A ten-year review of neonatal deaths in the special care baby unit at the University College Hospital, Ibadan

Oladokun, RE; Orimadegun, Adebola E.; Oluwu, JA

doi:10.4314/njp.v31i4.12098

Cited by 7 publications

(6 citation statements)

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“…The premature neonate has multiple organ immaturity and therefore faced with difficulties in adaptation to extra uterine life; this coupled with the poor living and working conditions in our country expose the fragile neonate fatal complications like hypothermia, digestive intolerance, infections, bleeding etc.. Neonatal asphyxia was the third most common cause of death in this study. This was contrary to the results obtained by Diallo et al, Tietche et al and Bobossi et al 8,9,20 who found asphyxia as the second cause of death after infections. The lower incidence of asphyxia in our series, could be the result of improved management of labour, delivery and early referrals of high-risk pregnancies, from the various refresher courses given to personnel in the delivery room in this context.…”

contrasting

confidence: 75%

“…Eloundou and BobossiSerengbe, 10,20 had similar results with 38.9% and 30.7% mortality rates respectively. Many other African researchers have recorded rates ranging from 26% to 38.9%, 8,11,21,22 the highest rate (52.9%) was reported by Diallo 17 . Low birth weight and prematurity have been identified as risk factors for neonatal mortality by many other researchers 9,11,12,21,23,24 .…”

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confidence: 91%

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Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

Mah¹,

Chiabi²,

Tchokoteu³

et al. 2014

Afr H. Sci.

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Background: The fourth Millennium Development Goals targets reduction of the mortality rate of under-fives by 2/3 by the year 2015. This reduction starts with that of neonatal mortality representing 40% of childhood mortality. In Cameroon neonatal mortality was 31% in 2011. Objectives: We assessed the trends, associated factors and causes of neonatal deaths at the Yaounde Gynaeco-Obstetric and Pediatric Hospital. Methods: The study was a retrospective chart review. Data was collected from the hospital records, and included both maternal and neonatal variables from 1 st January 2004 to 31 st December 2010. Results: The neonatal mortality was 10%. Out-borns represented 49.3% of the deceased neonates with 11.3% born at home. The neonatal mortality rate followed a downward trend dropping from 12.4% in 2004 to 7.2% in 2010. The major causes of deaths were: neonatal sepsis (37.85%), prematurity (31.26%), birth asphyxia (16%), and congenital malformations (10.54%). Most (74.2%) of the deaths occurred within the first week with 35% occurring within 24hours of life. Mortality was higher in neonates with birth weight less than 2500g and a gestational age of less than 37 weeks. In the mothers, it was high in single parenthood , primiparous and in housewives and students.. Conclusion: There has been a steady decline of neonatal mortality since 2004. Neonatal sepsis, prematurity, birth asphyxia and congenital malformations were the major causes of neonatal deaths. Neonatal sepsis remained constant although at lower rates over the study period.

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confidence: 75%

mentioning

confidence: 91%

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

Mah¹,

Chiabi²,

Tchokoteu³

et al. 2014

Afr H. Sci.

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“…According to the findings of the current research, the leading causes of neonatal mortality were birth asphyxia, prematurity, and sepsis. This is consistent with the studies conducted in Umuahia (18) and other regions of Nigeria (19)(20)(21)(22). Birth asphyxia was the most common cause of death (46.6%) in the present study, which is in line with the findings reported in Lagos (23), Kano (24), and Benin (25).…”

Section: Discussionsupporting

confidence: 93%

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

John

Olabisi

Olumuyiwa

et al. 2020

J Kermanshah Univ Med Sci

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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.

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“…A child born in a developing country is 14 times more likely to die during the first 28 days of life than a baby born in a developed country; with sub-Saharan Africa and South.East Asia carrying the heaviest portions in terms of global neonatal mortality rates 5 . According to the Demographic Health Surveys of 2004, 6 and 2011 7 , the neonatal mortality rates in Cameroon were 29 per 1000 live births, and 31 per 1000 live births respectively. Parity: Mortality was higher in neonates born of primiparous women (54%) against 46% in multiparous women.…”

Section: Introductionmentioning

confidence: 99%

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

Mah-Mungyeh¹,

Chiabi²,

Tchokoteu³

et al. 2015

Afr H. Sci.

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Background: The fourth Millennium Development Goals targets reduction by 2/3 the mortality rate of under-fives by 2015. This reduction starts with that of neonatal mortality representing 40% of childhood mortality. In Cameroon neonatal mortality was 31‰ in 2011. Objectives: We assessed the trends, associated factors and causes of neonatal deaths at the Yaounde Gynaeco-Obstetric and Pediatric Hospital. Methods: The study was a retrospective chart review. Data was collected from the hospital records, and included both maternal and neonatal variables from 1st January 2004 to 31st December 2010. Results: The neonatal mortality was 10%. Out-borns represented 49.3% of the deceased neonates with 11.3% born at home. The neonatal mortality rate followed a downward trend dropping from12.4% in 2004 to 7.2% in 2010. The major causes of deaths were: neonatal sepsis (37.85%), prematurity (31.26%), birth asphyxia (16%), and congenital malformations (10.54%). Most (74.2%) of the deaths occurred within the first week with 35% occurring within 24hours of life. Mortality was higher in neonates with birth weight less than 2500g and a gestational age of less than 37 weeks. In the mothers, it was high in single parenthood , primiparous and in housewives and students. Conclusion: There has been a steady decline of neonatal mortality since 2004. Neonatal sepsis, prematurity, birth asphyxia and congenital malformations were the major causes of neonatal deaths. Neonatal sepsis remained constant although at lower rates over the study period.

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A ten-year review of neonatal deaths in the special care baby unit at the University College Hospital, Ibadan

Cited by 7 publications

References 0 publications

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

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

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

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