Global Advanced Research Journal of Medicine and Medical Sciences
July 2012 Vol. 1(6), pp. 133-138
Copyright © 2012 Global Advanced Research Journals

 

Full Length Research Paper

Pattern of morbidity and mortality in the newborn special care unit in a tertiary institution in the Niger Delta region of Nigeria: A two year prospective study

G I McGil Ugwu

Department of paediatrics Delta State University Oghara Delta State Nigeria

E-mail: gnclinic@yahoo.com; Phone: +2348026239010

Accepted 12 July, 2012

Abstract

To determine the pattern of morbidity and mortality of admitted newborns in the Neonatal Intensive Care Unit of Delta State University Teaching Hospital Oghara. Newborn morbidity and mortality are still very high in developing countriets despite significant decline in developed countries. The quality of newborn care depends among other things, the establishment of the special care baby unit, regular audit and evaluation of services rendered. All neonates admitted into the Newborn Intensive Care Unit (NICU) of Delta State University Teaching Hospital Oghara in Niger Delta of Nigeria over a two year period between January 2010 and December 2011, were prospectively studied. Information documented include the biodata of each child, the diagnosis, services rendered and outcome. A total of 646 neonates were admitted during the period of review. The male: female ratio was 1.2:1 in favour of the males.(350:296). Of these, 108 were due to prematurity (16.4% ), 24(3.9% ) due to intrauterine growth restriction,116 (18.3%) with birth asphyxia. 228 (35.5%) were due to neonatal sepsis, 8(1.5%) neonatal tetanus. 60 (9.5%) had neonatal jaundice while 102 or(14.9 %) were due to other diseases. Of the 228 with neonatal sepsis, only in 80 (35.1%) was the sepsis culture proven, with 47.4% as presumed sepsis and 17.5% of cases, the neonates had other comorbid states. The overall mortality rate was 20.3%. The ratio of male to female deaths was 2.31 with the case fatality rate also higher in males than females at 26.3% and 14.1% respectively. Sepsis accounted for 25.7% of the deaths, birth asphyxia 24.1%, prematurity 22.6%. However the case fatality rate showed neonatal tetanus to be highest at 50%, Prematurity 27.8%, birth asohyxia 27.6% and neonatal sepsis 14.9%. Though more patients seen and died had neonatal sepsis, the case fatality rate showed neonatal sepsis to be just slightly above half of that for prematurity and birth asphyxia which are almost at par. Case fatality for tetanus remains very high. Regular auditing of the services in the neonatal intensive care unit is very essential and reduction of the neonatal mortality is a must, if the dream of achieving the 4th millenium development goal of reducing under 5 mortality by 2/3rd by 2015 can be attained.

Keywords: neonate, morbidity, mortality.

 

Related Articles


Original Research Articles
Mohamed Salah Elgendy
Histological Study on the Protective Effect of Stem Cells and ginger on Isoproterenol Induced Myocardial Infarction in Male Albino Rats
Glo. Adv. Res. J. Med. Med. Sci. December 2016 Vol: 5(12): - [Abstract] [Full Text - PDF] (4,004 KB)
Safa MA El Tazi; Mukhtar Ahmed Mukhtar; KA Mohamed and Mohamed H Tabidi
Effect of Using Black Pepper as Natural Feed Additive on Performance and Carcass Quality of Broiler Chicks.
Glo. Adv. Res. J. Med. Med. Sci. April 2014 Vol: 3(4): - [Abstract] [Full Text - PDF] (221 KB)
Alaa El-Din H Sayed, Sara S Abdel Hakeem, Usama M Mahmoud and Imam A Mekkawy
4-Nonylphenol induced morphological and histopathological malformations in Bufo regularis tadpoles
Glo. Adv. Res. J. Med. Med. Sci. September 2012 Vol: 1(6): - [Abstract] [Full Text - PDF] (1,498 KB)
Marcos Galván, Alejandra Monroy-Campos, Guadalupe López-Rodríguez, Marco González Unzaga, Diana Olivo, Jhazmín Hernández-Cabrera, Teodoro Suárez-Diéguez, Trinidad Fernández-Cortés, Rebeca Guzmán-Saldaña and Hugo Amigo
Physical activity in Mexican urban school children: Differences by nutritional status and school type
Glo. Adv. Res. J. Med. Med. Sci. December 2017 Vol: 6(12): - [Abstract] [Full Text - PDF] (146 KB)
Rubaya Sultan, Manzoor Ahmad Wani and Irshad A Nawchoo
Unabated loss of medicinal plant diversity in Himalaya: a serious socio-economic concern and urgency to salvage whatever is left
Glo. Adv. Res. J. Med. Med. Sci. July 2013 Vol: 2(1): - [Abstract] [Full Text - PDF] (820 KB)
Asmaa A. Mokbel and Asmaa A. Alharbi
Biocontrol Management of Rhizoctonia solani and Meloidogyne javanica infecting Watermelon Plants Using Pseudomonas spp.
Glo. Adv. Res. J. Med. Med. Sci. May 2017 Vol: 6(5): - [Abstract] [Full Text - PDF] (169 KB)

Current Issue

Viewing Options

View Full Article - PDF
Download Full Article - PDF

Search for Articles

McGil Ugwu GI on Google Scholar
McGil Ugwu GI on Pubmed

Statistics

Viewed 4258
Printed 1135
Downloaded 2019
Powered By iPortal Works