Prevalence and associated morbidities of preterm neonatal admissions at the University of Maiduguri Teaching Hospital, North-Eastern Nigeria

Abstract

Introduction: Preterm delivery is of considerable concern to clinicians and researchers being a leading cause of infant morbidity and mortality in the industrialized countries and also contributes to substantial complications among survivors. Sub-Saharan Africa, including Nigeria accounts for significant proportion of preterm births, with over million deaths due to complication of prematurity.
 Objectives: The study aimed to determine the prevalence and associated morbidities of preterm deliveries at the University of Maiduguri Teaching Hospital, Maiduguri, North-Eastern Nigeria.
 Patients and methods: This is a retrospective review of neonates delivered before 37 completed weeks of gestation and admitted into the Special Care Baby Unit (SCBU) of the University of Maiduguri Teaching Hospital, from 1st January 2008 to 31st December 2015.
 Results: There were 3435 admissions into the Special Care baby Unit (SCBU) during the 8 year period. Out of these 1129 were preterm babies giving a prevalence of 32.9%. Of the 1129 preterm babies managed in SCBU, 714 case records were retrieved and analyzed giving a retrieval rate of 63%. There were 372 (52.1%) males and 342 (47.9%) females; with the male to female ratio of 1:1.08. There were 17(2.3%) extreme low birth weight (<1000g), 288 (40.3%) very low birth weight (1000-1499 g), 406 (56.9%) low birth weight (1500- 2499 g) babies. The range of admission weights was 700-2500g with mean of 1600±900g.
 Conclusion: The burden, complications and mortality from preterm newborns remain significant public health challenges to care givers in Nigeria.
 Key words : Prevalence, preterm babies, associated morbidities, Maiduguri

Predictors and Complications of Prematurity in Two Health Facilities in Fako Division, Southwest Region, Cameroon

“…Regarding their sex, there was a male to female ratio of 1:1.1 in the cases indicating a female predominance as opposed to the controls where there was a male to female ratio of 1.2:1 indicating a male predominance. The finding in the cases was similar to those observed by Abdul-Mumin et al in Ghana andMustapha et al in Nigeria[17] [19]. However, this was contrary to that of Chiabi et al in Cameroon and Ayele et al in Ethiopia who had a male predominance as it was the case in our control group[20].Our study revealed that the occurrence of preterm birth increased with increasing maternal age.…”

316 A review of preterm admissions and outcomes in Lagos Island Maternity hospital (Baby Factory), South Western Nigeria

“…Conclusion Preterm births complications are a major contributor to the high NMR in Nigeria. 1 The highest mortality in our study was among the ELBW babies and the major causes of morbidity and mortality include RDS, NNS, NNJ, NEC, Perinatal asphyxia and congenital anomalies. An audit provides the basis for engagement and advocacy for improvement of services, capacity building, and provision of equipment and ancillary services.…”