Perinatal and neonatal mortality in Fallujah General Hospital, Fallujah City, Anbar Province, west of Iraq

T.Abdulghani, Samira; Sirhan, Yaseen Taha; Lawas, Abdulsattar Kadhem

doi:10.4236/health.2012.49093

Cited by 8 publications

(9 citation statements)

References 9 publications

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“…The causes of neonatal deaths were hyaline membrane disease and perinatal asphyxia. This is comparable with other studies conducted in Ethiopia and Ghana [4, 24, 25]. The possible reason is that in this study SVD outnumbered other mode of deliveries.…”

Section: Discussionsupporting

confidence: 91%

“…The world health organization reported 2.6 million deaths or roughly 46% of all under-five deaths occurred in 2016, up from 40% in 1990; nevertheless, neonatal mortality fell by 49% from 37 deaths per 1000 live births in 1990 to 19 in 2016 [1–3]. Ethiopia is one of the ten countries which accounts to two-third of global neonatal death and also among the six countries accounting half of global under five deaths [3, 4]. Although developing countries have been given highest priority to achieve the global target of less than ten deaths per 1000 live births by 2035; it is projected that the sub-Saharan Africa will have 33% of births and 60% of deaths in 2030, compared to 25% births and 50% deaths in 2013 [5, 6].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Neonatal mortality in Neonatal intensive care unit at referral Hospital in Southern Ethiopia: a retrospective cohort study

Orsido

Asseffa

Berheto

2019

BMC Pregnancy Childbirth

103

102

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Background The first one month of life; the neonatal period is the most risky time for child survival. In Ethiopia, neonatal mortality is unacceptably high, and the trend in reduction is slower as compared to infant and child mortality. The magnitude and associated factors of neonatal mortality in a tertiary care facility were not well documented. Therefore, the aim of this study was to determine neonatal mortality and predictors among neonates admitted to neonatal intensive care unit of Wolaita Sodo University Teaching and Referral Hospital, South Ethiopia. Methods A retrospective cohort study design was done among neonates admitted to neonatal intensive care unit of a University Teaching and Referral Hospital from 2015 to 2017. Data were collected using data extraction checklist from the medical registry. The main outcome was the occurrence of death within the first four weeks. The survival time was calculated in days between the date of admission and the date of death. Kaplan-Meier survival was used to depict the pattern of death in 28 days and Cox-Proportional model was used to identify the predictors of the neonatal mortality. Results A total of 964 neonates which contributed to 5889 neonates-days were included in the study. There were 159 neonatal deaths during the follow-up time. Overall, the neonatal mortality incidence was 27 per 1000 neonates-days. Predictors of neonatal mortality were: multiple birth, mothers who did not attend antenatal care visits, neonates born by cesarean section, not initiated breast feeding within 1 h of birth, neonates resuscitated, hyaline membrane disease and perinatal asphyxia. Conclusion Neonatal mortality at neonatal intensive care unit was high. Managing neonatal complications, initiating breast feeding within 1 h of birth, promoting antenatal care visits, improving quality of services and ensuring continuum of care are recommended to increase survival of neonates.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Predictors of Neonatal mortality in Neonatal intensive care unit at referral Hospital in Southern Ethiopia: a retrospective cohort study

Orsido

Asseffa

Berheto

2019

BMC Pregnancy Childbirth

103

102

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“…7 Ethiopia is one of these countries experiencing high neonatal mortality rate of 30 per 1000 live births. 5 , 8 In spite of hard works done by the government and other partners, inconsiderable decline was attained in the last 15 years and Ethiopia remained with high neonatal mortality rate. 5 As the prevailing evidence on neonatal mortality was very few to initiate structured intervention, implementation of MDG-4 was unfortunately not effective as planned.…”

Section: Introductionmentioning

confidence: 99%

Neonatal Mortality and Its Associated Factors among Neonates Admitted to Wollega University Referral Hospital Neonatal Intensive Care Unit, East Wollega, Ethiopia

Abera

Bayisa

Bekele

et al. 2021

Global Pediatric Health

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Ethiopia has a high neonatal mortality rate in spite of dearth of study. Therefore we aimed to assess magnitude and associated factors of neonatal mortality among neonates admitted to neonatal intensive care units of Wollega University Referral Hospital. Accordingly, a facility based cross-sectional study was conducted on 289 by reviewing medical records of neonates admitted to neonatal intensive care unit. The collected data were entered in to Epi data version 3.1 and Stata version 14 used for analysis. Variables with P-value < 0.25 at with 95% confidence interval in binary logistic regression analysis were taken to the multiple logistic regression analysis. Finally, variables with Likewise, variable with P-value < 0.05 at 95% confidence interval in multiple logistic regression analysis were considered as statistically significant. Among 289 neonates admitted to neonatal intensive care unit, 53 (18.34 %) were died. Majority 42(79.25%) of those deaths occurred at ≤ 7 days of birth. Preterm [AOR 4.15, 95% CI (1.67-10.33)], neonates faced birth asphyxia [AOR 3.26, 95% CI (1.33-7.98)], neonates who developed sepsis [AOR 2.29 95% CI (1.01-5.20)] and neonates encountered with jaundice [(AOR 11.08, 95% CI (1.03-119.59)] were more at risk to die. In general, the magnitude of neonatal mortality among neonates admitted to neonatal intensive care unit was high. Gestational age (maturity of new born), birth asphyxia, neonatal sepsis and neonatal jaundice were predictors of neonatal mortality. Neonates admitted to neonatal intensive care unit with sepsis, jaundice, and birth asphyxia demand special attention to reduce neonatal mortality.

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“…Through the study period both number and ratio of neonatal admissions are increasing and in spite of decreasing NM among neonates more actions are needed to achieve global goals. Although prematurity and LBW constitute about 20.2 % of total neonates admitted to NNU the mortality fraction was 54.2 %among all dead neonates compared to 80% in Baghdad hospital in medical City and 68.8 % in Faluja [20].There were 87 (59.59%) preterm related deaths and 98 (67.12%) deaths due to Low Birth Weight (LBW) in a study done in (Khulna Medical College Hospital in Bangladesh) [7] which is comparative to our results regarding prematurity and LBW infants .The high contribution of prematurity to neonatal mortality was in agreement with Population-based cohort study for US birth cohorts for 1985 and 1995 and Canadian birth cohorts (excluding Ontario) for 1985-1987 and 1992-1994[18]. This indicates high relative risk for death in such age group.…”

mentioning

confidence: 92%

Trends of Neonatal Mortality in context of Case Overload in Al - Alwyia Pediatric Teaching Hospital at Baghdad during 2005-2012

Raham¹,

Abood²

2016

Al-Kindy Col. Med. J

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Background: Data on the impact of neonatal and total pediatric admissions volume on neonatal mortality are sparse. Objectives: This study is done to estimate the neonatal mortality in relation to neonatal admissions and to total hospital admissions in Al-Alwyia Pediatric Teaching Hospital through years 2005-2012 Type of the study: A retrospective study.Methods: statistical records of all cases admitted to APTH were studied during 2005-2012.Results: Neonatal mortality decreased to the nadir at last year of study period (2012) and reached 6.1% of neonatal admissions compared to 2005 level which was 9.7 %. Mortality rate among premature and low birth weight (LBW) infants decreased also. The study also reveals that neonatal mortality constitute significant a contribution to childhood mortality (61.4 %) and morbidity (28.3%) throughout the study years. With a highly significant p value parallel to increasing number of neonatal admissions (case over load) , there is a trend of neonatal mortality rate to be decreased Case fatality rate also decreased among overall children to 3.5% in 2005 and to 3.3% in 2013 in spite of 2.4 times increase in neonatal admission during the study period.This neonatal overload is more than overall pediatric over load, because the total hospital admissions are increased just 1.2 times.Conclusions: The neonatal admissions case overload is high and increasing and constitutes a significant proportion of total childhood mortality. Neonatal mortality including premature and (LBW) infants is decreasing .Further actions are needed to meet global goals.

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Perinatal and neonatal mortality in Fallujah General Hospital, Fallujah City, Anbar Province, west of Iraq

Cited by 8 publications

References 9 publications

Predictors of Neonatal mortality in Neonatal intensive care unit at referral Hospital in Southern Ethiopia: a retrospective cohort study

Predictors of Neonatal mortality in Neonatal intensive care unit at referral Hospital in Southern Ethiopia: a retrospective cohort study

Neonatal Mortality and Its Associated Factors among Neonates Admitted to Wollega University Referral Hospital Neonatal Intensive Care Unit, East Wollega, Ethiopia

Trends of Neonatal Mortality in context of Case Overload in Al - Alwyia Pediatric Teaching Hospital at Baghdad during 2005-2012

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