Cause‐specific neonatal morbidity and mortality in the Solomon Islands: An assessment of data from four hospitals over a three‐year period
Aim Data on stillbirths and neonatal morbidity and mortality in low‐middle income Pacific Island Nations such as Solomon Islands is limited, partly due to weak health information systems. We describe the perinatal mortality and clinical factors associated with poor newborn outcomes at four hospitals...
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| Veröffentlicht in: | Journal of paediatrics and child health 2020-04, Vol.56 (4), p.607-614 |
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| container_title | Journal of paediatrics and child health |
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| creator | Tosif, Shidan Jatobatu, Annie Maepioh, Anita Subhi, Rami Francis, Kate L Duke, Trevor |
| description | Aim
Data on stillbirths and neonatal morbidity and mortality in low‐middle income Pacific Island Nations such as Solomon Islands is limited, partly due to weak health information systems. We describe the perinatal mortality and clinical factors associated with poor newborn outcomes at four hospitals in Solomon Islands.
Methods
This was a registry based retrospective cohort study at three provincial hospitals and the National Referral Hospital (NRH) from 2014–2016 inclusive.
Results
23 966 labour ward births and 3148 special care nursery (SCN) admissions were reviewed. Overall still birth rate was 29.2/1000 births and the perinatal mortality rate was 35.9/1000 births. PNMR were higher in provincial hospitals (46.2, 44.0 and 34.3/1000) than at NRH (33.3/1000). The commonest reasons for admission to SCN across the hospitals were sepsis, complications of prematurity and birth asphyxia. SCN mortality rates were higher in the 3 provincial hospitals than at NRH (15.9% (95/598) vs. 7.9% (202/2550), P value |
| doi_str_mv | 10.1111/jpc.14699 |
| format | Article |
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Data on stillbirths and neonatal morbidity and mortality in low‐middle income Pacific Island Nations such as Solomon Islands is limited, partly due to weak health information systems. We describe the perinatal mortality and clinical factors associated with poor newborn outcomes at four hospitals in Solomon Islands.
Methods
This was a registry based retrospective cohort study at three provincial hospitals and the National Referral Hospital (NRH) from 2014–2016 inclusive.
Results
23 966 labour ward births and 3148 special care nursery (SCN) admissions were reviewed. Overall still birth rate was 29.2/1000 births and the perinatal mortality rate was 35.9/1000 births. PNMR were higher in provincial hospitals (46.2, 44.0 and 34.3/1000) than at NRH (33.3/1000). The commonest reasons for admission to SCN across the hospitals were sepsis, complications of prematurity and birth asphyxia. SCN mortality rates were higher in the 3 provincial hospitals than at NRH (15.9% (95/598) vs. 7.9% (202/2550), P value <0.01). At NRH, the conditions with the highest case fatality rates were birth asphyxia (21.3%), congenital abnormalities (17.7%), and prematurity (15.1%). Up to 11% of neonates did not have a diagnosis recorded.
Conclusions
The perinatal mortality rates are high and intrapartum complications, prematurity and sepsis are the main causes of morbidity and mortality for neonates at hospitals in Solomon Islands. Stillbirths account for 81% of perinatal deaths. These results are useful for planning for quality improvement at provincial level. Improved vital registration systems are required to better capture stillbirths and neonatal outcomes.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.14699</identifier><identifier>PMID: 31820849</identifier><language>eng</language><publisher>Australia: John Wiley & Sons Australia, Ltd</publisher><subject>Births ; child health ; child survival ; Childrens health ; Female ; Hospitals ; Humans ; Infant Mortality ; Infant, Newborn ; Maternal & child health ; maternal and child health ; Melanesia - epidemiology ; Morbidity ; Mortality ; neonatal quality of care ; Newborn babies ; Pediatrics ; Pregnancy ; Quality of care ; Retrospective Studies ; Sepsis ; Stillbirth</subject><ispartof>Journal of paediatrics and child health, 2020-04, Vol.56 (4), p.607-614</ispartof><rights>2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><rights>2019 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</rights><rights>2020 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3889-84fde7ea7129e86d09fab58788f99b000a583665153b77e90b6913b87847cf1b3</citedby><cites>FETCH-LOGICAL-c3889-84fde7ea7129e86d09fab58788f99b000a583665153b77e90b6913b87847cf1b3</cites><orcidid>0000-0003-4637-1416 ; 0000-0003-0022-1009</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpc.14699$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpc.14699$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31820849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tosif, Shidan</creatorcontrib><creatorcontrib>Jatobatu, Annie</creatorcontrib><creatorcontrib>Maepioh, Anita</creatorcontrib><creatorcontrib>Subhi, Rami</creatorcontrib><creatorcontrib>Francis, Kate L</creatorcontrib><creatorcontrib>Duke, Trevor</creatorcontrib><title>Cause‐specific neonatal morbidity and mortality in the Solomon Islands: An assessment of data from four hospitals over a three‐year period</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Aim
Data on stillbirths and neonatal morbidity and mortality in low‐middle income Pacific Island Nations such as Solomon Islands is limited, partly due to weak health information systems. We describe the perinatal mortality and clinical factors associated with poor newborn outcomes at four hospitals in Solomon Islands.
Methods
This was a registry based retrospective cohort study at three provincial hospitals and the National Referral Hospital (NRH) from 2014–2016 inclusive.
Results
23 966 labour ward births and 3148 special care nursery (SCN) admissions were reviewed. Overall still birth rate was 29.2/1000 births and the perinatal mortality rate was 35.9/1000 births. PNMR were higher in provincial hospitals (46.2, 44.0 and 34.3/1000) than at NRH (33.3/1000). The commonest reasons for admission to SCN across the hospitals were sepsis, complications of prematurity and birth asphyxia. SCN mortality rates were higher in the 3 provincial hospitals than at NRH (15.9% (95/598) vs. 7.9% (202/2550), P value <0.01). At NRH, the conditions with the highest case fatality rates were birth asphyxia (21.3%), congenital abnormalities (17.7%), and prematurity (15.1%). Up to 11% of neonates did not have a diagnosis recorded.
Conclusions
The perinatal mortality rates are high and intrapartum complications, prematurity and sepsis are the main causes of morbidity and mortality for neonates at hospitals in Solomon Islands. Stillbirths account for 81% of perinatal deaths. These results are useful for planning for quality improvement at provincial level. Improved vital registration systems are required to better capture stillbirths and neonatal outcomes.</description><subject>Births</subject><subject>child health</subject><subject>child survival</subject><subject>Childrens health</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Maternal & child health</subject><subject>maternal and child health</subject><subject>Melanesia - epidemiology</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>neonatal quality of care</subject><subject>Newborn babies</subject><subject>Pediatrics</subject><subject>Pregnancy</subject><subject>Quality of care</subject><subject>Retrospective Studies</subject><subject>Sepsis</subject><subject>Stillbirth</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9u1DAQhy1E1ZbSAy-ALHGBQ1o7dhKbW7WC_lElkGjPkZOMVa-SOHgS0N76BBXPyJN0lm05IOGLPfanbzz6MfZGihNJ63Q9tSdSl9a-YIdSa5HJqtAv6SyUzrSR4oC9QlwLIfKiMPvsQEmTC6PtIXtYuQXh9_0vnKANPrR8hDi62fV8iKkJXZg33I3dtqLLbRVGPt8B_xb7OMSRX2JP7_iRn43cIQLiAOPMo-cdabhPceA-LonfRZwCOZDHH5C4I0uCbesNuMQnSCF2r9meJwKOn_Yjdvv5083qIrv-cn65OrvOWmWMzYz2HVTgKplbMGUnrHdNYSpjvLUNzekKo8qykIVqqgqsaEorVUOArlovG3XE3u-8U4rfF8C5HgK20NMoEBesc5UrXZZGSELf_YOuaZqRfkeUlZUtZW6I-rCj2hQRE_h6SmFwaVNLUW9Dqimk-k9IxL59Mi7NAN1f8jkVAk53wM_Qw-b_pvrq62qnfARmOJ4v</recordid><startdate>202004</startdate><enddate>202004</enddate><creator>Tosif, Shidan</creator><creator>Jatobatu, Annie</creator><creator>Maepioh, Anita</creator><creator>Subhi, Rami</creator><creator>Francis, Kate L</creator><creator>Duke, Trevor</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4637-1416</orcidid><orcidid>https://orcid.org/0000-0003-0022-1009</orcidid></search><sort><creationdate>202004</creationdate><title>Cause‐specific neonatal morbidity and mortality in the Solomon Islands: An assessment of data from four hospitals over a three‐year period</title><author>Tosif, Shidan ; Jatobatu, Annie ; Maepioh, Anita ; Subhi, Rami ; Francis, Kate L ; Duke, Trevor</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3889-84fde7ea7129e86d09fab58788f99b000a583665153b77e90b6913b87847cf1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Births</topic><topic>child health</topic><topic>child survival</topic><topic>Childrens health</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant Mortality</topic><topic>Infant, Newborn</topic><topic>Maternal & child health</topic><topic>maternal and child health</topic><topic>Melanesia - epidemiology</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>neonatal quality of care</topic><topic>Newborn babies</topic><topic>Pediatrics</topic><topic>Pregnancy</topic><topic>Quality of care</topic><topic>Retrospective Studies</topic><topic>Sepsis</topic><topic>Stillbirth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tosif, Shidan</creatorcontrib><creatorcontrib>Jatobatu, Annie</creatorcontrib><creatorcontrib>Maepioh, Anita</creatorcontrib><creatorcontrib>Subhi, Rami</creatorcontrib><creatorcontrib>Francis, Kate L</creatorcontrib><creatorcontrib>Duke, Trevor</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tosif, Shidan</au><au>Jatobatu, Annie</au><au>Maepioh, Anita</au><au>Subhi, Rami</au><au>Francis, Kate L</au><au>Duke, Trevor</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cause‐specific neonatal morbidity and mortality in the Solomon Islands: An assessment of data from four hospitals over a three‐year period</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2020-04</date><risdate>2020</risdate><volume>56</volume><issue>4</issue><spage>607</spage><epage>614</epage><pages>607-614</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>Aim
Data on stillbirths and neonatal morbidity and mortality in low‐middle income Pacific Island Nations such as Solomon Islands is limited, partly due to weak health information systems. We describe the perinatal mortality and clinical factors associated with poor newborn outcomes at four hospitals in Solomon Islands.
Methods
This was a registry based retrospective cohort study at three provincial hospitals and the National Referral Hospital (NRH) from 2014–2016 inclusive.
Results
23 966 labour ward births and 3148 special care nursery (SCN) admissions were reviewed. Overall still birth rate was 29.2/1000 births and the perinatal mortality rate was 35.9/1000 births. PNMR were higher in provincial hospitals (46.2, 44.0 and 34.3/1000) than at NRH (33.3/1000). The commonest reasons for admission to SCN across the hospitals were sepsis, complications of prematurity and birth asphyxia. SCN mortality rates were higher in the 3 provincial hospitals than at NRH (15.9% (95/598) vs. 7.9% (202/2550), P value <0.01). At NRH, the conditions with the highest case fatality rates were birth asphyxia (21.3%), congenital abnormalities (17.7%), and prematurity (15.1%). Up to 11% of neonates did not have a diagnosis recorded.
Conclusions
The perinatal mortality rates are high and intrapartum complications, prematurity and sepsis are the main causes of morbidity and mortality for neonates at hospitals in Solomon Islands. Stillbirths account for 81% of perinatal deaths. These results are useful for planning for quality improvement at provincial level. Improved vital registration systems are required to better capture stillbirths and neonatal outcomes.</abstract><cop>Australia</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>31820849</pmid><doi>10.1111/jpc.14699</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4637-1416</orcidid><orcidid>https://orcid.org/0000-0003-0022-1009</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of paediatrics and child health, 2020-04, Vol.56 (4), p.607-614 |
| issn | 1034-4810 1440-1754 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Births child health child survival Childrens health Female Hospitals Humans Infant Mortality Infant, Newborn Maternal & child health maternal and child health Melanesia - epidemiology Morbidity Mortality neonatal quality of care Newborn babies Pediatrics Pregnancy Quality of care Retrospective Studies Sepsis Stillbirth |
| title | Cause‐specific neonatal morbidity and mortality in the Solomon Islands: An assessment of data from four hospitals over a three‐year period |
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