Late Neonatal Mortality at Teaching Hospital of Brazzaville (Congo) - Open Journal of Pediatrics

OJPed > Vol.10 No.1, March 2020

Late Neonatal Mortality at Teaching Hospital of Brazzaville (Congo) ()

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DOI: 10.4236/ojped.2020.101003 377 Downloads 995 Views

Author(s)

Gaston Ekouya Bowassa^1,2*, Engoba Moyen¹, Néli Yvette Ngakengni^1,2, Annie Rachelle Okoko¹

Affiliation(s)

¹Faculty of Health Sciences, Marien NGOUABI University, Brazzaville, Congo.
²Department of Neonatology, University Hospital of Brazzaville, Brazzaville, Congo.

ABSTRACT

Background: Neonatal mortality is a major public health problem. Its reduction is one of the targets of the objectives for sustainable development. Objectives: To determine the frequency of late neonatal mortality, to determine the causes of death and to identify the factors associated with late neonatal mortality at Brazzaville University Hospital. Patients and methods: This was a descriptive and analytical study conducted in the neonatal department of the Brazzaville University Hospital from 1 January to 30 June 2018. It concerned all newborns admitted to the service and died between 7th and 28th day of life. The variables studied were epidemiological, clinical and evolutionary. For the study of the factors associated with late mortality, we compared the deceased newborns with those hospitalized in the service whose stay was at least seven days. The materiality threshold was 5%. Results: During the study period, 697 newborns were admitted to the service, 286 (41%) died, 79 (27.6%) on the seventh day or beyond. The median age at admission was one hour. These were male (44.3%) and female (55.7%) newborns. The causes of death were prematurity (50.7%), neonatal infection (36.7%), perinatal asphyxia (6.3%) and others (6.3%). The mean age at death was 13.5 ± 6.4 days (range: 7 and 28 days). Prematurity OR = 3.62 (95% CI: 1.2 - 10.6) is the factor associated with late mortality. Conclusion: Reducing late neonatal mortality requires the implementation of measures to improve the human and material capacities of the service.

KEYWORDS

Mortality, Late, Newborns, Prematurity

Share and Cite:

Bowassa, G. , Moyen, E. , Ngakengni, N. and Okoko, A. (2020) Late Neonatal Mortality at Teaching Hospital of Brazzaville (Congo). Open Journal of Pediatrics, 10, 30-35. doi: 10.4236/ojped.2020.101003.

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