Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes
Background: The fourth Millennium Development Goals targets reduction by 2/3 the mortality rate of under-fives by 2015. This reduction starts with that of neonatal mortality representing 40% of childhood mortality. In Cameroon neonatal mortality was 31‰ in 2011. Objectives: We assessed the trends, a...
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Veröffentlicht in: | African health sciences 2014-01, Vol.14 (4), p.985-982 |
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Sprache: | eng |
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Zusammenfassung: | Background: The fourth Millennium Development Goals targets reduction
by 2/3 the mortality rate of under-fives by 2015. This reduction starts
with that of neonatal mortality representing 40% of childhood
mortality. In Cameroon neonatal mortality was 31‰ in 2011.
Objectives: We assessed the trends, associated factors and causes of
neonatal deaths at the Yaounde Gynaeco-Obstetric and Pediatric
Hospital. Methods: The study was a retrospective chart review. Data was
collected from the hospital records, and included both maternal and
neonatal variables from 1st January 2004 to 31st December 2010.
Results:The neonatal mortality was 10%. Out-borns represented 49.3% of
the deceased neonates with 11.3% born at home. The neonatal mortality
rate followed a downward trend dropping from12.4% in 2004 to 7.2% in
2010. The major causes of deaths were: neonatal sepsis (37.85%),
prematurity (31.26%), birth asphyxia (16%), and congenital
malformations (10.54%). Most (74.2%) of the deaths occurred within the
first week with 35% occurring within 24hours of life. Mortality was
higher in neonates with birth weight less than 2500g and a gestational
age of less than 37 weeks. In the mothers, it was high in single
parenthood , primiparous and in housewives and students. Conclusion:
There has been a steady decline of neonatal mortality since 2004.
Neonatal sepsis, prematurity, birth asphyxia and congenital
malformations were the major causes of neonatal deaths. Neonatal sepsis
remained constant although at lower rates over the study period. |
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ISSN: | 1680-6905 1729-0503 1680-6905 |
DOI: | 10.4314/ahs.v14i4.30 |