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Abstract
Objective: This study aims to identify the determinants of early neonatal mortality in the neonatology department of Mohamed V hospital in Tangier.
Material and methods: This is a prospective study including all newborns hospitalized and deceased in the pediatric department of the hospital Mohammed V from June 1 to December 31, 2019. The recorded cases were processed and analyzed by SPSS software.
Results: 529 newborns were hospitalized in the pediatric department during the study period, of which 92 died (17.39%) between 0 and 7 days. Four leading causes justified this frequency: prematurity occupies first place (59%), followed by perinatal asphyxia (22%), neonatal infection (15%) in third place, congenital malformations (3%) in fourth place. Parturients aged between 20 and 35 years are the most affected (76%). The majority of women (71.4%) in our series had not undergone prenatal consultation (PNC) or had done so in insufficient numbers.
Conclusion: Neonatal mortality remains high. Improvement of this situation requires education of women, reinforcement of surveillance before, during pregnancy, during delivery, and the postpartum period, as well as effective management of premature newborns in the first week of life, should improve the neonatal prognosis by reducing the intra-hospital incidence of neonatal mortality in our setting.
References
Kalonji DC, Mbayo PM, Kembo LN, Ngombe MI, Ngimbi SL, Nkulu HK, et al. Fréquence et causes de la mortalité néonatale précoce à Kamina, République Démocratique du Congo. Rev l’Infirmier Congolais. 2018 ; 2(2): 90-94. [Accessed 2021 Nov 05]. Available from : https://www.revue.istmlubumbashi.net/wp-content/uploads/2019/05/Fr%C3%A9quence-et-causes-de-la-mortalit%C3%A9-n%C3%A9onatale-pr%C3%A9coce-RIC-2018-2-2.pdf
Oumar MO. La mortalité néonatale au CHU Hassan II de Fès: Etude rétrospective à propos de 235 cas. [Thèse], Maroc. 2010. [Accessed 2021 Nov 05]. Available from: http://www.chu-fes.ma/la-mortalite-neonatale-au-chu-hassan-ii-de-fes-etude-retrospective-a-propos-de-235-cas/
Garba M, Kamaye M, Alido S, Zoubeiro H, Oumarou Z, Amadou A. Les déterminants de la mortalité néonatale précoce à la maternité Issaka-Gazobi de Niamey. J Pédiatrie puériculture. 2017 Sep: 30(4):156-161. https://doi.org/10.1016/j.jpp.2017.01.005
Ahmed OB, Lopez AD, Inoeu M. The decline in child mortality: a reappraisal. Bull World Health Organ. 2000; 78(10):1175-91.
Levels and Trends in Child Mortality. United Nations Inter-Agency Group for Child Mortality Estimation (UN IGME), Report 2020. Sep 2020. [Accessed 2021 Nov 05]. Available from: https://data.unicef.org/resources/levels-and-trends-in-child-mortality/
Adetola AO, Tongo OO, Orimadegun AE, Kike Osinusi. Neonatal mortality in an urban population in Ibadan Nigeria. Pediatr Neonatol. 2011 Oct; 52:243-50. https://doi.org/10.1016/j.pedneo.2011.06.001
Muluken G, Mitike M, Wubegzier M. Trends and risk factors for neonatal mortality in Butajira District, South Central Ethiopia, (1987—2008): a prospective cohort study. BMC Pregnancy Childbirth. 2014 Feb 11; 14:64. https://doi.org/10.1186/1471-2393-14-64
Rahman S, Salameh K, Bener A, El Ansari W. Socioeconomic associations of improved maternal, neonatal and perinatal survival in Qatar. Int J Womens Health. 2010 Sep 17; 2:311-8. https://doi.org/10.2147/ijwh.s12426
Mengesha HG, Wuneh AD, Lerebo WT, Tekle Tesfay. Survival of neonates and predictors of their mortality in Tigrayregion, Northern Ethiopia: prospective cohort study. BMC Pregnancy Childbirth. 2016 Aug 2;16(1):202. https://doi.org/10.1186/s12884-016-0994-9
Sidibé T, Sangho H, Doumbia S, Sylla M, Keita M, Keita HD, et al. Mortalité néonatale dans le district sanitaire de Kolokani(Mali). J Pédiatrie Puériculture. 2006;19:272-6. https://doi.org/10.1016/j.jpp.2006.08.004
Mekonnen Y, Tensou B, Telake DS, Tedbabe Dgefie, Abeba Bekele. Neonatal mortality in Ethiopia: trends and determinants. BMC Public Health 2013 May 17; 13:483. https://doi.org/10.1186/1471-2458-13-483
Akinyemi JO, Bamgboye EA, Ayeni O. Trends in neonatal mortality in Nigeria and effects of bio-demographic and maternal characteristics. BMC Pediatr. 2015 Apr 9;15:36. https://doi.org/10.1186/s12887-015-0349-0
Lukonga E, Michelo C. Factors associated with neonatal morta-lity in the general population: evidence from the 2007 Zambia Demographic and Health Survey (ZDHS); a cross sectio-nal study. Pan Afr Med J. 2015 Jan 23; 20:64. https://doi.org/10.11604/pamj.2015.20.64.5616
Tachiweyika E, Gombe N, Shambira G, Chadambuka A, Mufuta T, Zizhou S. Determinants of perinatal mortality inMarondera district, Mashonaland East Province of Zimbabwe, 2009: a case control study. Pan Afr Med J. 2011; 8:7. https://doi.org/10.4314/pamj.v8i1.71054
Carlo WA, Travers CP. Maternal and neonatal mortality: time to act. J Pediatr (Rio J). Nov-Dec 2016; 92(6):543-545. https://doi.org/10.1016/j.jped.2016.08.001
Chiabi A, Takou V, Mah E, Nguefack S, Siyou H, Takou V, et al. Risk Factors for Neonatal Mortality at the Yaounde Gynaeco-Obstetric and Pediatric Hospital, Cameroon. Iran J Pediatr. 2014 Aug; 24(4):393–400.
Katamea T, Mukuku O, Kamona L, Mukelenge K, Mbula O, Baledi L, et al. Facteurs de risque de mortalité chez les nouveau-nés transférés au service de néonatologie de l’hôpital Jason Sendwe de Lubumbashi, république démocratique Congo. Pan Afr Med J. 2014 Oct 17 ; 19 :169. https://doi.org/10.11604/pamj.2014.19.169.4018
Ntambue A, Malonga F, Dramaix Wilmet M, Donnen P. La mortalité périnatale : ampleur et causes à Lubumbashi, République démocratique du Congo. Rev Epidemiol Sante Publique. 2013;61(6):5–6. https://doi.org/10.1016/j.respe.2013.07.684
Mmbaga BT, Lie RT, Olomi R, Mahande MJ, Kvåle G, Daltveit AK. Cause-specific neonatal mortality in a neonatal care unit in Northern Tanzania: a registry based cohort study. BMC Pediatr. 2012 Aug 7; 12:116. https://doi.org/10.1186/1471-2431-12-116
OMS. La mortalité néonatale baisse trop lentement, surtout en Afrique. 2011; 12. [Accessed 2021 Nov 05]. Available from: https://www.infirmiers.com/actualites/actualites/la-mortalite-neonatale-baisse-trop-lentement-surtout-en-afrique.html
Azoumah KD, Balaka B, Aboubakari A, Matye k, Youlou A, Agbère AD. Morbidité et mortalité néonatales au CHU Kara (Togo). Med Afr Noire. 2010;55(2):109–12.
Organisation Mondiale de la Santé, 7 novembre 2016. « Les femmes enceintes doivent pouvoir bénéficier de soins adaptés au bon moment », GENÈVE : Librairie de l'Organisation Mondiale de la Santé. [Accessed 2021 Nov 05]. Available from : https://www.who.int/fr/news/item/07-11-2016-pregnant-women-must-be-able-to-access-the-right-care-at-the-right-time-says-who
Bouzid J.Study of riqk factors os neonatal mortality in the neonatology unit at Pagnon mother-child hospitalin Meknes (morocco). EWASH & TI Journal. 2019; 3 (1):75-80. https://doi.org/10.48421/IMIST.PRSM/ewash-ti-v3i1.15523
Takou Tsapmene V. Facteurs de risque de la mortalité néonatale à l'Hôpital gynéco- obstétrique et pédiatrique de Yaoundé. [Thèse] .Faculté de médecine et des sciences biomédicales Université de Yaoundé I. 2012. [Accessed 2021 Nov 05]. Available from: https://www.memoireonline.com/01/14/8588/Facteurs-de-risque-de-la-mortalite-neonatale--l-Hpital-gyneco-obstetrique-et-pediatrique-d.html
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Copyright (c) 2021 Ettoini Kaoutar, Yousra El Boussaadni, Abdallah Oulmaati
