphilis ◽  
Action Plan ◽  
Neonatal Infection ◽  
Well Being ◽  
Perinatal Period ◽  
Three Dimensions ◽  
Development Economic ◽  
Outcome Variable ◽  
Early Neonatal Mortality

Abstract The Universal Agenda 2030 was developed by representatives of all countries as an action plan covering the three dimensions of sustainable development: economic, social and environmental. 17 objectives were agreed upon, highlighting objective 03, which aims to ensure a healthy life and promote well-being for all at all ages, having as one of the established goals to end preventable deaths of newborns by 2030. Infections neonatal care reflects deficits in health care, covering the entire perinatal period, and it is necessary to understand its causes in order to promote quality preventive and health promotion actions. The question is: what are the causes that make up the indicator of early neonatal mortality, due to preventable causes in Brazil between 2007 to 2017? Retrospective study carried out between September and October 2019 using secondary data collection from Department of Informatics of the Unified Health System - SUS (DATASUS). The outcome variable was early neonatal mortality from preventable causes and the independent variable was the infections component of the newborn). Twelve preventable causes of death have been identified in this category: congenital rubella syndrome; congenital syphilis; neonatal tetanus; diphtheria; haemophilus and non-haemophilus meningitis; human immunodeficiency virus diseases; neonatal infections; pneumonia; acute infections of lower airways; bacterial diseases and intestinal infectious diseases. The main cause of preventable death was infections from the neonatal period, which include congenital viral diseases (cytomegalovirus and herpes simplex); newborn bacterial septicemia; congenital parasitic diseases; omphalitis of newborn with or without mild hemorrhage; intra-amniotic infection of the fetus, neonatal infection of the urinary tract and/or skin. There is a need for more effective public health actions to modify the neonatal mortality situation, as well as health surveillance actions. Key messages Warn about causes of perinatal mortality that can be avoided. Strengthen the fulfillment of objective 3 of the 2030 Agenda to ensure and promote health in the perinatal period.

scholarly journals Prematurity: A Major Cause of Early Neonatal Mortality in Ad-din Medical College Hospital

2019 ◽  
Vol 18 (3) ◽  
pp. 593-597
Author(s):  
Nasim Jahan ◽  
Md Abdul Mannan ◽  
Shirin Akter ◽  
Farhana Afroz ◽  
Tashmin Farhana ◽  
...  
Keyword(s):  
Birth Weight ◽  
Neonatal Mortality ◽  
Perinatal Asphyxia ◽  
Medical Science ◽  
Neonatal Resuscitation ◽  
Medical College Hospital ◽  
Mortality Data ◽  
College Hospital ◽  
Medical College ◽  
Early Neonatal Mortality

Objective: Early neonatal mortality within the fi rst 24 hours contributes substantially to overall neonatal mortality rates. Reliable cause- specific mortality data are limited; thus the estimated proportion of prematurity-related deaths nationally remains questionable. The objective was to determine the presumed causes of neonatal death within the fi rst 24 hours in Ad-din Medical College Hospital. Methods: This is a retrospective study initiated in January of 2016 to December 2016, conducted in the delivery room and adjacent neonatal area at Ad-din Medical College Hospital. Research assistants were trained to observe and record events related to labor, neonatal resuscitation, and 24-hour postnatal course. Perinatal asphyxia (PNA) was defined as failure to initiate spontaneous respirations and/or 5-minute Apgar score <7, prematurity as gestational age <37 weeks, and low birth weight (LBW) as birth weight (BW) < 2500gm. Data were analyzed with using the SPSS version (Chi-Square test). Results: Over 1 year, 14316 neonates were born and evaluated. Of these, 1867 were admitted to the neonatal area. Twenty seven neonates died secondary to Prematurity (55.56%), PNA (37.03%) and Meconium aspiration syndrome (7.41%). Conclusions: Most cases of early neonatal mortality were related to Prematurity and its related complications and Perinatal asphyxia are additional important considerations. Reducing Perinatal mortality requires a multifaceted approach with attention to issues related to potential complications of Prematurity and its related complications and PNA. Bangladesh Journal of Medical Science Vol.18(3) 2019 p.593-597

Incidence of Early Neonatal Mortality and Morbidity After Late-Preterm and Term Cesarean Delivery

PEDIATRICS ◽  
2009 ◽  
Vol 123 (6) ◽  
pp. e1064-e1071 ◽  
Author(s):  
R. De Luca ◽  
M. Boulvain ◽  
O. Irion ◽  
M. Berner ◽  
R. E. Pfister
Keyword(s):  
Cesarean Delivery ◽  
Neonatal Mortality ◽  
Late Preterm ◽  
Mortality And Morbidity ◽  
Early Neonatal Mortality

scholarly journals Early neonatal mortality and risk factors: a case-control study in Paraná State

2018 ◽  
Vol 71 (5) ◽  
pp. 2527-2534 ◽  
Author(s):  
Michelle Thais Migoto ◽  
Rafael Pallisser de Oliveira ◽  
Ana Maria Rigo Silva ◽  
Márcia Helena de Souza Freire
Keyword(s):  
Risk Factors ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Secondary Data ◽  
Case Control ◽  
Management Tool ◽  
Early Neonatal Death ◽  
Maternal Risk ◽  
Early Neonatal Mortality ◽  
Technological Management

ABSTRACT Objective: to analyze the Early Neonatal Mortality risk factors according to the risk stratification criteria of the Guideline of the Rede Mãe Paranaense Program. Method: a case-control epidemiological study with secondary data from the Mortality and Live Birth Information System in 2014. The crude analysis was performed by the Odds Ratio association measure, followed by the adjusted analysis, considering risk factors as independent variables, and early neonatal death as dependent variable. Results: were considered as maternal risk factors: absence of partner and miscarriages; neonatal: male, low birth weight, prematurity, Apgar less than seven in the fifth minute, presence of congenital anomaly; and care: up to six prenatal appointments. Conclusion: an innovative study of risk factors for early neonatal death from the Guideline's perspective, a technological management tool for maternal and child health, in search of its qualification and greater sensitivity.

scholarly journals A prospective study to find the prevalence of domestic violence against married females of rural India

2020 ◽  
Vol 7 (2) ◽  
pp. 495
Author(s):  
Rutuja Dinkar Pundkar
Keyword(s):  
Domestic Violence ◽  
Economic Status ◽  
Sociodemographic Factors ◽  
First Century ◽  
Literacy Rate ◽  
Systematic Random Sampling ◽  
Female Workers ◽  
Education Of Women ◽  
Tight Rope ◽  
A Prospective Study

Background: Starting from Vedic age to twenty first century, women have never been given equal freedom as of males. It is always the women who have to be on the tight rope, subject to inequality and looked down as an inferior sex. The aim and objective of the study was to estimate the prevalence of domestic violence.Methods: 776 married females were selected by systematic random sampling from the field practice area under primary health care. Prior a pilot study was carried out among 25 married class IV female workers. A predesigned and pretested questionnaire was used and all the confidentiality was maintained. Statistical analysis was done using SPSS 21 software.Results: Average age of the respondents was 28.13 years with range 18 to 56 years. Overall 96% respondents were literate, whereas literacy rate in rural population in parent district was 67.8%. Majority number of respondents were housewives i.e. 58.37%.Conclusions: Various sociodemographic factors like age of the women, education of women and perpetrator, age at marriage of women, and the socio-economic status shows inverse relationship with occurrence of domestic violence. More economic empowerment, along with higher education, may provide women with the ground of awareness protesting platform eventually promoting protective factors against domestic violence.

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