Identifying Causes and Associated Factors of Neonatal Mortality among Neonates Admitted to Neonatal Intensive Care unit in Governmental Hospitals Addis Ababa, Ethiopia, 2020.
No Thumbnail Available
Date
2020-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Ethiopia has made a considerable improvement in reducing child mortality.However, neonatal mortality is still a concern which needs priority attention.Little is known about factors affecting neonatal mortality in Ethiopia among those admitted toNICUs in AddisAbaba governmental hospitals. Neonatal mortality is still accounts the largest proportion ofunder five deaths the same situation was also seen in the MDG.
Objective: To assess neonatal mortality and associated factors among newborns admitted to theneonatal intensive care unit in governmental hospitals, Addis Ababa, Ethiopia, 2020.
Method: Retrospective cohort study design was conducted in Addis Ababa selectedgovernmental hospitals at NICUs from March 25th, 2020 to April 30th, 2020. Data was collectedusing data extraction after conducting the pre - test. Data was entered into the EPi-data version4.6 and exported to SPSS for window version 26.0 for cleaning, editing, and analysis. Binary andmultiple logistic regressions were used to observe the association (P-value ≤0. 25 for binary andP-value < 0.05 for multiple) between independent variables and a dependent variable.
Results: The study included 298 neonates died after admission to NICUs in Addis Ababaselected governmental hospitals. Among all deaths the major causes of neonatal mortality arecardio respiratory arrest secondary to (prematurity, respiratory distress) were 43.6%, sepsissecondary to overwhelming were 25.5% and perinatal neonatal asphyxia were 16.4%. In this study results showed that, there was statistically significance association found between neonatalmortality within the first week were antenatal care follow up (AOR=0.22, 95% CI: 0.11-0.44),neonates birth weight1500-2499gram (AOR=0.41, 95% CI: 0.17-0.97), neonates admitted withpre-term problem (AOR=2.36, 95% CI: 1.01-5.51)and neonates admitted with perinatal neonatalasphyxia (AOR=2.91, 95%, CI: 1.28-6.64).
Conclusion: In general, this study showed that has described different variables such as sociodemographicfactors, obstetric factors, and diagnosis on admission and possible causes ofneonatal death.The major causes of neonatal mortality were cardio respiratory arrest secondaryto prematurity, respiratory distress, infection and birth asphyxia as identified by this study. Bothmaternal and neonatal risk factors for neonatal mortality were identified in this study.
Description
Keywords
Neonatal mortality, causes, Neonatal intensive care unit, Ethiopia