Post Discharge Mortality among Preterm Newborns Admitted to Selected Public Hospitals NICU Addis Ababa Ethiopia: Cross Sectional Study
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Date
2021-11
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Addis Abeba University
Abstract
Introduction: Worldwide, 15 million babies are born prematurely each year. Prematurity
has become the leading cause of newborn deaths worldwide, resulting in more than 1
million deaths each year .Preterm birth rates around the globe are increasing and are
now responsible for 35% of the world’s neonatal deaths; the condition is the secondleading
cause of death among children under five. Ethiopia is among the top 15
countries that contribute to two-thirds of the world’s preterm babies with an estimated
preterm birth rate of 14.1%. In Ethiopia, of the estimated 91,700 neonatal deaths in
2010, more than one-third were estimated to be due to complications of preterm birth.
Objective: The objective of this study is to assess post NICU discharge mortality rate
among preterm infants discharged from selected public Hospital NICU in Addis Ababa.
Methods: The study design was institutional based cross-sectional descriptive study
conducted in selected public hospital NICUs in Addis Ababa. The study subjects were
preterm neonates who were discharged from NICU. The sampling methods were simple
random sampling method. Chart review and phone call was used to collect data. Data
was analyzed using descriptive statistics by software called SPSS version 25.
Result: out of 406 preterm discharges 395(97.3%) survived to 28 days and 11(2.7%)
died making post discharge mortality rate of preterm neonates is 2.7 %.There were no
statistically significant association between post discharge mortality among preterm
neonates and neonatal, maternal and sociodemographic characteristics.
Recommendation :post discharge preterm mortality is low in this research , which is
encouraging but critical attention should be paid on improving in hospital survival
especially for extremely low and very low birth weight neonate because the vast
majority did not survive to discharge. They account a significant minority in this study.
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Keywords
Mortality ,Preterm newborns