Child and neonatal mortality are a grave problem in Ethiopia. The first one month of life-the neonatal period is the most vulnerable time for a child’s survival. Ethiopia remains to have one of the highest rates of neonatal deaths in Africa with the rate of 30 deaths per 1000 live births. Therefore, the aim of this study was to determine the risk factors of neonatal death among Neonates admitted in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia. Materials and methods: Unmatched Case Control Study was conducted from August 1 to August 30, 2019. Data were extracted from the medical records of neonates admitted during a two-year period from July 30, 2017 to August 01, 2019. using pretested questionnaire. Cases and controls were selected using the systematic sampling technique. Data were entered using Epidata 3.1 and exported to SPSS version 23.0 for cleaning and analyses. Bivariate and multivariate logistic regressions were done to determine factors associated with neonatal mortality and P-values <0.05 were considered statistically significant. Results: A total of 76 (33.3%) cases and 152 (66.7%) controls were included in this study. The multivariable logistic regression analysis showed that the possible risk factors of neonatal death in this study were; history of maternal urinary tract infection or sexually transmitted infection [AOR=3.058; 95% CI (1.136-8.229)]. Conclusion: The major risk factor of neonatal mortality in this study was maternal urinary tract infection, it was also investigated risk factors such as Residence, Birth weight, Parity, Antenatal visits, Type of breastfeeding, premature rupture of membranes or Place of delivery, Intrauterine growth retardation but were not observed to be predictors for neonatal death. Consolidation of the existing risk-based prevention and treatment strategies as well as boosting up of antenatal care and institutional delivery practices are recommended to improve neonatal survival.
| Published in | American Journal of Pediatrics (Volume 6, Issue 2) |
| DOI | 10.11648/j.ajp.20200602.28 |
| Page(s) | 162-167 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Risk Factors, Neonatal Death, NICU, SHYRH, East Ethiopia
| [1] | Organization, W. H., Neonatal and perinatal mortality: country, regional and global estimates. 2006. |
| [2] | Pathirana, J., et al., Neonatal death: Case definition & guidelines for data collection, analysis, and presentation of immunization safety data. 2016. 34 (49): p. 6027-6037. |
| [3] | UNICEF, WHO, The World Bank, United Nations. Levels and trends in child mortality: report 2014. New York, USA: UNICEF, 2014. 2016. |
| [4] | Devine, S. and G. Taylor, Every Child Alive: The urgent need to end newborn deaths. 2018: Unicef. |
| [5] | Yaya, Y., et al., Maternal and neonatal mortality in south-west Ethiopia: estimates and socio-economic inequality. 2014. 9 (4): p. e96294. |
| [6] | Kebede, B., et al., Prevalence and associated factors of neonatal mortality in North Gondar Zone, Northwest Ethiopia. 2012. 26 (2): p. 66-71. |
| [7] | Annan, G. N. and Y. J. A. i. P. H. Asiedu, Predictors of Neonatal Deaths in Ashanti Region of Ghana: A Cross-Sectional Study. 2018. 2018. |
| [8] | Akinyemi, J. O., E. A. Bamgboye, and O. J. B. p. Ayeni, Trends in neonatal mortality in Nigeria and effects of bio-demographic and maternal characteristics. 2015. 15 (1): p. 36. |
| [9] | Titaley, C. R., et al., Determinants of neonatal mortality in Indonesia. 2008. 8 (1): p. 232. |
| [10] | Wolde, H. F., et al., Factors affecting neonatal mortality in the general population: evidence from the 2016 Ethiopian Demographic and Health Survey (EDHS)—multilevel analysis. 2019. 12 (1): p. 610. |
| [11] | Arafa, M. A. and M. A. J. S. m. j. Alshehri, Predictors of neonatal mortality in the intensive care unit in Abha, Saudi Arabia. 2003. 24 (12): p. 1374-1376. |
| [12] | Reyes, J., et al., Neonatal mortality and associated factors in newborn infants admitted to a Neonatal Care Unit. 2018. 116 (1): p. 42-48. |
| [13] | Owusu, B. A., et al., Neonatal mortality at the neonatal unit: the situation at a teaching hospital in Ghana. 2018. 18 (2): p. 369-377. |
| [14] | Garg, P. and S. Gogia, Reducing neonatal mortality in developing countries: low-cost interventions are the key determinants. Journal of Perinatology, 2009. 29 (1): p. 74. |
| [15] | Rarani, M. A., et al., Changes in socio-economic inequality in neonatal mortality in Iran between 1995-2000 and 2005-2010: an Oaxaca decomposition analysis. 2017. 6 (4): p. 219. |
| [16] | Oestergaard, M. Z., et al., Neonatal mortality levels for 193 countries in 2009 with trends since 1990: a systematic analysis of progress, projections, and priorities. 2011. 8 (8): p. e1001080. |
| [17] | Organization, W. H., Every newborn: an action plan to end preventable deaths. 2014. |
| [18] | Blencowe, H., et al., Tetanus toxoid immunization to reduce mortality from neonatal tetanus. 2010. 39 (suppl_1): p. i102-i109. |
| [19] | UNICEF. Neonatal mortality 2019 [cited 2019 29/12/2019]; Available from: https://data.unicef.org/topic/child-survival/neonatal-mortality/. |
| [20] | Liu, L., et al., Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet, 2015. 385 (9966): p. 430-40. |
| [21] | Estimation, U. N. I.-a. G. f. C. M., et al., Levels & Trends in Child Mortality: Report 2018, Estimates Developed by the. 2018: United Nations Children's Fund. |
| [22] | Ethiopian Public Health Institute (EPHI), I., Mini Demographic and Health Survey, C. S. Agency, Editor. 2019, Rockville, Maryland, USA: EPHI, ICF: Addis Ababa. |
| [23] | CSA, Population and Housing Census of Ethiopia, C. S. Agency, Editor. 2015: Addis Ababa. |
| [24] | Kolobo, H. A., T. E. Chaka, and R. T. J. J. o. C. N. Kassa, Determinants of neonatal mortality among newborns admitted to neonatal intensive care unit Adama, Ethiopia: A case–control study. 2019. 8 (4): p. 232. |
| [25] | Debelew, G. T., M. F. Afework, and A. W. J. P. o. Yalew, Determinants and causes of neonatal mortality in Jimma zone, southwest Ethiopia: a multilevel analysis of prospective follow up study. 2014. 9 (9). |
| [26] | Ben, E. H. N., et al., Determinants of neonatal mortality in a Tunisian population. 2010. 88 (1): p. 42-45. |
| [27] | Adetola, A. O., et al., Neonatal mortality in an urban population in Ibadan, Nigeria. 2011. 52 (5): p. 243-250. |
| [28] | Kousar, T., et al., Risk factors and causes of death in Neonates. 2010. 35 (2): p. 205-208. |
| [29] | Warr, A. J., et al., Sexually transmitted infections during pregnancy and subsequent risk of stillbirth and infant mortality in Kenya: a prospective study. 2019. 95 (1): p. 60-66. |
APA Style
Mohamed Omar Osman, Abdikani Mawlid Nur, Abdilahi Omer Abdilahi, Ahmed Mohammed Ibrahim. (2020). Risk Factors of Neonatal Death in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia, 2019: Unmatched Case Control Study. American Journal of Pediatrics, 6(2), 162-167. https://doi.org/10.11648/j.ajp.20200602.28
ACS Style
Mohamed Omar Osman; Abdikani Mawlid Nur; Abdilahi Omer Abdilahi; Ahmed Mohammed Ibrahim. Risk Factors of Neonatal Death in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia, 2019: Unmatched Case Control Study. Am. J. Pediatr. 2020, 6(2), 162-167. doi: 10.11648/j.ajp.20200602.28
AMA Style
Mohamed Omar Osman, Abdikani Mawlid Nur, Abdilahi Omer Abdilahi, Ahmed Mohammed Ibrahim. Risk Factors of Neonatal Death in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia, 2019: Unmatched Case Control Study. Am J Pediatr. 2020;6(2):162-167. doi: 10.11648/j.ajp.20200602.28
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajp.20200602.28,
author = {Mohamed Omar Osman and Abdikani Mawlid Nur and Abdilahi Omer Abdilahi and Ahmed Mohammed Ibrahim},
title = {Risk Factors of Neonatal Death in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia, 2019: Unmatched Case Control Study},
journal = {American Journal of Pediatrics},
volume = {6},
number = {2},
pages = {162-167},
doi = {10.11648/j.ajp.20200602.28},
url = {https://doi.org/10.11648/j.ajp.20200602.28},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200602.28},
abstract = {Child and neonatal mortality are a grave problem in Ethiopia. The first one month of life-the neonatal period is the most vulnerable time for a child’s survival. Ethiopia remains to have one of the highest rates of neonatal deaths in Africa with the rate of 30 deaths per 1000 live births. Therefore, the aim of this study was to determine the risk factors of neonatal death among Neonates admitted in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia. Materials and methods: Unmatched Case Control Study was conducted from August 1 to August 30, 2019. Data were extracted from the medical records of neonates admitted during a two-year period from July 30, 2017 to August 01, 2019. using pretested questionnaire. Cases and controls were selected using the systematic sampling technique. Data were entered using Epidata 3.1 and exported to SPSS version 23.0 for cleaning and analyses. Bivariate and multivariate logistic regressions were done to determine factors associated with neonatal mortality and P-values <0.05 were considered statistically significant. Results: A total of 76 (33.3%) cases and 152 (66.7%) controls were included in this study. The multivariable logistic regression analysis showed that the possible risk factors of neonatal death in this study were; history of maternal urinary tract infection or sexually transmitted infection [AOR=3.058; 95% CI (1.136-8.229)]. Conclusion: The major risk factor of neonatal mortality in this study was maternal urinary tract infection, it was also investigated risk factors such as Residence, Birth weight, Parity, Antenatal visits, Type of breastfeeding, premature rupture of membranes or Place of delivery, Intrauterine growth retardation but were not observed to be predictors for neonatal death. Consolidation of the existing risk-based prevention and treatment strategies as well as boosting up of antenatal care and institutional delivery practices are recommended to improve neonatal survival.},
year = {2020}
}
TY - JOUR T1 - Risk Factors of Neonatal Death in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia, 2019: Unmatched Case Control Study AU - Mohamed Omar Osman AU - Abdikani Mawlid Nur AU - Abdilahi Omer Abdilahi AU - Ahmed Mohammed Ibrahim Y1 - 2020/04/23 PY - 2020 N1 - https://doi.org/10.11648/j.ajp.20200602.28 DO - 10.11648/j.ajp.20200602.28 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 162 EP - 167 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20200602.28 AB - Child and neonatal mortality are a grave problem in Ethiopia. The first one month of life-the neonatal period is the most vulnerable time for a child’s survival. Ethiopia remains to have one of the highest rates of neonatal deaths in Africa with the rate of 30 deaths per 1000 live births. Therefore, the aim of this study was to determine the risk factors of neonatal death among Neonates admitted in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia. Materials and methods: Unmatched Case Control Study was conducted from August 1 to August 30, 2019. Data were extracted from the medical records of neonates admitted during a two-year period from July 30, 2017 to August 01, 2019. using pretested questionnaire. Cases and controls were selected using the systematic sampling technique. Data were entered using Epidata 3.1 and exported to SPSS version 23.0 for cleaning and analyses. Bivariate and multivariate logistic regressions were done to determine factors associated with neonatal mortality and P-values <0.05 were considered statistically significant. Results: A total of 76 (33.3%) cases and 152 (66.7%) controls were included in this study. The multivariable logistic regression analysis showed that the possible risk factors of neonatal death in this study were; history of maternal urinary tract infection or sexually transmitted infection [AOR=3.058; 95% CI (1.136-8.229)]. Conclusion: The major risk factor of neonatal mortality in this study was maternal urinary tract infection, it was also investigated risk factors such as Residence, Birth weight, Parity, Antenatal visits, Type of breastfeeding, premature rupture of membranes or Place of delivery, Intrauterine growth retardation but were not observed to be predictors for neonatal death. Consolidation of the existing risk-based prevention and treatment strategies as well as boosting up of antenatal care and institutional delivery practices are recommended to improve neonatal survival. VL - 6 IS - 2 ER -
Information
Email: