Open AccessPrematurity: A Major Cause of Early Neonatal Mortality in Ad-din Medical College Hospital
Author(s) -
Nasim Jahan,
Abdul Mannan,
Sonia Akter,
Farhana Afroz,
Tashmin Farhana,
Mahmuda Nasrin,
Zenifer Islam,
Nandita Nazma
Publication year - 2019
Publication title -
bangladesh journal of medical science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 10
eISSN - 2079-6854
pISSN - 2076-0299
DOI - 10.3329/bjms.v18i3.41634
Subject(s) - medicine , asphyxia , pediatrics , meconium aspiration syndrome , gestational age , birth weight , meconium , neonatal resuscitation , low birth weight , apgar score , perinatal asphyxia , neonatal mortality , medical record , infant mortality , obstetrics , pregnancy , resuscitation , fetus , population , emergency medicine , surgery , environmental health , biology , genetics
Objective: Early neonatal mortality within the rst 24 hours contributes substantially to overall neonatal mortality rates. Reliable cause- specific mortality data are limited; thus the estimated proportion of prematurity-related deaths nationally remains questionable. The objective was to determine the presumed causes of neonatal death within the rst 24 hours in Ad-din Medical College Hospital.
Methods: This is a retrospective study initiated in January of 2016 to December 2016, conducted in the delivery room and adjacent neonatal area at Ad-din Medical College Hospital. Research assistants were trained to observe and record events related to labor, neonatal resuscitation, and 24-hour postnatal course. Perinatal asphyxia (PNA) was defined as failure to initiate spontaneous respirations and/or 5-minute Apgar score <7, prematurity as gestational age <37 weeks, and low birth weight (LBW) as birth weight (BW) < 2500gm. Data were analyzed with using the SPSS version (Chi-Square test).
Results: Over 1 year, 14316 neonates were born and evaluated. Of these, 1867 were admitted to the neonatal area. Twenty seven neonates died secondary to Prematurity (55.56%), PNA (37.03%) and Meconium aspiration syndrome (7.41%).
Conclusions: Most cases of early neonatal mortality were related to Prematurity and its related complications and Perinatal asphyxia are additional important considerations. Reducing Perinatal mortality requires a multifaceted approach with attention to issues related to potential complications of Prematurity and its related complications and PNA.
Bangladesh Journal of Medical Science Vol.18(3) 2019 p.593-597