Introduction:Neonatal mortality accounts for 44% of deaths among children. This study
aimed to investigate neonatal morbidity and mortality in the neonatal care unit
of the University Teaching Hospital of Parakou (CHU-P) from 2010 to 2016. Patients
and Methods: This research was a retrospective, descriptive and analytical
study that covered the period from January 1, 2010 to December 31, 2016. It
focused on the medical records of newborns hospitalized in the said unit during
the period mentioned above. Study variables were sociodemographic, clinical,
paraclinical and outcome. Findings: During the time span of the study,
6204 newborns were registered. Sex ratio was 1.32. Mean age for newborns was
6.01 ± 5.39 days. Clinically obvious neonatal infection (54.1%), prematurity
and low birth weight (34.8%) and perinatal asphyxia (30%) were the main
diseases of newborns recorded
in the unit during the study period. Mortality rate was 16.8% including 77.9%
occurred in the first week of life and 62.1% in the first 24 hours of life. Conclusion: More than one in six newborns died and three out of five deaths occurred in the
first 24 hours of life. Therefore, it seems wise to carry out a case-control
study with multivariate analysis in order to identify the main risk factors for
that mortality.
References
[1]
Lawn, J.E., Cousens, S. and Zupan, J. (2005) Four Million Neonatal Deaths: When? Where? Why? The Lancet, 365, 891-900.
https://doi.org/10.1016/S0140-6736(05)71048-5
[2]
Liu, L., Oza, S., Hogan, D. and Perin, J. (2014) Global, Regional, and National Causes of Child Mortality in 2000-13, with Projections to Inform post-2015 Priorities: An Updated Systematic Analysis. The Lancet, 385, 430-440.
https://doi.org/10.1016/S0140-6736(14)61698-6
[3]
Ministry of Development, Economic Analysis and Planning (MDAEP) and National Institute of Statistics and Economic Analysis (INSAE) 4th Population and Health Survey (EDSB-IV) Benin 2011-2012: 12, Cotonou, Beninp, 222-229.
[4]
Noudamadjo, A., Agossou, J., Adédémy, J.D., Koussihouedé, C. and Ayivi, B. (2012) Neonatal Morbidity and Mortality from 2002 to 2009 in the CHD-B Neonatal Care Unit (BENIN). Annals of the University of Parakou, “SCIENCES DE LA SANTE” Series, 2, 7.
[5]
Koum, D.C.K., Essomba, N.E., Ngaba, G.P., Sintat, S., Ndombo, P.K. and Coppieters, Y. (2015) Morbidity and Risk Factors for Neonatal Mortality in a Referral Hospital of Douala. The Pan African Medical Journal, 20, Article No. 258.
https://doi.org/10.11604/pamj.2015.20.258.5648
[6]
Thomson, J., Schaefer, M., Camino, A.B., Kahindi, D. and Hurtado, N. (2017) Improved Neonatal Mortality at a District Hospital in Aweil, South Sudan. Journal of Tropical Pediatrics, 63, 189-195. https://doi.org/10.1093/tropej/fmw071
[7]
Nagalo, K., Dao, F., Housseini, F.T. and Diarra, Y. (2013) Morbidity and Mortality of Newborns Hospitalized over 10 Years at the El Fateh-Suka Clinic (Ouagadougou, Burkina Faso). The Pan African Medical Journal, 14, Article No. 153.
https://doi.org/10.11604/pamj.2013.14.153.2022
[8]
Adja, E.A., Dick, F.A.-T. and N’gucssan, R. (2009) Epidemiological Study of Malaria during the Neonatal Period in the Teaching Hospital of Yopougon/Republic of Côte d’Ivoire. Mali Médical, 24, 36-39.
[9]
Azoumah, K.D., Balaka, B., Aboubakari, A.S., Matey, K., Yolou, A. and Agbèrè, A.R. (2010) Neonatal Morbidity and Mortality in the University Teaching Hospital (CHU) of Kara/Togo. Médicale d’Afrique Noire, 57, 109-112.
[10]
Bobossi, S.G., Deyamissi, T.S., Diemerh, C., Gaudueille, A., Gresenguet, G., Mandaba, J.L., et al. (2004) Neonatal Morbidity and Mortality in the Pediatric Complex of Bangui (Central African Republic). Médicale d’Afrique Noire, 51, 159-153.
[11]
Koueta, F., Ye, D., Dao, L., Neboua, D. and Sawadogo, A. (2007) Neonatal Morbidity and Mortality from 2002 to 2006 in the Charles de Gaulle Pediatric University Teaching Hospital of Ouagadougou (Burkina-Faso). Cahier d’études et de recherches francophones/Santé, 17, 187-191.
[12]
Noria, H., Sarah, O. and Asmaa, O. (2015) Risk Factors for Neonatal Mortality in the Gynecology and Obstetrics Hospital of the Wilaya of Sidi Bel Abbes, Algeria. The Pan African Medical Journal, 20, Article No. 387.
https://doi.org/10.11604/pamj.2015.20.387.5032
[13]
Omoigberale, A.I., Sadoh, W.E. and Nwaneri, D.U. (2010) A 4-Year Review of Neonatal Outcome at the University of Benin Teaching Hospital, Benin City. Nigerian Journal of Clinical Practice, 13, 321-325.
[14]
Mabiala-Babela, J.R., Makoumbou, P.R., Mbika-Carderoll, A., Tsiba, J.B. and Senga, P. (2009) Evolution of Hospital-Based Mortality among Children in Brazzaville (Congo). Médicale d’Afrique Noire, 56, 5-8.
[15]
Sylla, A., Gueye, M., Diouf, S., Ndiaye, O., Fall, A.L., et al. (2009) Pediatric Emergencies in Dakar (Senegal). Risk Factors for Death. Médicale d’Afrique Noire, 56, 495-500.
