scholarly journals Disease Burden of Neonatal Care Unit at Al-Bayda Medical Center Al-Bayda Libya

2021 ◽  
Vol 36 (4) ◽  
pp. 273-279
Author(s):  
Kamala O. Younis ◽  
Wafa J. Saed
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Neonatal Jaundice ◽  
Medical Center ◽  
Birth Asphyxia ◽  
Case Fatality ◽  
Neonatal Care ◽  
Normal Vaginal Delivery ◽  
Neonatal Mortality Rate ◽  
Neonatal Care Unit

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

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

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.

scholarly journals The Pattern and Causes of Neonatal Mortality in a Tertiary Hospital in the Southwest of Nigeria

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Kareem Abiodun John ◽  
Fasoranti Ifedayo Olabisi ◽  
Alonge Abel Olumuyiwa ◽  
Kareem Adesola Olawumi ◽  
Bewaji Temitayo Olubunmi ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Medical Center ◽  
Birth Asphyxia ◽  
Tertiary Hospital ◽  
Neonatal Mortality Rate ◽  
Female Ratio ◽  
Neonatal Deaths ◽  
Southwest Nigeria ◽  
Causes Of Mortality

Background: The neonatal mortality rate remains high in developing countries despite the significant reduction in under-five mortality globally. Therefore, periodic evaluations on the causes of mortality are an aspect of health status, which could be performed to improve the neonatal mortality rate. Objectives: The present study aimed to determine the pattern and causes of neonatal mortality in the Federal Medical Center in Owo, Ondo State, Southwest Nigeria. Methods: This retrospective study was conducted using the hospital records of the neonates admitted over a five-year period from 1st of January 2015 to 31st of December 2019. Results: In total, 2,065 neonates were admitted, including 208 cases of neonatal deaths. Mortality occurred in 127 males (61.1%) and 81 females (38.9%), with the male-to-female ratio of 1.6:1. Among the recorded deaths, 114 cases (54.8%) occurred within the first 24 hours of admission, while 94 neonates (45.2%) died after 24 hours of admission. In addition, the mortality rate was higher among outborn neonates (n = 120; 57.7%) compared to inborn neonates (n = 88; 42.3%). The major causes of neonatal deaths included birth asphyxia (46.6%), prematurity (23.1%), and sepsis (17.8%). The overall mortality rate over the five-year period was 10.1%, which is equivalent to 19 deaths per 1,000 live births. Conclusions: According to the results, preventable diseases such as birth asphyxia, prematurity, and sepsis remain the major causes of neonatal mortality, of which neonatal deaths occur mostly within 24 hours of admission.

scholarly journals A community based study of neonatal mortality in Aligarh by using verbal autopsy

2018 ◽  
Vol 5 (6) ◽  
pp. 2491
Author(s):  
Ambren Chauhan ◽  
M. Salman Shah ◽  
Najam Khalique ◽  
Uzma Eram
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Verbal Autopsy ◽  
Birth Asphyxia ◽  
Survival Strategies ◽  
Biological Factors ◽  
Neonatal Mortality Rate ◽  
Community Based ◽  
Cross Sectional ◽  
Live Births

Background:Neonatal mortality rate is regarded as an important and sensitive indicator of the health status of a community. Children face the highest risk of dying in their first month of life. The present study was aimed to 1) determine the prevalence of neonatal mortality rate 2) identify socio-biological factors in relation to neonatal mortality.3) determine the causes of neonatal mortality. Methods:A community based cross sectional study was conducted in the field practice areas of Department of Community Medicine, AMU, Aligarh. All the live births and all neonatal deaths were taken for one year from June 2016 to May 2017. A standard Verbal autopsy questionnaire (WHO 2012) was used as a study tool. Results:The prevalence of neonatal mortality rate was38.2/1000 live births. The early neonatal mortality rate was 28.3/1000 live births and late neonatal mortality rate was 9.9/1000 live births. The associated socio –biological factors were gender [OR-2.381, 95% CI-1.037-5.468], birth order [OR-4.090, 95% CI-1.119-14.946] and gestational age [OR-12.62, 95% CI-3.26-48.82]. The leading causes of deaths among newborns were preterm births (22.2%), birth asphyxia (22.2%), other causes (19%), ARI (14.3%), congenital anomalies (14.3%) and diarrhoeaandneonatal sepsis accounted for (4.8%) each. Conclusions: The neonatal mortality rate assessed by verbal autopsy is higher than nationally reported. Most of the deaths were in early neonatal period. There is a need for programs encouraging the use of antenatal care, encouraging institutional deliveries and care of LBW neonates; as well as implementation of community-based newborn survival strategies.

scholarly journals The Trends of Neonatal Mortality Rate Among South East Asia Countries from 2000-2017

2020 ◽  
Vol 14 (2) ◽  
pp. 90
Author(s):  
Sani Rachman Soleman
Keyword(s):  
Mortality Rate ◽  
Health Services ◽  
Health System ◽  
East Asia ◽  
Neonatal Mortality ◽  
Live Birth ◽  
Birth Asphyxia ◽  
The Other ◽  
South East Asia ◽  
Neonatal Mortality Rate

Background: Neonatal MortalityRate (NMR) reflects the quality of health services provided by the government. It is very important to disclose the health system capability of each country in managing mother and child health programs because it is an essential health policy that should be prioritized.  The health system capability of a country will determine the welfare and social guarantee because most of NMR causes are preventable. Several components such as maternal factors, neonatal and health services were determined as predictors of NMR. The objective of this study is to compare neonatal mortality trends among eight South East Asia Countries (SEAC) from 2000 to 2017. Method: A cross-sectional design was used to analyze the data regarding the causes of neonatal death between 2000 and 2017. Data were taken from World Health Organization Maternal Child Epidemiology Estimation (WHO MCEE) database.The collected data were live birth; neonatal mortality rate; and the big five of neonatal mortality etiologies in the eight SEAC.  Data were then analyzed descriptively with line chart to describe the trend of NMR. Result: This study found that Indonesia  had the highest neonatal mortality rate, yet the trend decreased gradually from 102.700 in 2000 to 60.986 in 2017, followed by Philippines, Vietnam, Myanmar, Cambodia, Thailand, Laos, and Malaysia respectively.  On the other hand, the trend of live birth was the lowest in Indonesia  and the highest in Philippines . According to the data regarding the leading cause of NMR, preterm birth was the major cause of neonatal mortality followed by birth asphyxia and congenital defects. Conclusion: Indonesia has the highest mortality rate, yet the etiology such as as premature birth, asphyxia, and congenital disorder is similar to the other eight countries.

scholarly journals The Impact of Special Care Newborn Unit on Routine Neonatal Care Practices and Survival of Neonates in 250-Bed General Hospital, Sirajganj

2018 ◽  
Vol 30 (2) ◽  
pp. 65-68
Author(s):  
Md Imdadul Haque ◽  
Laila Shamima Sharmin ◽  
Md Sanaul Haque Mia ◽  
Md Rafiqul Islam ◽  
SMQ Hasan
Keyword(s):  
Mortality Rate ◽  
General Hospital ◽  
Neonatal Mortality ◽  
Neonatal Care ◽  
Special Care ◽  
Tertiary Level ◽  
Neonatal Mortality Rate ◽  
District Hospitals ◽  
Care Practices ◽  
The Impact

To address the high infant and neonatal mortality rate in Bangladesh, government has adopted policy to ensure care for neonates from community to tertiary level of health care delivery system. Our country has achieved 4 MDG targets well before 2015. However the pace of reduction of neonatal mortality is much lower than that of older children. For that reason government of Bangladesh through Ministry of Health and Family Welfare established Special Care Neonatal Unit (SCNU) at secondary and tertiary level facilities to improve management of sick newborn. The aim of this study was to evaluate the impact of creating SCNU at district hospitals on newborn care practices and to evaluate the contribution of SCNU in improved neonatal survival. It was an observational study conducted from May 2016 to October 2016at 250-bed General Hospital, Sirajganj. Hospital database was accessed to note the number of neonatal admissions, number of referral to higher centers and neonatal mortality. A questionnaire was prepared to interview mothers of children admitted in SCNU and general pediatric ward. A total of 355 mothers were interviewed. There was a significant reduction in neonatal mortality rate after the establishment of SCNU. There was also significant improvement in the knowledge and awareness among mothers regarding various aspects of neonatal care because of the SCNU.TAJ 2017; 30(2): 65-68

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

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

scholarly journals Assessment of socio-clinical profile of neonates admitted in sick neonatal care unit of tertiary care hospital: Odisha

2017 ◽  
Vol 5 (9) ◽  
pp. 4077 ◽  
Author(s):  
Dhaneswari Jena ◽  
R. M. Tripathy ◽  
Srabani Pradhan ◽  
Geetanjali Sethi
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Care Hospital ◽  
Neonatal Mortality Rate ◽  
Single Digit ◽  
Cross Sectional

Background: Neonatal mortality rate of 29 and early neonatal mortality rate is 20 which contributes 53% of IMR. India targets to achieve single digit under 5 and neonatal death by 2030. Early identification and management of common morbidities among neonates is desirable for improving the survival. Therefore, this study was conducted with the aim of assessing socio-clinical profile of neonates admitted to SNCU and its impact on morbidities of newborn from different strata.Methods: A cross sectional study was conducted in SNCU of MKCG medical college from January 2016 to December 2016. Convenient sampling was done. Data was collected using pre-designed semi structured questionnaire.Results: Total 752 study subjects were taken. Most common cause of admission was sepsis (47.4%) followed by prematurity (27.8%), birth asphyxia (13.9%) and IUGR (7.5%). Majority of out born neonates were admitted for sepsis (87.9%) while in born neonates for birth asphyxia (81.9%). All the morbidities were significantly higher among early neonates, babies born to illiterate mother and those with inadequate antenatal check-up.Conclusions: Majority of babies were out born, may be due to delay and lack of quality new born care in the referring facilities. Sepsis was most common preventable morbidity by simple intervention of clean delivery practices which should be promoted. Birth asphyxia can be reduced by adequate skill development training of the staffs and minimising the 3 delays maternal care.

scholarly journals Morbidity and Mortality Pattern of Neonates Admitted to Neonatal Care Unit.Central Teaching Pediatric Hospital Baghdad

2020 ◽  
Vol 16 (1) ◽  
pp. 38-48
Author(s):  
Riyadh M Ibrahim
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Child Death ◽  
Case Fatality ◽  
Neonatal Care ◽  
Morbidity And Mortality ◽  
World Health ◽  
Bacterial Sepsis ◽  
Related Condition ◽  
The World

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. .Objectives The aims of the study were to determine the institutional new-born case fatality rate and the cause of admission and death in the neonatal care unit.Method; Across-section study was carried out of the Neonatal Care Unit of Central Teaching Hospital of Pediatric in Baghdad Al-krakh Health DirectorateResult; During 2015, 1977 neonates were admitted, Mortality rate was 9%, Four main causes of death were identified; Respiratory related condition, Bacterial sepsis, premature neonate (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 , The main causes of morbidity were Neonatal jaundice, Respiratory related condition, Bacterial sepsis 37.5%, 35.2%. 14.1% respectively Conclusions: The majority of neonatal morbidity and mortality can be prevented by appropriate interventions

Regionalization of neonatal care — The factor for the neonatal mortality rate decreased

2008 ◽  
Vol 84 ◽  
pp. S36-S37
Author(s):  
Roxana Blidarescu ◽  
Doina Broscauncianu ◽  
Silvia Maria Stoicescu
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Neonatal Care ◽  
Neonatal Mortality Rate

scholarly journals Neonatal Mortality and its Determinates in Public Hospitals of Gamo and Gofa Zones, Southern Ethiopia: Prospective Follow up Study

2019 ◽  
Author(s):  
Abera Mersha ◽  
Agegnehu Bante ◽  
Shitaye Shibiru
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Goodness Of Fit ◽  
Neonatal Period ◽  
Birth Asphyxia ◽  
Public Hospitals ◽  
Southern Ethiopia ◽  
Neonatal Mortality Rate ◽  
Follow Up Study

Abstract Background The neonatal period is the most vulnerable time for a child survival. The declines in the neonatal mortality rate have been slower than post-neonatal under-five mortality rate in the majority of countries. This this trend is also similar in Ethiopia, that neonatal mortality was high as compare to post neonatal mortality rate. A large proportion of neonatal deaths occur during the 48 hours after delivery. Different studies was conducted in assessing determinates for neonatal mortality but there is a need to assess the immediate post-partum (within two days following delivery) cause of neonatal mortality that the majority of deaths occurred that time. So, this study is to fill those gaps of aforementioned studies, in assessing the determinate factors affecting neonatal mortality in public hospitals of Gamo and Gofa Zones, Southern Ethiopia. Methods A prospective follow up study was conducted among 6,986 study participants from April 5, 2018 to March 5, 2019. Data on causes of neonatal death were collected by using structured verbal autopsy questionnaire. Data were entered in to Epi data version 3.1 and exported to Stata version 15 for analysis. Crude and adjusted estimate β with 95%CI was calculated in the binary logistic regression model. The goodness of fit was tested by log likelihood ratio (LR). In this study P-value < 0.05 was considered to declare a result as statistically significant association. Results In this study neonatal mortality incidence ratio was 9.6 (95%CI: 7.5%, 12.2%) per 1000 live births. Age of the mother, number of antenatal care, hemorrhage, sex of the neonate, presentation, gestational age and birth weight were identified as the significant determinates for neonatal mortality cases. Prematurity, infection and birth asphyxia were the most common causes of neonatal mortality cases. Conclusions This study indicated that a significant number of neonates were died during neonatal period. Both maternal and neonatal factors were identified. Therefore, early identification of obstetric complications and immediate interventions, strengthening the provision of quality antenatal and postnatal care services are recommended.

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