Assessment of neonatal mortality major factors Assessment of neonatal mortality major factors
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Keywords
neonate, prematurity, congenital problems, birth asphyxia
Abstract
Background: Neonatal mortality accounts for nearly half of the deaths of children under the age of five, the main leading causes for which are respiratory distress, infection, and congenital anomalies. Action plans, which call for the elimination of preventable deaths of newborn babies, set specific targets to reduce neonatal mortality. This retrospective descriptive study was conducted in the Basra Teaching Hospital for maternity and childhood from January 2019 to February 2020, including all the neonates who were admitted in the first and second neonatal care units of the hospital.
Aim: This study aims to study the main causes of neonatal deaths in newborn babies in the neonatal care units at the main maternity and pediatric hospital of the Basra government.
Patients and methods: A total of 716 neonatal deaths were registered along with days of life before death and the cause of death; the cases were classified as early (1–6) days death and late (7–28) days death.
Results: In this study, we found that the main causes of early neonatal death were respiratory distress syndrome (68.4%), congenital anomalies (11.4%), infection (10.9%), birth asphyxia (7.2%), and other neonatal conditions (inborn error of metabolism, hemorrhagic disease of newborn, severe anemia, and unspecified causes) (2.1%), while for late neonatal death, respiratory distress (27.2%), congenital problems (17.7%), infection (45.6%), birth asphyxia (6.1%), and other conditions (3.4%) were cited.
Conclusions: It is important to direct the health resources towards preventable causes of neonatal deaths both before, during and after the delivery of a baby when the higher risk factors are preventable (prematurity, birth problems, and sepsis). Using all available resources to decrease preterm labors and mother education toward pregnancy and to improve the facilities and quality of neonatal care at the delivery room and neonatal care units.
Keywords: neonate, prematurity, congenital problems, birth asphyxia
References
2. UNICEF. Levels and trends in child mortality (Report 2014). New York, NY: UNICEF. 2014.
3. Blencowe H, Cousens S. Review: Addressing the challenge of neonatal mortality [Internet]. Tropical Medicine & International Health. 2013;18(3): 303–312.
4. Ayaz A, Saleem S. Neonatal Mortality and Prevalence of Practices for Newborn Care in a Squatter Settlement of Karachi. Pakistan: A Cross-sectional study. PLoS ONE 5(11): e13783.
5. M. Kuzniewicz, S. Hawgood. House staff manual, The William H. Tooley. Intensive Care Nursery. 2003;79.
6. Edwards MS and Baker CJ, Gershon AA, P. J. Hotez, and S. L. Katz, Eds., “Sepsis in the newborn,” in Krugman's Infectious Diseases of Children.2004.USA, Philadelphia, Mosby, p. 545.
7. Patel SJ and Saiman L. Antibiotic resistance in neonatal intensive care unit pathogens: mechanisms, clinical impact, and prevention including antibiotic stewardship. Clinics in Perinatology. 2010 ; 37(3): 547–563.
8. Sadler TW. Birth defects and prenatal Diagnosis. In: Langman’s medical embryology. 13th ed. Philadelphia: Wolters Kluwer; 2015. p. 126–40.
9. Sarkar S, Patra C, Dasgupta MK, et al. Prevalence of congenital anomalies in neonates and associated risk factors in a tertiary care hospital in eastern India. J Clin Neonatol. 2013;2(3): 131–134.
10. Hug L, Alexander M, You D, et al. National, regional, and global levels and trends in neonatal mortality between 1990 and 2017, with scenario-based projections to 2030: a systematic analysis. The Lancet Global Health. 2019; 7(6), E710–E720.
11. Martines J, Paul VK, Bhutta ZA, et al: Neonatal survival: a call for action. Lancet. 2005;365:1189–1197.
12. Alfarwati TW, Alamri AA, Alshahrani MA, Al-Wassia H. Incidence, risk factors and outcome of respiratory distress syndrome in term infants at Academic Centre, Jeddah, Saudi Arabia. Med Arch. 2019 Jun;73(3): 183–186.
13. Qari SA, Alsufyani AA, El Margoushy SNM, et al. Prevalence of respiratory distress syndrome in neonates. The Egyptian Journal of Hospital Medicine. 2018 Jan;70(2): 257–264.
14. Ravikumara M, Bhat BV. Early neonatal mortality in an intramural birth cohort at a tertiary care hospital. Indian J Pediatr. 1996;63(6):785–789.
15. Beena D, Kamath, MacGuire, ER, et al. Neonatal mortality from respiratory distress syndrome: lesson for low–resource countries. Pediatrics. 2011;127(6).
16. Seale AC, Mwaniki M, Newton CRJC, Berkley JA. Maternal and early onset neonatal bacterial sepsis: burden and strategies for prevention in sub-Saharan Africa. Lancet Infect Dis. 2009;9(7):428–38.
17. Fleischmann-Struzek C, Goldfarb DM, Schlattmann P, et al. The global burden of pediatric and neonatal sepsis: a systematic review. Lancet Respiratory. 2018; 6.
18. Vergnano S, Sharland M, P, Mwansambo C, et al. Neonatal sepsis: an international perspective. BMJ. 90(3).
19. Jumah DS, Kadhum HM. Predictors of mortality outcome in neonatal sepsis. The Medical Journal Of Basrah University. 2007;25(1).
20. Roncancio ACP, Misnaza ASP, Peña BIC et al. Trends and characteristics of fetal and neonatal mortality due to congenital anomalies, Colombia 1999–2008. J Matern Fetal Neonatal Med. 2018;31(13): 1748–1755.
21. Ajao AE, Adeoye IA. Prevalence, risk factors and outcome of congenital anomalies among neonatal admissions in OGBOMOSO, Nigeria. BMC Pediatr. 2019;19: 88.
22. Apr 32019. doi:10.1186/s12887-019-1471-1
23. Gatt, M, England K, Grech V, Calleja N. Contribution of congenital anomalies to neonatal mortality rates in malta. Paediatric and Perinatal Epidemiology. 2015;29(5).
24. Reyes JC, Lona RROP, Ramos LL, et al. Neonatal mortality and associated factors in newborn infants admitted to a neonatal care unit. Arch Argent Pediatr. 2018;116(1):42–48.
25. Singh K, Krishnamurthy K, Greaves C et al. 2014. Major congenital malformations in Barbados: the prevalence, the pattern, and the resulting morbidity and mortality. Article ID 651783 | 8 pages.
26. Sadeghnia, A, Mohammadpoor S. The investigation of rate of birth asphyxia and its relationship with delivery mode at Shahid Beheshti Hospital of Isfahan during 2013, 2014, and 2015. Int J Prev Med. 2019;10. 2019PMC6390421.
27. Alburke S, Ashur B, Assadi M A. Neonatal and perinatal mortality rates in neonatal intensive care unit of Misurata Teaching Hospital–Libya. 2013. Journal of Hematology & Thromboembolic Diseases. 2015;3:2.
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