Prevalence and Causes of Neonatal Mortality Among Neonates Admitted in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia 2019
Science Journal of Clinical Medicine
Volume 9, Issue 1, March 2020, Pages: 11-17
Received: Dec. 22, 2019; Accepted: Jan. 15, 2020; Published: Jan. 31, 2020
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Authors
Mohamed Omar Osman, Department of Public Health, Jigjiga University, Jigjiga, Ethiopia
Abdikani Mawlid Nur, Department of Public Health, Jigjiga University, Jigjiga, Ethiopia
Tahir Yousuf Nour, Department of Public Health, Jigjiga University, Jigjiga, Ethiopia
Mahamed Hussen Hashi, Department of Public Health, Jigjiga University, Jigjiga, Ethiopia
Abdilahi Abdiselam Osman, Department of Public Health, Jigjiga University, Jigjiga, Ethiopia
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Abstract
Despite the fact that progresses in reducing child mortality, neonatal survival remains an urgent concern it estimated that the reduction in neonatal mortality was comparatively low; Ethiopia continues to have one of the highest rates of neonatal deaths in Africa with the rate of 29 deaths per 1000 live births. Thus, updated information about the prevalence and causes of neonatal mortality is very decisive for policies consequently improve services and lead to better health for newborns by training health care providers. Therefore, the objective of this study was to assess neonatal death and its possible causes among Neonates Admitted in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia. An institution based Retrospective cross-sectional study design was conducted in NICU at Sheik Hassan Yabare Referral Hospital from August 1 to August 30, 2019. Data was collected using structured questionnaire adapted from other related literatures. Then the Collected data were cleaned, coded and entered into Epidata 3.1 and exported, to SPSS version 23.0 for cleaning and analyses, data were presented, by using simple frequency tables, percentages and graphs. Prevalence of neonatal mortality on neonates admitted to the NICU at Sheik Hassan Yabare Referral Hospital was 20.5% (95% CI: 16.47-25.53). The current study sepsis (29.5%), multi organ failure and premature related (11.5%) followed respiratory failure and hypoglycemia (7.7%) and low birth weight as well as congenital anomalies and hypothermia (6.4%) were the main causes of neonatal mortality. This study revealed that neonatal mortality is still high in NICU at Sheik Hassan Yabare Referral Hospital. Sepsis, multi organ failure, premature related, respiratory failure and hypoglycemia accounted among major causes. Therefore, effective management of neonatal illness, neonatal infection prevention and interventions on maternal health with training of caregivers in neonatal resuscitation plus improved of newborns care were recommended to reduce neonatal mortality and improve neonatal survival.
Keywords
Prevalence, Causes, Neonatal Mortality, NICU, SHYRH, Jigjiga, Ethiopia
To cite this article
Mohamed Omar Osman, Abdikani Mawlid Nur, Tahir Yousuf Nour, Mahamed Hussen Hashi, Abdilahi Abdiselam Osman, Prevalence and Causes of Neonatal Mortality Among Neonates Admitted in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia 2019, Science Journal of Clinical Medicine. Vol. 9, No. 1, 2020, pp. 11-17. doi: 10.11648/j.sjcm.20200901.13
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Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Wardlaw, T., et al., UNICEF Report: enormous progress in child survival but greater focus on newborns urgently needed. Reproductive health, 2014. 11 (1): p. 82.
[2]
Kebede, B., et al., Prevalence and associated factors of neonatal mortality in North Gondar Zone, Northwest Ethiopia. Ethiopian Journal of Health Development, 2012. 26 (2): p. 66-71.
[3]
Guevvera, Y., World Health Organization: Neonatal and perinatal mortality: country, regional and global estimates. 2006, WHO. cebu: sun.
[4]
UNICEF, Levels and trends in child mortality (Report 2014). New York, NY: UNICEF. World Health Organization, World Bank, & United Nations, 2014.
[5]
Organization, W. H., Neonatal and perinatal mortality: country, regional and global estimates. 2006.
[6]
Lucas, A. O., B. J. Stoll, and J. R. Bale, improving birth outcomes: meeting the challenge in the developing world. 2003: National Academies Press.
[7]
Walker, N., Y. Tam, and I. K. Friberg, Overview of the Lives Saved Tool (LiST). BMC Public Health, 2013. 13 Suppl 3: p. S1.
[8]
Bhutta Z A, et al., Can Available Interventions End Preventable Deaths in Mothers, Newborn Babies, and Stillbirths, and at What Cost? The Lancet, 2014. 384 (9940): p. 347–70.
[9]
Lucia Hug, et al., Levels and trends in child mortality. Report 2019. Estimates developed by the UN Inter-agency Group for Child Mortality Estimation. 2019.
[10]
Organization, W. H., Global Health Observatory (GHO) data: Neonatal Mortality. 2016.
[11]
Hug, L., D. Sharrow, and D. You, Levels & trends in child mortality: report 2017. Estimates developed by the UN Inter-agency Group for Child Mortality Estimation. 2017.
[12]
CSA, C. S. A., Ethiopian Demographic and Health Survey 2016 2016, The DHS Program ICF Rockville, Maryland, USA Central Statistical Agency. p. 123-125.
[13]
CSA, Population and Housing Census of Ethiopia, C. S. Agency, Editor. 2015: Addis Ababa.
[14]
Farah, A. E., A. H. Abbas, and A. T. Ahmed, Trends of admission and predictors of neonatal mortality: A hospital based retrospective cohort study in Somali region of Ethiopia. PloS one, 2018. 13 (9): p. e0203314.
[15]
Tewabe, T., et al., Neonatal mortality in the case of Felege Hiwot referral hospital, Bahir Dar, Amhara Regional State, North West Ethiopia 2016: a one-year retrospective chart review. Italian journal of pediatrics, 2018. 44 (1): p. 57.
[16]
Debelew, G. T., M. F. Afework, and A. W. Yalew, Determinants and causes of neonatal mortality in Jimma Zone, Southwest Ethiopia: a multilevel analysis of prospective follow up study. PLoS One, 2014. 9 (9): p. e107184.
[17]
Kokeb, M. and T. Desta, Institution Based Prospective Cross-Sectional Study on Patterns of Neonatal Morbidity at Gondar University Hospital Neonatal Unit, North-West Ethiopia. Ethiop J Health Sci, 2016. 26 (1): p. 73-9.
[18]
Mekonnen, T., et al., Assessment of Neonatal Death and Causes among Admitted Neonates in Neonatal Intensive Care Unit of Mizan Tepi University Teaching Hospital, Bench Maji Zone, South-West Ethiopia, 2018. Clinics Mother Child Health, 2018. 15 (305): p. 2.
[19]
Adetola, A. O., et al., Neonatal mortality in an urban population in Ibadan, Nigeria. Pediatrics & Neonatology, 2011. 52 (5): p. 243-250.
[20]
Matendo, R. M., et al., Challenge of reducing perinatal mortality in rural Congo: findings of a prospective, population-based study. Journal of health, population, and nutrition, 2011. 29 (5): p. 532.
[21]
Sahle-Mariam, Y. and Y. Berhane, Neonatal mortality among hospital delivered babies in Addis Ababa, Ethiopia. Ethiopian Journal of Health Development, 1997. 11: p. 275-282.
[22]
Mengesha, H. G. and B. W. Sahle, Cause of neonatal deaths in Northern Ethiopia: a prospective cohort study. BMC public health, 2017. 17 (1): p. 62.
[23]
Edmond, K. M., et al., Etiology of stillbirths and neonatal deaths in rural Ghana: implications for health programming in developing countries. Paediatric and perinatal epidemiology, 2008. 22 (5): p. 430-437.
[24]
Demisse, A. G., et al., Patterns of admission and factors associated with neonatal mortality among neonates admitted to the neonatal intensive care unit of University of Gondar Hospital, Northwest Ethiopia. Pediatric health, medicine and therapeutics, 2017. 8: p. 57.
[25]
Seid, S. S., et al., Causes and factors associated with neonatal mortality in Neonatal Intensive Care Unit (NICU) of Jimma University Medical Center, Jimma, South West Ethiopia. 2019. 10: p. 39.
[26]
Jehan, I., et al., Neonatal mortality, risk factors and causes: a prospective population-based cohort study in urban Pakistan. Bulletin of the world Health Organization, 2009. 87: p. 130-138.
[27]
Zeinalzadeh, A. H., R. Khodaei, and M. Heidarzadeh, Causes of Neonatal Mortality in the Neonatal Intensive Care Unit of Taleghani Hospital. Iranian Journal of Neonatology IJN, 2017. 8 (3): p. 58-61.
[28]
Wilkinson, J. D., et al., Outcome of pediatric patients with multiple organ system failure. Crit Care Med, 1986. 14 (4): p. 271-4.
[29]
Wilkinson, J. D., et al., Mortality associated with multiple organ system failure and sepsis in pediatric intensive care unit. J Pediatr, 1987. 111 (3): p. 324-8.
[30]
Hamshary, A., et al., Prevalence of multiple organ dysfunction in the pediatric intensive care unit: Pediatric Risk of Mortality III versus Pediatric Logistic Organ Dysfunction scores for mortality prediction. Rev Bras Ter Intensiva, 2017. 29 (2): p. 206-212.
[31]
Chowdhury, H. R., et al., Causes of neonatal deaths in a rural subdistrict of Bangladesh: implications for intervention. Journal of health, population, and nutrition, 2010. 28 (4): p. 375.
[32]
Mmbaga, B. T., et al., Cause-specific neonatal mortality in a neonatal care unit in Northern Tanzania: a registry-based cohort study. BMC pediatrics, 2012. 12 (1): p. 116.
[33]
Baiden, F., et al., Trend and causes of neonatal mortality in the Kassena–Nankana district of northern Ghana, 1995–2002. Tropical medicine & international health, 2006. 11 (4): p. 532-539.
[34]
Rai, S. K., et al., Causes of and contributors to infant mortality in a rural community of North India: evidence from verbal and social autopsy. BMJ open, 2017. 7 (8): p. e012856.
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