Frequency and Early Neonatal Mortality Related to Anomalies of Birth Weight and Gestational Age in Rural Areas: A Case of the General Reference Hospital of Lubao (Lomami Province, Democratic Republic of Congo)
Birth weight anomalies
(Macrosomy and Dysmaturity) and gestational age (pre-mature
and post-term) are a real public health problem, especially in resource-constrained countries. The
newborn is exposed to great morbidity and mortality. This study aims to
determine the frequency and early neonatal mortality related to anomalies in birth weight and gestational age in our
environment. This is a retrospective
and descriptive three-year study (2011-2013) at the Maternity services
of the General Reference Hospital of Lubao (Lomami Province, Democratic
Republic of Congo). Out of a total of 1158 live babies retained for this study, 378 cases (32.6%) of birth
weight and gestational age abnormalities were noted: 12.7% of birth and
19.9% for gestational age anomalies. Premature was much observed (n = 165 or 14.2%) followed by
dysmature (n = 99 or 8.6%), post-term (n = 66 or 5.7%), and macrosomes (n = 48
or 4.1%). These anomalies had resulted in 122 cases (10.5%) of early neonatal deaths. Premature and post-mature were
significantly more at risk of mortality than dysmature and macrosomes (p <
0.05). These high rates of birth weight and gestational age anomalies and their
associated mortalities attest to the need for rapid and concerted control
actions. Birth weight and gestational age abnormalities
arise as serious health problems to which appropriate responses are required.
It would require good follow-up and care for pregnancy and newborn.
Cite this paper
Kabemba, B. H. , Kasendue, E. P. , Shiku, M. A. , Kabingie, N. G. , Ngiele, M. D. , Kitengie, T. J. , Ilunga, M. G. , Pungue, K. J. , Kalonda, E. D. and Lukamba, K. P. (2017). Frequency and Early Neonatal Mortality Related to Anomalies of Birth Weight and Gestational Age in Rural Areas: A Case of the General Reference Hospital of Lubao (Lomami Province, Democratic Republic of Congo). Open Access Library Journal, 4, e3433. doi: http://dx.doi.org/10.4236/oalib.1103433.
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