Studying the Birth Outcome in Tikrit Teaching Hospital

2018 ◽  
Vol 1 (1) ◽  
pp. 55-57
Author(s):  
Areej Noaman
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Teaching Hospital ◽  
Birth Outcome ◽  
Morbidity And Mortality ◽  
Healthy Baby ◽  
Factors Affecting ◽  
Neonatal Deaths ◽  
Healthy Mother

  Background : A successful birth outcome is defined as the birth of a healthy baby to a healthy mother. While relatively low in industrialized world, maternal and fetal morbidity and mortality and neonatal deaths occur disproportionately in developing countries. Aim of the Study: To assess birth outcome and identify some risk factors affecting it for achieving favorable birth outcome in Tikrit Teaching Hospital

scholarly journals The Impact of RSV-Associated Respiratory Disease on Children in Asia

2018 ◽  
Vol 14 (03) ◽  
pp. 079-088
Author(s):  
Maduja Divarathne ◽  
Rukshan Ahamed ◽  
Faseeha Noordeen
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Disease Burden ◽  
Heart Diseases ◽  
Epidemiological Studies ◽  
Morbidity And Mortality ◽  
Life Years ◽  
Rsv Infection ◽  
Tract Infections ◽  
The Impact

AbstractAcute respiratory tract infections (ARTIs) are leading contributors to the global infectious disease burden, which is estimated to be 112,900,000 disability adjusted life years. Viruses contribute to the etiology of ARTIs in a big way compared with other microorganisms. Since the discovery of respiratory syncytial virus (RSV) 61 years ago, the virus has been recognized as a major cause of ARTI and hospitalization in children. The morbidity and mortality attributable to RSV infection appear to be higher in infants < 3 months and in those with known risk factors such as prematurity, chronic lung, and congenital heart diseases. Crowded living conditions, exposure to tobacco smoke, and industrial or other types of air pollution also increase the risk of RSV-associated ARTI. Many epidemiological studies have been conducted in developed countries to understand the seasonal patterns and risk factors associated with RSV infections. Dearth of information on RSV-associated morbidity and mortality in Asian and developing countries indicates the need for regional reviews to evaluate RSV-associated disease burden in these countries. Epidemiological studies including surveillance is the key to track the disease burden including risk factors, seasonality, morbidity, and mortality associated with RSV infection in these countries. These data will contribute to improve the clinical diagnosis and plan preventive strategies in resource-limited developing countries.

scholarly journals The causes of early neonatal death in Sulaimani Intensive Care Unite at Maternity Teaching Hospital between Jan 2016 - Feb 2017

2017 ◽  
Vol 2 (2) ◽  
pp. 121-127
Author(s):  
Pary M. Azize ◽  
Layla A. Muhammad ◽  
Nasren A. Kareem
Keyword(s):  
Intensive Care ◽  
Teaching Hospital ◽  
Neonatal Death ◽  
Neonatal Intensive Care ◽  
Mode Of Delivery ◽  
P Value ◽  
Early Neonatal Death ◽  
Factors Affecting ◽  
Neonatal Deaths ◽  
The Mean

Early neonatal death refers to all deaths of liveborn infants occurring on or before the first seven days of life. There is a shortage of research on the specific causes of early neonatal death. This study has been conducted in order to assess causes of early neonatal death in Sulaimani's Neonatal Intensive Care Unit at Maternity Teaching Hospital. Information was obtained retrospectively from the patients’ medical records, including (Mother and neonate socio-demographic, Maternal, Fetal and labor causes of death). Generally, this study found that in 2016 out of total 18.573 recorded delivery, 168 early neonatal deaths were analyzed from January 2016 to February 2017. However, this number was declined in comparison to the data of 2015, which estimated around 244 early deaths out of 21.142 total births. The mean age of mothers was ranged (28.22 ±7.69), 73.2% of neonate mothers were multi gravid with 67.3% of them delivered through normal vaginal, The majority of early neonate death was happening in the mean expected date delivery of (28.64 ± 2.90) weeks, with  mostly weighing  700- 1.10 gm.  Regarding the maternal causes, more than a quarter of the mother had Preeclamptic toxemia followed by (25% antepartum hemorrhage, 22.6% diabetes, respectively), In terms of the fetal causes, more than three-quarter of neonate  were dead because of prematurity and the majority 85.2% were deceased because of the respiratory distress syndrome. Almost no labor causes. The study also found that there is a significant association between gravidity, mode of delivery and maternal cause in p value < 0.05. However, that relationship was not found to fetal cause. Moreover, there is also no significant relationship between fetal cause and (Age of mother, Expected date delivery and fetal weight) in p-value > 0.05 accept the gender of the neonate. In conclusion, some factors affecting early neonatal death have been identified in this study special care is essential for these children in order to reduce their mortality rates.

Factors Associated with COVID-19 Morbidity and Mortality: A Narrative Review

2021 ◽  
Author(s):  
Omid Dadras ◽  
Nazanin Shahrokhnia ◽  
Sarina Borran ◽  
Ali Asadollahi-Amin ◽  
SeyedAhmad SeyedAlinaghi
Keyword(s):  
Risk Factors ◽  
Severe Disease ◽  
Narrative Review ◽  
Morbidity And Mortality ◽  
Laboratory Findings ◽  
Factors Affecting ◽  
Impaired Liver ◽  
Duration Of Hospitalization ◽  
Poor Outcomes ◽  
Underlying Diseases

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It has been declared as a pandemic on March 11th 2020 by the WHO. Morbidity and mortality of COVID-19 has been shown to be high among patients with underlying diseases. In this narrative review, searching a number of electronic databases (PubMed, Google Scholar, Scopus, and Science Direct), 127 related articles written in English were retrieved and of which 73 articles related to risk factors affecting morbidity and mortality of COVID-19 were extracted and summarized. Factors such as old age, male gender and working in health setting were associated with higher morbidity and mortality. Hypertension was the most frequent reported condition among those with severe disease. It also appeared to increase the mortality and duration of hospitalization. Diabetes, respiratory chronic illnesses (COPD, asthma), impaired liver and renal function, and malignancies were also mentioned as the risk factors for severe disease, longer hospitalization, poor prognosis and outcome. Some laboratory findings such as elevated D-dimer, CRP, and LDH as well as severe lymphopenia were associated with severity, mortality and poor outcomes in hospitalized patients. All in all, a considerable number of comorbidities and biomarkers are associated with severity and presentations of COVID-19 disease, affecting its morbidity and mortality rates.

scholarly journals Study on clinical profile and risk factors associated with pneumonia

2019 ◽  
Vol 6 (5) ◽  
pp. 1926
Author(s):  
Gangina Sriram ◽  
Akula Satyanarayana
Keyword(s):  
Risk Factors ◽  
Economic Status ◽  
Significant Risk ◽  
Severe Pneumonia ◽  
Control Programme ◽  
Morbidity And Mortality ◽  
Prospective Clinical Study ◽  
Age Group ◽  
Factors Affecting ◽  
Medical College

Background: Modernization, industrialization and urbanization are now posed with the problem of increase in ARI morbidity and mortality. The epidemiological information regarding risk factors and management is scanty. A large gap exists in our knowledge about these factors, which needs to be fulfilled by systematic studies. The present study is designed to identify the risk factors of pneumonia in our area.Methods: This was a prospective clinical study of pneumonia conducted on 94 children who were admitted to Paediatric ward in GSL Medical College General Hospital, Rajahmundry in study duration. Epidemiological factors affecting the same were studied and bronchoscopy was done whenever it was needed. A detailed history of the relevant symptoms, such as fever, cough, rapid breathing, refusal of feeds, noisy breathing, bluish discolouration etc., was collected.Results: The most affected children belonged to the age group of 1 year to 3 years (64.9%). Bronchopneumonia (86.2%) was the most common clinical diagnosis made at admission. According to WHO ARI control programme, 28.7% had pneumonia, 54.3% had severe pneumonia and 17% very severe pneumonia. It was found that younger age group, malnutrition, kutcha house, crowding, poor sanitation facilities, cooking with fuel other than LPG (indoor pollution) and low socio economic status and high respiratory rate were significant risk factors for pneumonia in children.Conclusions: ARI, especially pneumonia is one of the major causes of morbidity and mortality in children. Bronchopneumonia is the predominant form of presentation in infants and preschool children.  

scholarly journals Model Pengendalian Faktor Risiko Kematian Neonatal di Kabupaten Sumba Timur

2019 ◽  
Vol 1 (2) ◽  
pp. 53-61
Author(s):  
Masrida Sinaga ◽  
Keristina Br. Ginting
Keyword(s):  
Risk Factors ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Economic Status ◽  
Infant Mortality Rate ◽  
Birth Mothers ◽  
Maternal Anemia ◽  
Factors Affecting ◽  
Neonatal Deaths ◽  
Pregnancy And Childbirth

The Infant Mortality Rate (IMR) is still high in Indonesia, and the Province of East Nusa Tenggara (NTT Province) is one of the contributors to the high IMR, the highest in Sumba Timur Districts. Neonatal death can occur due to risk factors in the mother and also the child.The purpose of this study is to analyze the factors that influence neonatal mortality, so that the control model can be developed. The study used a case-control design, with the population being all newborns who were delivered at and recorded in care hospitals and health centers located in Sumba Timur Districts in 2016. Case samples were 116 cases of neonatal mortality, and controls were 232 neonatal lives who is the closest neighbour to a case with equitable socio-economic status. Data were analyzed descriptively and inferentially. Further research was conducted on 166 mothers with conditions during pregnancy and childbirth optimal health and children born also without risk factors. The most dominant risk factors affecting neonatal deaths in Sumba Timur districts are asphyxia in infants, complications of pregnancy/childbirth, maternal anemia, prematurity and LBW. From the compatibility test of the logistic regression model partially, the probability of p1 = 0.03 p0 is obtained. That is, if asphyxia in infants, complications of pregnancy, maternal anemia, prematurity and low birth weight can be overcome, then the risk of neonatal death is only 0.03 or 3%. The results of follow-up studies of 166 birth mothers in 2018 who at the time of pregnancy and childbirth without risk factors (without complications of pregnancy/childbirth, there is no anemia in the mother, without asphyxia cases in infants, not premature and not LBW), it turns out neonatal mortality is only 1 case (0.6%). This result is the basis for determining the model of control and prevention of risk factors for neonatal death, namely optimizing maternal health during pregnancy and during childbirth. Among other things by checking the pregnancy, good nutritional status, handling complications of pregnancy and childbirth optimally, and giving birth to workers and adequate health facilities.

scholarly journals Impact of some risk factors on neonatal IUGR incidence and outcome in NICU at Al-Sadder teaching hospital, Misan, Iraq 2016

2018 ◽  
Vol 28 (3) ◽  
pp. 35
Author(s):  
Hmood Hassan
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Teaching Hospital ◽  
Gestational Age ◽  
Growth Parameters ◽  
Public Health Problem ◽  
Specific Weight ◽  
P Value ◽  
Major Public Health Problem ◽  
Cesarean Section Delivery

Impact of some risk factors on neonatal IUGR incidence and outcome in NICU at Al-Sadder teaching hospital, Misan, Iraq 2016Dr. Eman Khammas Al- SadiF.I.B.M.S/Ped.  Misan University, College of Medicine, Misan, Iraq.AbstractBackground: Intrauterine growth restriction IUGR is the second leading cause of perinatal morbidity and mortality in developing countries; it also increases adulthood risk of (hypertension, diabetes, coronary heart disease, and stroke) that reflects a major public health problem. We aim to identify the incidence and outcome of IUGR in our NICU and the relation with some risk factors.Method: Across sectional study was conducted on 119 singleton newborn babies (Full term and Preterm) admitted to the NICU at Al-Sader teaching hospital, Amara city, Misan province in a period from the first of January to 31 December 2016 with low birth weight (<2.5 kg) whom may or may not have associated medical problems. LBW can be a consequence of IUGR, preterm birth, or both, but in developing countries most LBW births are due to IUGR (defined as below the tenth percentile of the Williams sex-specific weight-for-gestational age reference data).Neonates with lethal congenital anomalies, multiple pregnancies were excluded. Babies were examined and checked to fulfill the definition of (IUGR) through estimation of the following growth parameters (body weight, length, head circumference), and the Ponderal index. We studied various risk factors like maternal: age, parity, hypertension and delivery type as well as fetal gender and gestational age to find the most offending cause of IUGR in our NICU.Statistical significance considered when p value ≤ 0.05. Results: we found that 43.7% of the admitted neonates had IUGR, those with low gestational age carried significant association with IUGR occurrence, p value=0.0001. In this study, we concluded that maternal hypertension, multiparty, cesarean section delivery, young and middle-aged mothers and fetal male gender carried the highest risks of having babies with IUGR but with no significant statistical association.Keyword: IUGR, Risk factor, NICU, Missan, Iraq.

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