Determinants of Neonatal Health outcome among Preterm Neonates with Respiratory Distress Syndrome Admitted at Public Hospitals Addis Ababa, Ethiopia, Retrospective Study
| dc.contributor.advisor | Emebet Berhane | |
| dc.contributor.author | Bewket Abera | |
| dc.date.accessioned | 2025-08-12T19:34:05Z | |
| dc.date.available | 2025-08-12T19:34:05Z | |
| dc.date.issued | 2024-06-15 | |
| dc.description.abstract | Background: preterm neonates are at increased risk of morbidity and mortality related to different cases. Respiratory distress is one of the most common reasons for neonatal admission to the neonatal intensive care unit, 29% of late preterm neonates admitted to the neonatal intensive care unit develop respiratory morbidity. The preterm neonates with respiratory distress syndrome health outcome and its determinants are unknown in the study area. Objective: This study aims to identify the determinants of neonatal health outcomes among preterm neonates with respiratory distress syndrome admitted at public Hospitals, in Addis Ababa, Ethiopia. Methods: An institutional-based retrospective cross-sectional study design was utilized. A sample of 414 medical records of the neonates admitted at public hospitals from Jan 1/2019 to Dec 31/2023. The medical records were selected using a simple random sampling technique. The Data was using a data extraction checklist. Data was coded and entered into SPSS Version 27. A binary logistic regression analysis was run to identify significant determinant variables. The level of significance was declared. Result: In this study, records of 414 preterm neonates were included. Of this 249(60.1%) were males. The majority of preterm neonates with RDS 265(64%) were discharged with good outcomes and 149(36%) had poor outcomes. Gestational age, Birth weight, Parity, MAS and antenatal steroid administration were found significantly associated with RDS related preterm neonatal mortality, with the p value of 0.008, 0.047, 0.004, 0.017 and 0.037 respectively. Conclusion: In this study findings showed that a significant number of preterm neonates with RDS had good health outcomes. The major determinants of poor health outcome were lower gestational age, low birth weight, born from primiparous, MAS and born from mother who didn’t take antenatal steroid. Enhancing antenatal care to identify pregnant mothers at risk of preterm delivery early and initiating preventive interventions, such as administering corticosteroids during the antenatal period, may be recommended. Key word: Determinant, Preterm, Respiratory Distress Syndrome, Neonate, Addis Ababa | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6428 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Determinant PretermRespiratory Distress SyndromeNeonateAddis Ababa | |
| dc.title | Determinants of Neonatal Health outcome among Preterm Neonates with Respiratory Distress Syndrome Admitted at Public Hospitals Addis Ababa, Ethiopia, Retrospective Study | |
| dc.type | Thesis |