Morbidity and Mortality Pattern of Neonates Admitted into Nursery Unit in Wad Medani Hospital, Sudan

Elhassan, Elhassan M.; Hassanb, Ahmed A.; Mirghani, Omer Ahmed; Adam, Ishag

doi:10.4314/sjms.v5i1.56023

Cited by 14 publications

(19 citation statements)

References 7 publications

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“…These results of high neonatal mortality are similar to that of an earlier study [ 15 ] which showed an early neonatal death of 10.9%, as well as results of a study at a regional referral hospital in Sudan where also only inborn neonates were included [ 21 ]. The results are also similar to those of a study on newborns admitted to the NICU in Tanzania in 2003 [ 22 ], which reported a 19% neonatal mortality, as well as those of a study from Nigeria [ 23 ] which showed a neonatal mortality rate of 20.3%.…”

Section: Discussionsupporting

confidence: 89%

Still births, neonatal deaths and neonatal near miss cases attributable to severe obstetric complications: a prospective cohort study in two referral hospitals in Uganda

et al. 2015

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BackgroundNeonatal near miss cases occur more often than neonatal deaths and could enable a more comprehensive analysis of risk factors, short-term outcomes and prognostic factors in neonates born to mothers with severe obstetric complications. The objective was to assess the incidence, presentation and perinatal outcomes of severe obstetric morbidity in two referral hospitals in Central Uganda.MethodsA prospective cohort study was conducted between March 1, 2013 and February 28, 2014, in which all newborns from cases of severe pregnancy and childbirth complications were eligible for inclusion. The obstetric conditions included obstetric haemorrhage, hypertensive disorders, obstructed labour, chorioamnionitis and pregnancy-specific complications such as malaria, anemia and premature rupture of membranes. Still births, neonatal deaths and neonatal near miss cases (defined using criteria that employed clinical features, presence of organ-system dysfunction and management provided to the newborns were compiled). Stratified and multivariate logistic regression analysis was conducted to identify risk factors for perinatal death.ResultsOf the 3100 mothers, 192 (6.2%) had abortion complications. Of the remainder, there were 2142 (73.1%) deliveries, from whom the fetal outcomes were 257 (12.0%) still births, 369 (17.2%) neonatal deaths, 786 (36.7%) neonatal near misses and 730 (34.1%) were newborns with no or minimal life threatening complications. Of the 235 babies admitted to the neonatal intensive care unit (NICU), the main reasons for admission were prematurity for 64 (26.8%), birth asphyxia for 59 (23.7%), and grunting respiration for 26 (11.1%). Of the 235 babies, 38 (16.2%) died in the neonatal period, and of these, 16 died in the first 24 hours after admission. Ruptured uterus caused the highest case-specific mortality of 76.8%, and led to 16.9% of all newborn deaths. Across the four groups, there were significant differences in mean birth weight, p = 0.003.ConclusionsAntepartum hemorrhage, ruptured uterus, severe preeclampsia, eclampsia, and the syndrome of Hemolysis, Elevated Liver Enzymes, Low Platelets (HELLP syndrome), led to statistically significant attributable risk of newborn deaths (still birth or neonatal deaths). Development of severe maternal outcomes, the mothers having been referred, and gravidity of 5 or more were significantly associated with newborn deaths.

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Section: Discussionsupporting

confidence: 89%

Still births, neonatal deaths and neonatal near miss cases attributable to severe obstetric complications: a prospective cohort study in two referral hospitals in Uganda

et al. 2015

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“…The proportional Preterm mortality was more than that of term babies. In our study, out born deaths (Table 4) were significantly higher than that of inborn babies which are similar to other studies [10,11]. The probable cause for increased in number of out born deaths could be due to delayed referrals.…”

Section: Discussionsupporting

confidence: 91%

“…Of 2089 neonates admitted to NICU, 1978 (94.68%) neonates were discharged home, when compared to other studies which have reported 81% and 82% discharges [10,11]. During this study period there were 71 deaths.…”

Section: Discussionmentioning

confidence: 65%

Neonatal mortality trends at tertiary care hospital, Kuppam

Naidu

et al. 2018

Int J Pediatr Res

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Background: Neonatal mortality rate is one of the indicators which depict the health care status of that country. Hospital based mortality and morbidity pattern helps in improving the quality of health care delivery in the hospital. Objectives: (1) To determine the neonatal mortality trend over 36 months and various causes of neonatal mortality. (2) To determine the risk factors for early and late neonatal deaths.

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“…Outcome of 1580 admitted babies (Figure2) 83%were discharged home, very similar to studies which reported 81% and 82% discharges [7,11]. These two studies reported DAMA as 7.7% and 4% while a study from Maharashtra reported 31.7% [15].…”

Section: Discussionsupporting

confidence: 67%

Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

Iyer¹,

Gornale²,

Pj³

et al. 2015

Int J Pediatr Res

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Background: Neonatal outcome is a sensitive indicator of availability, utilization and effectiveness of obstetrics and neonatal health care in the community. Review of hospital based mortality and morbidity pattern is critical to improve the quality of health care delivery system in that hospital. Objectives: To study the morbidity and mortality pattern of neonates admitted to neonatal intensive care unit (NICU) of a rural medical college hospital. Material and methods: All the neonates admitted to NICU from July 2013 to June 2015 were retrospectively analysed for demographic profile, short term morbidity and outcome. Results: 1580 neonates were admitted in the study period. 59.5% were Males, 63% were inborn, 75% were term babies and 59.5% had normal birth weight. 89.8% were admitted in early neonatal period. Important causes for admission were sepsis (24%)), birth asphyxia (23.6%), prematurity and low birth weight care (18.5%), Respiratory problems (13.9%) and hyperbilirubinemia (10.3%). The outcome of the admitted babies showed 83% discharges, 3.7% deaths, 12.2% discharge against medical advice and 1.96% referred to another centre. The major causes of mortality were birth asphyxia including hypoxic ischemic encephalopathy (45%), sepsis (27.5%) and respiratory problems (27.5%). The survival of term as well as inborn babies was better than that of preterm and out born neonates respectively. Conclusion: Birth asphyxia, neonatal sepsis, prematurity and respiratory problems were major causes of both mortality and morbidity. There is need to strengthen services to address these problems more effectively.

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Morbidity and Mortality Pattern of Neonates Admitted into Nursery Unit in Wad Medani Hospital, Sudan

Cited by 14 publications

References 7 publications

Still births, neonatal deaths and neonatal near miss cases attributable to severe obstetric complications: a prospective cohort study in two referral hospitals in Uganda

Still births, neonatal deaths and neonatal near miss cases attributable to severe obstetric complications: a prospective cohort study in two referral hospitals in Uganda

Neonatal mortality trends at tertiary care hospital, Kuppam

Morbidity and Mortality pattern of neonatal intensive care unit in a Medical College Hospital from South India

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