Factors of Neonatal Morbidity at the Provincial Hospital Center of Missour

Abstract

Background: Although neonatal mortality decreases in different regions of the world, it is still a major problem in developing countries and particularly in Morocco. Purpose: The aims of this study are to examine the characteristics of pregnant women in the hospital center in the urban commune of Missour as well as the morphological data of the newborn and identify the risk factors implicated in neonatal morbidity. Materials and Methods: A retrospective study of collected data from records of women who gave birth in the Maternity of Missour during 2012. As well as a prospective study conducted at the maternity in 2013. Results: A total of 1108 women were included in this retrospective survey, of which 45% come from areas located far from the hospital center of the province and sometimes the access is tough in winter. Only 55.1% of pregnancy was followed. Among 1121 births, 49 babies (4.3%) showed a problematic birth situation: 31 (2.7%) newborns were hospitalized in pediatrics, of which 14 are premature. Neonatal mortality rate is 0.6% that is to say 7 early deaths. The risk factors associated to neonatal morbidity are gestational age and weight birth (in 50% of the cases, 85.7% of deaths are premature infants less than 1500 g). 14 (1.2%) were referred and 11 (0.9%) malformed were noticed. The prospective study states that among the 194 women analyzed, 89.7% are housewives. 89.1% have no medical coverage and 25.4% are illiterate. Only 29.2% benefit from a blood sample during pregnancy and 50% benefit from regular ultrasound follow-up. Conclusion: Mortality and neonatal morbidity constitute a public health priority in Morocco. Our work insists on the interest of an organized support of the newborn from the community to the different levels of the health pyramid. L. Doukkali et al.

Determinants of neonatal near miss among neonates admitted to Ambo University Referral Hospital and Ambo General Hospital, Ethiopia, 2019

“…This result is in line with the study done in Tigray that shows neonate of normal birth weight was 55% lesser hazards of death [44]. In contrast to our study, evidence from Morocco and Brazil indicated that Newborns who were small for gestational age and very low birth weight were strongly associated with NNM than neonates of normal birth weight [39,42,45]. This controversy is due to most of the pregnant women in Ethiopia had low awareness about sign and symptom and treatment of Diabetics and Gestational Diabetics disease that increase the weight of the baby and leads to neonatal near miss and morbidities [46,47].…”

“…The odds of Neonatal Near Miss were six times higher among women who had less than four ANC visit, which is supported by studies in Eastern Brazil that shows fewer prenatal care visits were the leading determinants of Neonatal Near Miss [18,24,36]. However, the study done in Brazil and Morocco revealed that there was no association between Neonatal Near Miss and ANC follow up [12,19,[36][37][38][39]. These controversies indicate gaps in knowledge about the participation to access prenatal care, the quantity, and quality of consultations in the determination of negative outcomes for the mother and the newborn in Ethiopia.…”