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Risk Factors of Neonatal Death in Neonatal Intensive Care Unit at Sheik Hassan Yabare Referral Hospital, East Ethiopia, 2019: Unmatched Case Control Study

Received: 7 March 2020     Accepted: 23 March 2020     Published: 23 April 2020
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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.

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), 2020. Published by Science Publishing Group

Keywords

Risk Factors, Neonatal Death, NICU, SHYRH, East Ethiopia

References
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Cite This Article
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    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

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    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

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    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

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  • @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}
    }
    

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  • 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  - 

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Author Information
  • Department of Public Health, Jigjiga University, Jigjiga, Ethiopia

  • Department of Public Health, Jigjiga University, Jigjiga, Ethiopia

  • Department of Public Health, Jigjiga University, Jigjiga, Ethiopia

  • Department of Public Health, Jigjiga University, Jigjiga, Ethiopia

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