全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Outcome of Very Premature Newborns in a Referral Hospital in a Resource-Limited Setting

DOI: 10.4236/ojped.2023.136103, PP. 934-946

Keywords: Very Preterm Birth, Cerebral Palsy, Psychomotor Development, Sensory Development

Full-Text   Cite this paper   Add to My Lib

Abstract:

Background: In Cameroon, prematurity is considered among the first cause of neonatal mortality and the main cause of sequelae in children under 5 years old. Although some local teams have studied the causes of neonatal deaths, the survival of the very preterm babies in our context remains poorly known. Patients and Methods: We conducted a hospital-based cross-sectional study with both a retrospective and prospective data collection, covering a period of 5 years and 8 months, including 120 participants who presented with very preterm birth. Socio-demographic, anamnestic, and outcome features were studied. The assessment of the child’s psychomotor development was evaluated trough gross motor skills, fine motor skills, language and social contact. We calculated the development quotient (DQ) by dividing the developmental age (DA) by the actual age (RA) of the patient. Qualitative variables were expressed as numbers and percentages and quantitative variables as means ± standard deviations. Results: At the clinic, 23.8% of the children developed cerebral palsy, 3.1% had cerebral palsy with mental delay, and 6.6% had praxis disorders. Hearing impairment was observed in 6.3% of the survivors, visual impairment in 9%, and swallowing disorders in 7.6%. The mean developmental quotient was (89.98 ± 19.7) with a median of 93. A delay in developmental milestones was observed in 10.8%, speech disorder in 57%

References

[1]  Liu, L., Oza, S., Hogan, D., Chu, Y., Perin, J., Zhu, J., et al. (2016) Global, Regional, and National Causes of Under-5 Mortality in 2000-15: An Updated Systematic Analysis with Implications for the Sustainable Development Goals. The Lancet, 388, 3027-3035.
https://doi.org/10.1016/S0140-6736(16)31593-8
[2]  Blencowe, H., Cousens, S., Chou, D., Oestergaard, M., Say, L., Moller, A.B., et al. (2013) Born Too Soon: The Global Epidemiology of 15 Million Preterm Births. Reproductive Health, 10, Article No. S2.
https://doi.org/10.1186/1742-4755-10-S1-S2
[3]  Njom Nlend, A.E., Zoa Dibog, A. and Nsoa, L. (2016) [In-Hospital Morbidity and Mortality of Very Premature Infants in 2014 at ESSOS Hospital, Yaoundé, Cameroon]. Journal de Pédiatrie et de Puériculture, 29, 129-133. (In French)
https://doi.org/10.1016/j.jpp.2016.01.006
[4]  Paul, V.K. (2006) The Current State of Newborn Health in Low Income Countries and the Way forward. Seminars in Fetal and Neonatal Medicine, 11, 7-14.
https://doi.org/10.1016/j.siny.2005.10.005
[5]  Blondel, B., Coulm, B., Bonnet, C., Goffinet, F. and Le Ray, C. (2017) Trends in Perinatal Health in Metropolitan France from 1995 to 2016: Results from the French National Perinatal Surveys. Journal of Gynecology Obstetrics and Human Reproduction, 46, 701-713.
https://doi.org/10.1016/j.jogoh.2017.09.002
[6]  Lawn, J.E., Cousens, S. and Zupan, J. (2005) 4 Million Neonatal Deaths: When? Where? Why? The Lancet, 365, 891-900.
https://doi.org/10.1016/S0140-6736(05)71048-5
[7]  Nguefack, S., Ananfack, E.G., Mah, E., Kago, D., Tatah, S., Yolande, F.P., et al. (2020) Psychomotor Development of Children Born Premature at the Yaounde Gynaeco-Obstetric and Pediatric Hospital (Cameroon). Open Journal of Pediatrics, 10, 147-158.
https://doi.org/10.4236/ojped.2020.101014
[8]  Lindström, K., Winbladh, B., Haglund, B. and Hjern, A. (2007) Preterm Infants as Young Adults: A Swedish National Cohort Study. Pediatrics, 120, 70-77.
https://doi.org/10.1542/peds.2006-3260
[9]  Balaka, B., Baeta, S., Agbèrè, A.D., Boko, K., Kessie, K. and Assimadi, K. (2002) [Risk Factors Associated with Prematurity at the University Hospital of Lome, Togo]. Bulletin de la Société de Pathologie Exotique, 95, 280-283.
[10]  Ancel, P.Y., Goffinet, F., Kuhn, P., Langer, B., Matis, J., Hernandorena, X., et al. (2015) Survival and Morbidity of Preterm Children Born at 22 through 34 Weeks’ Gestation in France in 2011: Results of the EPIPAGE-2 Cohort Study. JAMA Pediatrics, 169, 230-238.
[11]  Koum, D.K., Njinkui, D.N., Magnibou, M.C., Foko, L.P.K., Eposse, C., Mbono, R., et al. (2022) Neonatal Transfer Situation following Implementation of a Perinatal Network: An Analysis in Douala, Cameroon. Open Journal of Pediatrics, 12, 148-161.
https://doi.org/10.4236/ojped.2022.121016
[12]  Arnaud, C., Daubisse-Marliac, L., White-Koning, M., Pierrat, V., Larroque, B., Grandjean, H., et al. (2007) Prevalence and Associated Factors of Minor Neuromotor Dysfunctions at Age 5 Years in Prematurely Born Children: The EPIPAGE Study. Archives of Pediatrics and Adolescent Medicine, 161, 1053-1061.
https://doi.org/10.1001/archpedi.161.11.1053
[13]  Larroque, B., Bréart, G., Kaminski, M., Dehan, M., André, M., Burguet, A., et al. (2004) Survival of Very Preterm Infants: Epipage, a Population Based Cohort Study. Archives of Disease in Childhood—Fetal and Neonatal Edition, 89, F139-F144.
https://doi.org/10.1136/adc.2002.020396
[14]  Marret, S., Chollat, C., de Quelen, R., Pinto Cardoso, G., Abily-Donval, L., Chadie, A., et al. (2015) [Course and Neurological/Behavioral Development of Preterm Children]. Archives de Pédiatrie, 22, 195-202.
https://doi.org/10.1016/j.arcped.2014.11.016
[15]  Deforge, H., Andre, M., Hascoet, J.M., Fresson, J. and Toniolo, A.M. (2009) [Consequences of Extreme Prematurity in the Visuo-Spatial Domain at the Age of Five]. Archives de Pédiatrie, 16, 227-234. (In French)
https://doi.org/10.1016/j.arcped.2008.12.012
[16]  Ballot, D.E., Potterton, J., Chirwa, T., Hilburn, N. and Cooper, P.A. (2012) Developmental Outcome of Very Low Birth Weight Infants in a Developing Country. BMC Pediatrics, 12, Article No. 11.
https://doi.org/10.1186/1471-2431-12-11
[17]  Nepomnyaschy, L., Hegyi, T., Ostfeld, B.M. and Reichman, N.E. (2012) Developmental Outcomes of Late-Preterm Infants at 2 and 4 Years. Maternal and Child Health Journal, 16, 1612-1624.
https://doi.org/10.1007/s10995-011-0853-2
[18]  Eickmann, S.H., de Araújo Malkes, N.F. and de Carvalho Lima, M. (2012) Psychomotor Development of Preterm Infants Aged 6 to 12 Months. Sao Paulo Medical Journal, 130, 299-306.
[19]  Fierson, W.M. (2018) Screening Examination of Premature Infants for Retinopathy of Prematurity. Pediatrics, 142, e20183061.
[20]  Blond, M.H., Castello-Herbreteau, B., Ajam, E., Lecuyer, A.I., Fradet, A., Patat, F., et al. (2003) [Medical, Cognitive and Emotional Outcome at Four Years of Age of Premature Infants without Severe Disability. Prospective Case-Control Study]. Archives de Pédiatrie, 10, 117-125. (In French)
https://doi.org/10.1016/S0929-693X(03)00307-5
[21]  Ahishakiye, A., Abimana, M.C., Beck, K., Miller, A.C., Betancourt, T.S., Magge, H., et al. (2019) Developmental Outcomes of Preterm and Low Birth Weight Toddlers and Term Peers in Rwanda. Annals of Global Health, 85, 147.
https://doi.org/10.5334/aogh.2629
[22]  Nlend, A.E.N., Zeudja, C., Motaze, A.N., Suzie, M. and Lydie, N. (2015) [Immediate Neonatal Outcome of Late and Extreme Prematurity: Retrospective Data from a Neonatal Unit in Yaoundé, Cameroon from 2009 to 2013]. The Pan African Medical Journal, 20, Article 321. (In French)

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133