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Journal of Intensive and Critical Care Nursing | Volume 2
October 24-25, 2019 | Zurich, Switzerland
2nd European
Nursing Congress
International Conference on
Clinical Nursing & Practice
Joint Event
&
J Intensive Crit Care Nurs, Volume 2
Neonatal mortality and Associated Factors in Orotta National Referral Specialized
Neonatal Care Unite, Asmara Eritrea
Amanuel Kidane Andegiorgish, Zemichael Ogbe, Mihreteab Andemariam, Sabella Temesghen, Liya Ogbai
and
LingXia Zeng
Xi’an Jiaotong University, China
Background:
Factors associated with neonatal mortality in
Orotta Specialized Neonatal Care Unite, Asmara, Eritrea is not
known.
Methodology:
A retrospective cross-sectional study was
conducted in 2016. Information was analyzed using SPSS
V.20. Quantitative indices were presented using mean±SD. ᵡ2-
tests and two binary logistic regression analyses were used
to assess for neonatal and maternal related causes of deaths.
P-value <0.05 was considered as significant association.
Result:
A total of 1414 neonates were admitted in 2016, and
1204 neonates with complete information were included in
this study. Seventy-nine (6.6%) neonates died in 2016. Males
neonates were 59.9%. Eight-tenth of the neonates born at
term, appropriate for gestational age, and were delivered in
the tertiary maternity hospital, Orotta. Seventy-nine percent
(79.1%) of the delivery were spontaneous vaginal delivery.
Forty percent of the overall neonates were admitted to
the neonatal care unit within one hour of birth. The most
common causes of admission were sepsis, respiratory
distress syndrome and perinatal asphyxia. Of the neonates
who died, 38% came within one hour, 17.7% within less than
one day and 44.3% more than one day after birth, either
referred from other health facilities or home delivered. The
leading cause of death in this study was respiratory distress
syndrome. Extremely low birth weight neonates held the
highest percent (40.9%) of mortality followed by very low
birth weight 30.5%, while normal birth weight neonates
accounted 3.1% only. Univariarte logistic regression analysis
showed that gestational age (<37 weeks)(p<0.001), low
birth weight(p<0.001), low apgars score(p<0.005),length of
stay (p<0.040), congenital abnormalities (p<0.001), place of
delivery outside the tertiary hospital (p<0.014), and small
for gestational age(p<0.016) were significantly associated
with neonatal mortality. However, only birth weight, place
of delivery and congenital abnormality neonates were
significantly associated withmortality inmultivariate analysis.
Conclusion:
Neonatal mortality due to amendable factors to
early intervention in the delivery sites and the communitywas
high. Health education on prevention during preconception
and ANC should be strengthened. National data of facility and
community sources should be explored and addressed early
in the years of SDG strategy.
e
:
akidane2016@gmail.comNotes: