Facteurs maternels de risque de mortalité du nouveau-né à terme au centre hospitalier universitaire Sylvanus-Olympio (Togo) de 2013 à 2017

Ségbédji, K.A.R.; Tchagbele, Ouro-Bagna; Takassi, O.E.; Ganame, L.K.M.; K, Kombieni; Agrigna, H.; Talboussouma, Sollim; Atakouma, Y.D.; Djadou, K.E.; Azoumah, K.D.

doi:10.3166/rmp-2021-0127

Cited by 2 publications

(6 citation statements)

References 15 publications

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“…Furthermore, no observance of ANC rhythms increased the risk of early neonatal death by 5.14 times among cases. These results are similar to those found in others studies in Kara, Togo (Segbedji, 2022), andAntananarivo, Madagascar (Rafamatanantsoa, 2018). Pregnancy monitoring reduced the risk of neonatal death by 30% according to a 2015 study in Nigeria (Akinyemi, 2015).…”

Section: Factors Associated With Early Neonatal Deathsupporting

confidence: 93%

“…Rigorous monitoring and proper application of EmONC functions by the actors during this critical period are essential for the reduction of this indicator. This proportion is higher than the 88.7% and 64.6% respectively found by Segbedji et al, at the Kara universal hospital in Togo in 2020 (Segbedji, 2022) and Ntambué et al, in Lubumbashi in DRC in 2010(Ntambue, 2013.…”

Section: Early Neonatal Death Ratementioning

confidence: 60%

“…Pathophysiologically, younger newborns are more likely to die of asphyxia compared to older. For Segbedji et al, in 2020 in Togo, similar to SaO health zone findings, the predominant causes of early neonatal death were, in increasing order, perinatal asphyxia (30.8%), prematurity (22.8%) and respiratory distress (20.8%) (Segbedji, 2022). Good management of these causes through the rigorous application of EmONC in maternity units would reduce early neonatal deaths in maternity units in the Sao-Saharan zone.…”

Section: Causes Of Neonatal Deathsmentioning

confidence: 89%

“…Most of these newborns deaths occurs in developing countries where access to care is poor (Organisation Mondiale de la Santé, 2020, World Health Organization, 2021. This mortality is related to the health conditions of the mother, the course of pregnancy and delivery, which are still major problems in most developing countries (Segbedji, 2022).…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological Aspects and Factors Associated with Early Neonatal Death From 2018 to 2020 in the Maternity of the Savè-Ouessè Health Zone, Benin, West Africa

Serge

Georgia²,

Aguemon³

2023

J Matern Child Health

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Background: Most of the new-born deaths occur in developing countries where care access is poor. This study aimed to investigate the epidemiological aspects and factors associated with early neonatal death in maternity. Subjects and Method: A case-control study was conducted from 2018 to 2020 in the Savè-Ouessè (SaO) health zone in the Collines department in Benin. Two groups of new-borns aged 0-7 days were recruited, 176 cases and 176 controls. The dependent variable was early neonatal death. The main independent variables studied were related socio-demographic characteristics, medical and gynaeco-obstetric history, pregnancy-related illnesses, service use and quality of health care, and neonatal parameters. Data collection was carried out from October to December 2021 from delivery records at the maternity unit level. An additional questionnaire was addressed to corresponding mothers. Logistic regression model was used to identify factors that explain early neonatal death occurrence. Results: No Fertility desire (OR= 3.22; CI95%= 1.13 to 9.16; p =0.029); No Observance of ANC rhythms (OR= 5.14; CI95%= 1.63 to 16.15; p= 0.005); Supervised intake of SP (OR= 6.33; CI95%= 1.33 to 29.99; p<0.001); No Existence of active fetal movements (OR= 7.01; CI95%= 2.67 to 18.41; p<0.001); and Amniotic fluid colour/ Haematic (OR= 4.09; CI95%= 2.07 to 9.63; p<0.001) increased early neonatal death in SaO health zone from 2018 to 2020 in SaO health zone, BeninConclusion: Even if early neonatal mortality appears to be low in the SaO health zone, its reduction requires to strengthen family planning, to improve the observance of intermittent preventive treatment and to monitor obstetric labour.

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Section: Factors Associated With Early Neonatal Deathsupporting

confidence: 93%

Section: Early Neonatal Death Ratementioning

confidence: 60%

Section: Causes Of Neonatal Deathsmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Epidemiological Aspects and Factors Associated with Early Neonatal Death From 2018 to 2020 in the Maternity of the Savè-Ouessè Health Zone, Benin, West Africa

Serge

Georgia²,

Aguemon³

2023

J Matern Child Health

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“…En Afrique, la situation est particulièrement préoccupante en raison de l'insuffisance de moyens diagnostics et de prise en charge. Le taux de létalité y est élevé et varie de 10,4% à 34,8% (Coulibaly et al, 2021 ;Thiam et al, 2017) Au Togo, malgré une tendance à la baisse du décès néonatal, le taux reste élevé, en majorité liée l'asphyxie périnatale qui en est la première cause (Segbedji et al, 2022 ; Ministère de la santé, Togo, 2020). Face à l'insuffisance de plateaux technique de prise en charge de l'APN, il s'avère opportun d'identifier plutôt en amont, les facteurs anténataux et perpartum aggravant le pronostic néonatal.…”

Section: Introductionunclassified

Asphyxie Périnatale à la Maternité du CHU Kara : Aspects Epidémiologique, Clinique et Pronostique

Logbo-Akey,

Kétévi,

M’Bortché

et al. 2023

ESJ

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Objectifs Décrire les aspects épidémiologiques, cliniques et pronostiques de l'asphyxie périnatale à la maternité du CHU Kara. Matériel et Méthode : Il s’est agi d’une étude rétrospective, descriptive et analytique menée de Janvier 2022 à Décembre 2022. Etaient inclus tous les nouveau-nés à terme, accouchés durant la période de l’étude qui avaient un score d’Apgar inférieur ou égal à 7 à la cinquième minute de vie. Résultat : La fréquence était de 3,37%. Le sex-ratio était de 1,53. Dans 90,12%, les accouchées avaient moins de 35ans, avec un âge moyen de 24,45ans. Elles étaient en majorité ménagère (58,02%), non instruites ou de niveau d’instruction primaire (72,84%) et primipares (50,62%). Il s’agissait pour la plupart de patientes référées dans 90,13% des cas, n’ayant effectué aucun bilan prénatal dans 44,44% des cas. La voie basse constituait le principal mode d’accouchement dans 77,78% des cas, à un âge gestationnel moyen de 38,6 semaines d’aménorrhée. Le liquide amniotique était méconial dans 60,49% et clair dans 20,99% des cas. Dans 69,14%, le score d’Apgar était à 7-6 à la cinquième minute. Après une durée moyenne de 7,6 minutes de réanimation du nouveau-né, le score d’Apgar à la dixième minute est inférieure à 7 dans 49,38% des cas. Le taux de décès néonatal précoce était de 27,16%. Conclusion : L’asphyxie périnatale est grave. L’amélioration du pronostic néonatal nécessite une amélioration du suivi prénatal et la prise en charge efficiente de l’accouchement. Objectives: describe the epidemiological, clinical and prognostic aspects of perinatal asphyxia at the Kara university hospital maternity unit Material and Method: This was a retrospective, descriptive and analytical study conducted from January 2022 to December 2022. All full-term neonates delivered during the study period who had an Apgar score of less than or equal to 7 at fifth minute of life were included. Results: Perinatal asphyxia rate was 3.37%. The sex ratio was 1.53. In 90.12% of cases, the mothers were under 35 years of age, with an average age of 24.4 years. The majority were housewives (58.02%), uneducated or with primary education (72.84%) and primiparous (50.62%). Most of the patients were referred in 90.13% of cases, and 44.44% had not undergone any antenatal check-up. The vaginal delivery was the main mode of delivery in 77.78% of cases, at an average gestational age of 38.6 weeks' amenorrhoea. Amniotic fluid was meconium in 60.49% and clear in 20.99% of cases. In 69.14% of cases, the Apgar score was 7 or 6 at the fifth minute. After 7.6 minutes mean resuscitation, the Apgar score at the tenth minute was less than 7 in 49.38% of cases. The rate of early neonatal death was 27.16%. Conclusion: Perinatal asphyxia is serious. Improving neonatal prognosis requires better antenatal monitoring, quality pregnancy monitoring and efficient management of delivery.

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Facteurs maternels de risque de mortalité du nouveau-né à terme au centre hospitalier universitaire Sylvanus-Olympio (Togo) de 2013 à 2017

Cited by 2 publications

References 15 publications

Epidemiological Aspects and Factors Associated with Early Neonatal Death From 2018 to 2020 in the Maternity of the Savè-Ouessè Health Zone, Benin, West Africa

Epidemiological Aspects and Factors Associated with Early Neonatal Death From 2018 to 2020 in the Maternity of the Savè-Ouessè Health Zone, Benin, West Africa

Asphyxie Périnatale à la Maternité du CHU Kara : Aspects Epidémiologique, Clinique et Pronostique

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