Assessment of Factors Causing Mortality Rate of Neonate in Al-Batool Teaching Hospital in Mosul City

Abstract

Objective: The study aim to find out the neonatal mortality rate among the neonates admitted for a period year to the neonatal intensive care unit in Al-Batool Teaching Hospital in Mosul city. Methodology: A retrospective study the sample collecting of review the register for neonate intensive care unit in AL-Batool Teaching Hospital through one year 2010 (January-December). It registry (341) deaths of neonate. Were (180) male, and (161) female with duration of stay in Neonate Intensive Care Unit between (1-3) days old. Data collected for period of (1/12/2011) to (25/1/2012). Results: of the (23198) infant admitted to intensive care unit at Al-Batool Teaching Hospital in Mosul City within one year 2010 (January to December), 341 died. The 4 common causative illnesses were respiratory distress syndrome (42 %), prematurity (19%) and congenital abnormality (14%) and low birth weight (11%). Ninety three percent of deaths of neonate occurred within the first three days of their life. The mortality rate increased with the low in birth weight, as well as gestational age between (29-30Wks). For early-neonatal mortality, odds were observed for birth weight less than 2,500 g or gestation less than 35 weeks. Conclusion: This study concluded that over a quarter of mother age were (31-35) years old (twenty seven percent), while, the thirty eight percent of neonate were died within three days after born. The predominance of males for death (Fifty three percent) and (twenty nine percent) of them birth weight was (500 - 999 g). Sixty eight percent were delivered of normal vaginal delivery, with very high case fatality rate (Twenty five) those who were delivered (29th - 30th) weeks. Respiratory distress was the commonest primary diagnosis (Forty two percent) among all admitted neonates, followed by premature (Nineteen percent), congenital malformations (Fourteen percent), and low birth weight (Eleven percent). Recommendation: This study recommended that a need for great efforts to determine and reduce risk factors associated with neonatal mortality, and to adequately evaluate the medical and nursing care provided in neonate intensive care units. A neonatal care for pregnant woman is the key for safe neonatal life.