Level, Causes and Risk Factors of Neonatal Mortality, in Jordan: Results of a National Prospective Study

Batieha, Anwar; Khader, Yousef; Berdzuli, Nino; Chua-Oon, Chuanpit; Badran, Eman; Al-Sheyab, Nihaya; Basha, Asma; Obaidat, Ahmad N.; Al‐Qutob, Raeda

doi:10.1007/s10995-015-1892-x

Cited by 54 publications

(47 citation statements)

References 13 publications

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“…This is a consistent finding in both the national mortality study [4] and our study. Improvement in the care of VLBWI should significantly impact the overall neonatal mortality rate in Jordan.…”

Section: Discussionsupporting

confidence: 93%

“…Studies investigating the health outcomes of those neonates from the Arab countries are scarce [1][2][3], with none being from Jordan. VLBWI represent 1.4% of total live births in Jordan [4]. Despite all of the efforts to improve neonatal care by national and international organizations, the neonatal mortality rate in Jordan is still high (14.8/1000 live births) [4] and 50% of those mortalities are in VLBWI [4].…”

Section: Introductionmentioning

confidence: 99%

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Mortality and Short-Term Outcomes of Very Low Birth Weight Infants at a Tertiary Care Center in Jordan: Comparison with Other Countries

Al-lawama¹,

Abdelghani²,

Badran³

2017

Pediatr Ther

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Purpose: Very low birth weight infants (VLBWI) are the most fragile group of neonates with high rate of mortality and morbidity. Neonatal mortality rate in Jordan is still high. This is the first study from Jordan that aims to assess VLBWI mortality rate and the factors contributed to it and to report on the short outcomes and morbidities of those newborns in comparison to other countries to identify potential areas of improvement. Methods:A prospective study of all newborns with birth weight 500-1500 g, admitted to our level three neonatal intensive care unit (NICU) at Jordan university hospital over 14 months period. The results were compared to reports from other countries. Results:The study included 71 neonates admitted to our neonatal intensive care weighing from 500-1500 g during the study period. Most of them (88.7%) were inborn infants. Gestational ages mean ± SD was 28.6 ± 2.3 week. Birth weights mean ± SD was 1086.7 ± 262 g. Mortality rate was 35.2%. Short outcomes of survivors are for CLD 4.2%, sever ROP 3.8%, proven NEC 2.8%, PVL 1.9% and sever IVH rate was 10.6%. Conclusions:Mortality rate in our cohort is high. Multiple factors are involved. The care of very low birth infants in Jordan needs a lot of efforts to decrease mortality and improve morbidities. This is a prospective single center study. A multicenter study is needed that involves all health sectors in Jordan.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Mortality and Short-Term Outcomes of Very Low Birth Weight Infants at a Tertiary Care Center in Jordan: Comparison with Other Countries

Al-lawama¹,

Abdelghani²,

Badran³

2017

Pediatr Ther

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“…The observational study design may lead to bias by indication and it is, therefore, not possible to prove causality. Male gender is associated with a higher neonatal morbidity and mortality hence boys will probably have more or other types of catheters placed which may lead to a higher CLABSI incidence (29, 30). …”

Section: Discussionmentioning

confidence: 99%

Bloodstream Infection Incidence of Different Central Venous Catheters in Neonates: A Descriptive Cohort Study

et al. 2017

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Central venous catheters (CVCs) in neonates are associated with a risk of central line-associated bloodstream infections (CLABSI). Most reports on the incidence of CLABSI in neonates focus on umbilical venous catheters (UVCs) and peripherally inserted central catheters (PICCs). We evaluated the incidence and risk factors for CLABSI in a cohort of neonates with femoral venous catheters (FVCs), UVCs, and PICCs, with a gestational age ≥34 weeks born between January 1, 2006 and June 30, 2013. We included 2,986 neonates with a total of 656 catheters. The CLABSI incidence rate varied from 12.3 per 1,000 catheter-days in FVCs to 10.6 per 1,000 catheter-days in UVCs and 5.3 per 1,000 catheter-days in PICCs. In a Kaplan–Meier survival analysis, we did not find a difference in CLABSI risk between the catheter types (p = 0.29). The following factors were independently associated with an increased risk of CLABSI: parenteral nutrition [hazard ratio (HR) 2.60, 95% confidence interval (CI) 1.25–5.41], male gender (HR 2.63, 95% CI 1.17–5.90), and higher birth weight (HR 1.04, 95% CI 1.002–1.09), whereas antibiotic treatment at birth (HR 0.25, 95% CI 0.12–0.52) was associated with a decreased risk. Conclusion: In our cohort, we did not find a difference between the CLABSI incidence in FVCs, PICCs, and UVCs. Occurrence of CLABSI is associated with parenteral nutrition, male gender, and higher birth weight. Antibiotic treatment at birth was associated with a decreased risk of CLABSI.

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“…In Jordan, the neonatal mortality rate is estimated to be 14 per 1000 births (Department of Statistics [Jordan] and ICF International ), with RDS being the leading cause (53.5%; Batieha et al. ). According to Batieha et al.…”

Section: Introductionmentioning

confidence: 99%

“…According to Batieha et al. (), 75% of neonatal deaths can be prevented by providing proper medical care during delivery and the immediate post‐partum period. Unfortunately, about 60% of neonatal deaths are attributable to poor medical care (Batieha et al.…”

Section: Introductionmentioning

confidence: 99%

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

Ali

Obeisat

Tarawneh

2019

International Nursing Review

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Aim This study evaluates the effectiveness of an educational intervention in the area of nursing knowledge and practice relating to neonatal respiratory distress syndrome. Background In Jordan, respiratory distress is the leading cause of death among neonates. Recent studies have revealed a knowledge deficit relating to respiratory distress among nurses in neonatal intensive care units, hence the need for advanced training and specialization in this area. Methods A quasi‐experimental, repeated‐measures, one‐group pre‐test–post‐test design was used to assess the effectiveness of the educational intervention. A convenience sample of 48 nurses was recruited from three hospitals in northern Jordan. A self‐reporting questionnaire was used to assess the respondents’ knowledge of respiratory distress and an observational checklist to assess their practice. The study intervention consisted of 12 two‐hour lecture‐based interactive teaching sessions lasting 4 weeks. A follow‐up assessment was conducted 1 month after the post‐test. Results The baseline assessment revealed that more than half of the nurses scored low on knowledge and the majority scored low on practice. One‐way repeated ANOVA showed that post‐test and follow‐up test scores on nursing knowledge and practice were significantly higher than the baseline scores. Conclusion The study findings show the efficacy of educational interventions in enhancing nursing knowledge and practice relating to the care of neonates with respiratory distress. Implications for nursing and health policy For neonatal nurses, periodic teaching and training interventions are essential to ensuring the quality nursing care required to reduce morbidity and mortality rates among neonates. Health policymakers should support nurses in pursuing educational opportunities aimed at enhancing their knowledge of advanced neonate care.

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Level, Causes and Risk Factors of Neonatal Mortality, in Jordan: Results of a National Prospective Study

Cited by 54 publications

References 13 publications

Mortality and Short-Term Outcomes of Very Low Birth Weight Infants at a Tertiary Care Center in Jordan: Comparison with Other Countries

Mortality and Short-Term Outcomes of Very Low Birth Weight Infants at a Tertiary Care Center in Jordan: Comparison with Other Countries

Bloodstream Infection Incidence of Different Central Venous Catheters in Neonates: A Descriptive Cohort Study

Improving nursing knowledge and care for neonates with respiratory distress in Jordan

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