Prevalence and factors associated with neonatal mortality among neonates hospitalized at the National Hospital Nouakchott, Mauritania

Weddih, Abdellahi; Ahmed, Mohamed Lemine Cheikh Brahim; Sidatt, Mariem; Abdelghader, Nessiba; Abdelghader, Fatimatou; Ahmed, A K; Regad, Saad Bouh; Makhalla, Khatry; Heukelbach, Jörg; Barkat, Amina

doi:10.11604/pamj.2019.34.152.14683

Cited by 17 publications

(22 citation statements)

References 19 publications

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“…The odds of neonatal mortality among neonates delivered at the health center were 5.05 times that of neonates delivered at hospitals. This is consistent with studies conducted in Nigeria and Mauritania [19,29]. This may be due to the unavailability of skilled manpower and equipment to treat those sick neonates immediately after delivery in the health center.…”

Section: Discussionsupporting

confidence: 89%

Neonatal mortality among neonates admitted to NICU of Hiwot Fana specialized university hospital, eastern Ethiopia, 2020: a cross-sectional study design

et al. 2021

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Background In Ethiopia, neonatal mortality is unacceptably high. Despite many efforts made by the government and other partners to reduce neonatal mortality; it has been increasing since 2014. Factors associated with neonatal mortality were explained by different researchers indifferently. There is no clear evidence to identify the magnitude of neonatal mortality and associated factors in the study area. The study aimed to assess the magnitude and factors associated with neonatal mortality. Methods Facility-based cross-sectional study was conducted among 834 randomly selected neonates. The study was conducted from February 20 to March 21, 2020. Data were extracted from medical records using a checklist adapted from the World Health Organization, and neonatal registration book. The data were inserted into Epi-data version 3.1 and then exported into SPSS window version 20 for analysis. Bivariate and multivariate analyses were employed to identify the association between independent variables and the outcome variable. Results Magnitude of neonatal mortality was 14.4% (95% CI:11.9,16.7). Being neonates of mothers whose pregnancy was complicated with antepartum hemorrhage [AOR = 4.13, 95%CI: (1.92,8.85)], born from mothers with current pregnancy complicated with pregnancy-induced hypertension [AOR = 4.41, 95%CI: (1.97,9.86)], neonates of mothers with multiple pregnancy [AOR = 2.87, 95% CI (1.08,7.61)], neonates delivered at the health center [AOR = 5.05, 95%CI: (1.72,14.79)], low birth weight [AOR = 4.01, 95%CI (1.30,12.33)], having perinatal asphyxia [AOR =3.85, 95%CI: (1.83,8.10)], and having early-onset neonatal sepsis [AOR = 3.93, 95%CI: (1.84,8.41)] were factors significantly associated with neonatal mortality. Conclusion The proportion of neonatal mortality was relatively in line with other studies but still needs attention. Antepartum hemorrhage, Pregnancy-induced hypertension, place of delivery, low birth weight, having perinatal asphyxia, and having neonatal sepsis were independent factors. The hospital, and health care workers should give attention to neonates admitted to intensive care units by strengthening the quality of care given at neonatal intensive care unit like infection prevention and strengthening early detection and treatment of health problems during Antenatal care visit.

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Section: Discussionsupporting

confidence: 89%

Neonatal mortality among neonates admitted to NICU of Hiwot Fana specialized university hospital, eastern Ethiopia, 2020: a cross-sectional study design

et al. 2021

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“…Our unit is only able to provide bubble continuous Positive Airway Pressure for patients that require more advanced respiratory support and as majority of the early deaths are due to asphyxia and prematurity, their survival could depend on the extent to which respiratory needs are supported. Despite this, our overall mortality of 13.4% compares favorably with previous studies conducted in Ghana and the sub-region [ 21 , 26 – 29 ]. For instance, Atta Owusu et.…”

Section: Discussionsupporting

confidence: 73%

Timing and causes of neonatal mortality in Tamale Teaching Hospital, Ghana: A retrospective study

et al. 2021

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Neonatal deaths now account for more than two-thirds of all deaths in the first year of life and for about half of all deaths in children under-five years. Sub-Saharan Africa accounts up to 41% of the total burden of neonatal deaths worldwide. Our study aims to describe causes of neonatal mortality and to evaluate predictors of timing of neonatal death at Tamale Teaching Hospital (TTH), Ghana. This retrospective study was conducted at TTH located in Northern Ghana. All neonates who died in the Neonatal Intensive Care Unit (NICU) from 2013 to 2017 were included and data was obtained from admission and discharge books and mortality records. Bivariate and multivariate logistic regression were used to assess predictors of timing of neonatal death. Out of the 8,377 neonates that were admitted at the NICU during the 5-year study period, 1,126 died, representing a mortality rate of 13.4%. Of those that died, 74.3% died within 6 days. There was an overall downward trend in neonatal mortality over the course of the 5-year study period (18.2% in 2013; 14.3% in 2017). Preterm birth complications (49.6%) and birth asphyxia (21.7%) were the top causes of mortality. Predictors of early death included being born within TTH, birth weight, and having a diagnosis of preterm birth complication or birth asphyxia. Our retrospective study found that almost 3/4 of neonatal deaths were within the first week and these deaths were more likely to be associated with preterm birth complications or birth asphyxia. Most of the deaths occurred in babies born within health facilities, presenting an opportunity to reduce our mortality by improving on quality of care provided during the perinatal period.

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“…The incidence proportion of death was 34.68, 30.88, and 15.38% among neonates referred within 1, 2-7, and 8-28 days respectively. These findings were in line with studies conducted in Gondar comprehensive specialized hospital 28.8% [25], Mauritania 34.7% [28], and tertiary care teaching government hospitals in India 31.98 and 32.9% [8,29]. However, study finding was higher than previous studies conducted in Ethiopia; Debre Markos referral hospital 21% [22], Amhara regional state referral hospitals 18.6% [21], Tigray 6.04% [30], referral hospital in southern Ethiopia [31] and Nekemte Referral Hospital 8.8% [32] in southern India; 22.8% [33], 20.75% [24], 18.36% [23] and Argentina 17.5% [34].…”

Section: Discussionsupporting

confidence: 92%

“…Hypothermia and oxygen saturation < 90% during transportation was an independent predictor of neonatal death. This study is similar to a previous study conducted in Ethiopia [11], Mauritania [28], and India [2,12]. Lack of emergency care on the way to higher centers, poor stabilization before referral and inadequate care during transport increase clinical instability [2,41].…”

Section: Discussionsupporting

confidence: 88%

Incidence and predictors of mortality among neonates referred to comprehensive and specialized hospitals in Amhara regional state, North Ethiopia: a prospective follow-up study

et al. 2021

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Background Neonatal mortality is a major global public health problem. Ethiopia is among seven countries that comprise 50 % of global neonatal mortality. Evidence on neonatal mortality in referred neonates is essential for intervention however, there is no enough information in the study area. Neonates who required referral frequently became unstable and were at a high risk of death. Therefore, this study aimed to assess the incidence and predictors of mortality among referred neonates. Method A prospective follow-up study was conducted among 436 referred neonates at comprehensive specialized hospitals in the Amhara regional state, North Ethiopia 2020. All neonates admitted to the selected hospitals that fulfilled the inclusion criteria were included. Face-to-face interviews, observations, and document reviews were used to collect data using a semi-structured questionnaire and checklists. Epi-data™ version 4.2 software for data entry and STATA™ 14 version for data cleaning and analysis were used. Variables with a p-value < 0.25 in the bi-variable logistic regression model were selected for multivariable analysis. Multivariable analyses with a 95% confidence level were performed. Variables with P < 0.05 were considered statistically significant. Result Over all incidence of death in this study was 30.6% with 95% confidence interval of (26.34–35.16) per 2 months observation. About 23 (17.83%) deaths were due to sepsis, 32 (24.80%) premature, 40 (31%) perinatal asphyxia, 3(2.33%) congenital malformation and 31(24.03%) deaths were due to other causes. Home delivery [AOR = 2.5, 95% CI (1.63–4.1)], admission weight < 1500 g [AOR =3.2, 95% CI (1.68–6.09)], travel distance ≥120 min [AOR = 3.8, 95% CI (1.65–9.14)], hypothermia [AOR = 2.7, 95% CI (1.44–5.13)], hypoglycemia [AOR = 1.8, 95% CI (1.11–3.00)], oxygen saturation < 90% [AOR = 1.9, 95% (1.34–3.53)] at admission time and neonate age ≤ 1 day at admission [AOR = 3.4, 95% CI (1.23–9.84) were predictors of neonatal death. Conclusion The incidence of death was high in this study. The acute complications arising during the transfer of referral neonates lead to an increased risk of deterioration of the newborn’s health and outcome. Preventing and managing complications during the transportation process is recommended to increase the survival of neonates.

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Prevalence and factors associated with neonatal mortality among neonates hospitalized at the National Hospital Nouakchott, Mauritania

Cited by 17 publications

References 19 publications

Neonatal mortality among neonates admitted to NICU of Hiwot Fana specialized university hospital, eastern Ethiopia, 2020: a cross-sectional study design

Neonatal mortality among neonates admitted to NICU of Hiwot Fana specialized university hospital, eastern Ethiopia, 2020: a cross-sectional study design

Timing and causes of neonatal mortality in Tamale Teaching Hospital, Ghana: A retrospective study

Incidence and predictors of mortality among neonates referred to comprehensive and specialized hospitals in Amhara regional state, North Ethiopia: a prospective follow-up study

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