Factors affecting the survival of the “at risk” newborn at Korle Bu Teaching Hospital, Accra, Ghana

Welbeck, J; Rb, Biritwum; Mensah, George

doi:10.4314/wajm.v22i1.27981

Cited by 8 publications

(12 citation statements)

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“…The finding corroborates findings of a study of factors affecting the survival of "at risk" newborn at Korle Bu Teaching Hospital, in Accra, Ghana, which reported that 83.6% of 128 babies weighed less than 1 kg died while babies weighing beyond 2 kg were less likely to die [23]. Gestational age (GA) is known to contribute to neonatal mortality.…”

Section: Neonatal Factorssupporting

confidence: 87%

Predictors of Neonatal Deaths in Ashanti Region of Ghana: A Cross-Sectional Study

Annan

Asiedu

2018

Advances in Public Health

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Background. Neonatal mortality continues to be a public health problem, especially in sub-Saharan Africa. This study was conducted to assess the maternal, neonatal, and health system related factors that influence neonatal deaths in the Ashanti Region, Ghana. Methods. 222 mothers and their babies who were within the first 28 days of life on admission at Mother and Baby unit (MBU) at the Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ashanti Region of Ghana, were recruited through systematic random sampling. Data was collected by face to face interviewing using open and closed ended questions. A logistic regression analysis was conducted to determine the influence of proximal and facility related factors on the odds of neonatal death. Results. Out of the 222 mothers, there were 115 (51.8%) whose babies did not survive. Majority, 53.9%, of babies died within 1-4 days, 31.3% within 5-14 days, and 14.8% within 15-28 days. The cause of death included asphyxia, low birth weight, congenital anomalies, infections, and respiratory distress syndrome. Neonatal deaths were influenced by proximal factors (parity, duration of pregnancy, and disease of the mother such as HIV/AIDS), neonatal factors (birth weight, gestational period, sex of baby, and Apgar score), and health related factors (health staff attitude, supervision of delivery, and hours spent at labour ward). Conclusion. This study shows a high level of neonatal deaths in the Ashanti Region of Ghana. This finding suggests the need for health education programmes to improve on awareness of the dangers that can militate against neonatal survival as well as strengthening the health system to support mothers and their babies through pregnancy and delivery and postpartum to help improve child survival.

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Section: Neonatal Factorssupporting

confidence: 87%

Predictors of Neonatal Deaths in Ashanti Region of Ghana: A Cross-Sectional Study

Annan

Asiedu

2018

Advances in Public Health

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“…Low birth weight is defined as birth weight less than 2500 g irrespective of gestational age. [1] It occurs worldwide but by far more commonly in developing countries [2] It often results from prematurity or intrauterine growth restriction [3][4] though more from the latter than the former in developing countries [5] About one quarter of newborns in developing countries start life with impaired growth in utero often resulting in LBW at delivery [6][7][8] Complications arising from this include infections, hypoglycemia, hypothermia, jaundice and perinatal asphyxia often resulting in significant perinatal mortality [2] LBW infants are also predisposed to developing neurological problems including poor attention span and have much higher burden of disease throughout life [7] They often remain undernourished throughout childhood and adolescence and easily grow into undernourished women of childbearing age who themselves deliver LBW babies [8] It is easier and better to prevent the delivery of a LBW baby than preventing the perinatal morbidity and mortality, developmental problems, failure to thrive and other life time complications consequent on its delivery.…”

Section: Introductionmentioning

confidence: 99%

Low birthweight delivery: Prevalence and associated factors as seen at a tertiary health facility

Ugboma¹,

Onyearugha²

2013

Niger J Clin Pract

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“…This is similar to the findings of Williams in Ibadan and O'connor and Davies in Uganda. No case was reported in studies in Jos [15] and Ghana [21].…”

Section: Discussionmentioning

confidence: 99%

“…[20] Intracranial neoplasms are relatively more common in caucasians. [17][18][19][20][21][22][23][24][25][26][31][32][33][34][35][36][37][38][39][40] However, the incidence of intracranial tumours is lower in Poland than in other European countries [36] where lymphomas, bone tumours and gonadal tumours are more frequently diagnosed when compared to other European countries.…”

Section: Introductionmentioning

confidence: 99%

Histopathological Pattern of Childhood Solid Tumours in Ilorin: A 28-Year Retrospective Review

Omotayo¹,

Duduyemi²,

Mo³

et al. 2013

AJMSM

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Background: Cancers and other non-communicable diseases were thought to be unimportant public health problems in developing countries because of the overwhelmingly high prevalence of communicable diseases. However, with improved health care facilities and extensive national immunization programmes, coupled with generally improving socio-economic status, malignant diseases are beginning to account for a significant percentage of childhood morbidity and mortality. The study aims to determine the morphological pattern, burden and demographic characteristics of paediatric solid malignancies seen at the University of Ilorin Teaching Hospital between January 1979 and December 2006. Methodology: The demographic characteristics of all cases of malignant solid neoplasms seen in children between the ages of 0 and 15 years were retrieved from the archives and recorded. The histopathological, cytological and the post-mortem slides of the recorded cases were retrieved and reviewed. Special staining techniques were employed where necessary. Results: Three hundred and twenty four cases of childhood solid malignant neoplasms were diagnosed over the study period. The prevalence of childhood malignant solid tumours in Ilorin is 311 per million children. The commonest tumour in this study is lymphoma representing 55.56% of total paediatric malignant solid neoplasms seen. Burkitt's lymphoma constituted the largest single entity (80% of all lymphomas). This was followed by nephroblastoma, retinoblastoma and bone tumours which accounted for 8.33%, 7.72% and 4.63% respectively. Intracranial tumours were relatively rare. Conclusion: The pattern of paediatric malignant solid neoplasms seen in Ilorin is similar to what obtains in other parts of Nigeria and African countries. Burkitt's Lymphoma is the commonest childhood malignancy in this study. Nephroblastoma is the second commonest childhood malignant solid neoplasm in Ilorin as against what was observed in other centres such as Ibadan, Ife and Jos where retinoblastoma is the second commonest after lymphoma.

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Factors affecting the survival of the “at risk” newborn at Korle Bu Teaching Hospital, Accra, Ghana

Cited by 8 publications

References 0 publications

Predictors of Neonatal Deaths in Ashanti Region of Ghana: A Cross-Sectional Study

Predictors of Neonatal Deaths in Ashanti Region of Ghana: A Cross-Sectional Study

Low birthweight delivery: Prevalence and associated factors as seen at a tertiary health facility

Histopathological Pattern of Childhood Solid Tumours in Ilorin: A 28-Year Retrospective Review

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