Neonatal Mortality and Associated Factors in the Neonatal Intensive Care Unit of Gadarif Hospital, Eastern Sudan

Background: Neonatal mortality is a serious public-health issue, especially in Sub-Saharan African countries. There are limited studies on neonatal mortality in Sudan; particularly, there are none on eastern Sudan. Therefore, this study aimed to determine the incidence, causes and associated factors...

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Bibliographic Details
Published in:Children (Basel) 2022-11, Vol.9 (11), p.1725
Main Authors: Ahmed, Mohammed Ahmed A, Mahgoub, Hyder M, Al-Nafeesah, Abdullah, Al-Wutayd, Osama, Adam, Ishag
Format: Article
Language:English
Subjects:
Analysis
Apgar score
birth asphyxia
Birth weight
Childbirth
Gender
Gestational age
Health aspects
Hospitals
Infant mortality
Infants
Infants (Newborn)
Infections
Intensive care
Length of stay
Medical records
Morbidity
Neonatal care
Neonatal intensive care
neonatal mortality
Newborn babies
NICU
Patient outcomes
Pediatrics
Postpartum period
Premature birth
preterm
Regression analysis
Sample size
Sudan
Surveys
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Summary:Background: Neonatal mortality is a serious public-health issue, especially in Sub-Saharan African countries. There are limited studies on neonatal mortality in Sudan; particularly, there are none on eastern Sudan. Therefore, this study aimed to determine the incidence, causes and associated factors for mortality among neonates admitted to the neonatal intensive care unit (NICU) of Gadarif Hospital, eastern Sudan. Methods: This retrospective study included 543 neonates admitted to the NICU of Gadarif Hospital, eastern Sudan, between January and August 2019. Data were obtained from the hospital record using a questionnaire composed of sociodemographic data, neonatal and maternal information and neonatal outcomes. Logistic regression analyses were performed and the adjusted odds ratio (AOR) and 95% confidence interval (CI) were calculated. Results: Of the 543 neonates, 50.8% were female, 46.4% were low birth weight (LBW), 43.5% were preterm babies and 27% were newborns admitted after caesarean delivery. The neonatal mortality before discharge was 21.9% (119/543) of live-born babies at the hospital. Preterm birth and its complications (48.7%), respiratory distress syndrome (33.6%), birth asphyxia (21.0%) and infection (9.0%) were the most common causes of neonatal mortality. In multivariable logistic regression analysis, preterm birth (AOR 2.10, 95% CI 1.17−3.74), LBW (AOR 2.47, 95% CI 1.38−4.41), low 5 min APGAR score (AOR 2.59, 95% CI 1.35−4.99) and length of hospital stay
ISSN:2227-9067
2227-9067
DOI:10.3390/children9111725