Prevalence and Outcome of Preterm Admissions at the Neonatal Unit of a Tertiary Health Centre in Southern Nigeria

Kunle-Olowu, Onyaye E.; Peterside, Oliemen; Adeyemi, Oyedeji O.

doi:10.4236/ojped.2014.41009

Cited by 41 publications

(59 citation statements)

References 30 publications

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“…The slightly lower level found by Mokuola et al 25 may be due to the shorter duration of the study and their stricter inclusion criteria, precluding multiple gestations and major malformations. In contrast to our findings, Kunle-Olowu et al 26 in Niger-Delta area of Nigeria and Onwuanaku et al 27 in North Central Nigeria reported that 24% and 31.3% of infants admitted in their facilities were preterm, respectively. Although the exact cause of this very high preterm delivery rate is unclear in the oil-polluted Niger-Delta, the latter study in northern Nigeria comprised only a laboratory-tested cohort, inadvertently introducing a selection bias 27 .…”

Section: Discussioncontrasting

confidence: 99%

Incidence and outcome of preterm deliveries in Mother and Child Hospital Akure, Southwestern Nigeria

Oluwafemi

Abiodun

2016

Sri Lanka J Child Health

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Background: Preterm birth contributes significantly to neonatal deaths. Its burden should be defined to enhance interventions especially in resource-limited settings with poor neonatal health indices. Objectives:To determine the incidence of preterm delivery in the Mother and Child Hospital, Akure, to investigate the outcome and explore the relationship between birth weight and neonatal survival. Method:Demographic and clinical features (gestational age, birth weight and outcome) of consecutive preterm infants were documented for one and a half years. Incidence of preterm birth was computed, using total birth as the denominator. Quarterly incidence of preterm birth was presented graphically. Univariate logistic regression analysis of birth weight as a predictor of preterm death was done. P value <0.05 was considered significant. Results:Of 10,432 births during study period, 1,606 were preterm giving an incidence of preterm births of 15.4%. Among preterm infants, 1,449 (90.2%) had low birth weight (LBW), 123 (7.7%) very low birth weight (VLBW) and 34 (2.1%) extremely low birth weight (ELBW). Most (92.8%) preterm babies were discharged. Prematurity had a case fatality rate (CFR) of 5.6%. Compared to normal birth weight infants, ELBW babies were 250 times and VLBW infants 47.6 times more likely to die. ___________________________________________

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Section: Discussioncontrasting

confidence: 99%

Incidence and outcome of preterm deliveries in Mother and Child Hospital Akure, Southwestern Nigeria

Oluwafemi

Abiodun

2016

Sri Lanka J Child Health

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“…Most common clinical conditions of neonates in our study are sepsis, RDS, prematurity and seizures making 71.2% of all diseases. These results are similar to many local studies, 2,3,13,14 as well as researches in other countries 5,[15][16][17][18] with almost the same disease pattern. In contrast, a research carried out in Peshawar had maximum admissions due to low birth weight and IUGR.…”

Section: Discussionsupporting

confidence: 91%

Disease Pattern and Outcome among Neonates in Pediatric Ward of POF Hospital, Wah

Mushtaq¹,

Ramzan²,

Jehan³

et al. 2020

JIMDC

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Background: Neonatal period is the duration between 0-28 days of birth and it is the most susceptible period of life because of the large number of problems and diseases which a neonate is likely to face. The objective of the study was to determine the disease pattern and outcome among neonates in Pediatric ward of POF Hospital.Material and Methods: A descriptive study was carried out at Pediatric ward of POF Hospital Wah Cantt. Retrospective data regarding age, sex, reasons for admission, outcome and mode of delivery (from hospital record) was collected for all neonates admitted during the year 2016 from 1st January to 31st December. The data was analyzed by using SPSS V-19.Results: Among total neonates (n=887) admitted during the year, 63.2% were males and 36.8% were females. Mean weight of neonates was 2.54 + 0.75 kg while mean age was 2.39 + 5.8 days. Most common diseases were Prematurity, Respiratory Distress Syndrome, Seizures and Sepsis. Overall, 82.64% recovered from their illness while 17.02% expired.Conclusions: Prematurity, respiratory distress syndrome, seizures and sepsis were the major causes of neonatal admission in this study.Key words: Diagnostic value, Immature-to-total neutrophil ratio, Neonatal sepsis

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“…The commonest risk factor for Prematurity was PROM followed by multiple pregnancy and lack of ANC. This is similar to findings by Kunle-Olowu et al [11]. Other studies in Nigeria [16] [17] [18] have reported multiple pregnancy as a risk factor for preterm delivery.…”

Section: Discussionsupporting

confidence: 82%

“…The number of male babies were more than the females and comparable to that reported by Kunle-Olowu et al [11]. McGil Ugwu [10] and Zeleke et al [13] in Ethiopia reported more preterm females.…”

Section: Discussionsupporting

confidence: 76%

“…McGil Ugwu [10] at the Delta State University Teaching Hospital and 24.0% reported by Kunle-Olowu et al [11] at the Niger Delta University Teaching Hospital (NDUTH), Okolobiri, Bayelsa state all in Southern Nigeria. Onwuanaku et al [12] in Jos University Teaching Hospital, North central Nigeria from the same geopolitical zone reported 31.3% which is higher than that reported in our study.…”

Section: Discussionmentioning

confidence: 99%

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Risk Factors and Outcome of Preterm Admissions in a Special Care Baby Unit of a Tertiary Hospital in North Central Nigeria

Ochoga¹,

Michael²,

Abah³

et al. 2018

OJPed

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The main objective of this study was to determine the prevalence of preterm births, risk factors and the outcome in a Tertiary Hospital in North Central Nigeria. Setting and Methods: The study was based on the data of records of all preterm admissions over a three-year period at Benue State University Teaching Hospital (BSUTH), Makurdi, Benue State. Results: During this period, a total of 778 neonates were admitted out of which 95 (12.0%) were preterm with gestational ages ranging from 21 -36 weeks with an average mean gestational age 31.27 weeks (±3.2) and birth weights from 500 -2490 g with a mean of 1440 g (±0.45). There were 48 males and 47 females (M: F 1.02). 76 (80.0%) were delivered by spontaneous vaginal delivery while 19 (20.0%) were delivered by caesarean section. 37 (39.0%) were delivered in BSUTH while 58 (61.0%) were delivered elsewhere and referred or brought into Special Care Baby Unit (SCBU). The duration of hospital stay ranged from 1 -90 days, with a mean duration of 17 days (±15.2 days). The commonest risk factor for prematurity was premature rupture of membrane followed by multiple pregnancy and lack of Ante natal care (ANC). The commonest morbidity in the patients in the present study was sepsis followed by respiratory problems and jaundice. Of the 95 preterm, 60 (63.2%) were discharged, 27 (28.4%) died, while 8 (8.4%) were discharged against medical advice (DAMA). Conclusion: Prematurity remains a major cause of morbidity and mortality in our SCBU. There is urgent need for the establishment of a neonatal intensive care unit with adequate manpower and appropriate equipment so as to improve the survival rates of this vulnerable group of patients.

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Prevalence and Outcome of Preterm Admissions at the Neonatal Unit of a Tertiary Health Centre in Southern Nigeria

Cited by 41 publications

References 30 publications

Incidence and outcome of preterm deliveries in Mother and Child Hospital Akure, Southwestern Nigeria

Incidence and outcome of preterm deliveries in Mother and Child Hospital Akure, Southwestern Nigeria

Disease Pattern and Outcome among Neonates in Pediatric Ward of POF Hospital, Wah

Risk Factors and Outcome of Preterm Admissions in a Special Care Baby Unit of a Tertiary Hospital in North Central Nigeria

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