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Magnitude of Neonatal Mortality and associated factors among Neonates at Arba Minch General Hospital | Abstract

➣ Original Article

➣ Asp J Pediatrics Child Health, vol.1, no.1: 20-28, 2019

Samuel D1*, Zinabu D2, Alemu B3

1Department of Public Health, College of Medicine & Health Sciences, Wolkite University, Southern Ethiopia

2Arba Minch Health Science College, Arba Minch, Southern Ethiopia

3Department of Nursing, College of Medicine & Health Sciences, Wolkite University, Wolkite, Southern Ethiopia

Corresponding Author: Samuel Dessu

Address: Department of Public Health, College of Medicine & Health Sciences, Wolkite University, Southern Ethiopia

Received date: 04 March 2019; Accepted date: 16 April 2019; Published date: 14 April 2019

Abstract

Background: Newborns are the future generations and ensuring their healthy growth and development and all the activities regarding them must be the prime concern of societies. The Ethiopian government has used a combined efforts and interventions in health promotion, nutrition, and non-health sectors at different levels to reduce neonatal mortality but still has high neonatal mortality. The objective of this study was to assess the magnitude of neonatal mortality and associated factors among Neonates admitted in neonatal intensive care unit of Arba Minch general hospital.

Method: A cross sectional study was conducted from January, 01, 2015 to December, 31, 2017 G.C in Arba Minch General Hospital. Simple random sampling technique using computer generated random numbers was used to recruit the predetermined 332 samples. Data were collected using structured checklist and entered, coded, edited and cleaned using Epi-info version 7 and exported to SPSS version 23 for Windows. Crude and Adjusted Odd ratio, 95% CI and P-value were used to assess the strength of association and statistical significance. Variables which have p value <0.05 were declared as significant.

Results: The magnitude of neonatal mortality was 20.2%. The 5th minute APGAR score less than five (AOR:4.4; 95%CI: 1.98,9.65), Induced labor (AOR:2.7; 95%CI: 1.03,7.37), Duration of labor > 18 hour (AOR:2.6; 95%CI: 1.12,6.11), Time of rupture of membrane >12 hour (AOR:3.9; 95%CI: 1.5,9.87) and Birth order > (AOR:19.5; 95%CI: 6.84,55.45) were the independent factors which cause neonatal mortality.

Conclusion: The magnitude of neonatal mortality was high and the fifth minute APGAR score less than 5, Induced labor, Duration of labor more than or equal to 18 hours, Time of rupture of membrane more than or equal to 12 hours before delivery and being fifth or above birth order are the independent factors which cause neonates to die.

Citation: Samuel D, Zinabu D, Alemu B, “Magnitude of Neonatal Mortality and associated factors among Neonates at Arba Minch General Hospital”. Asp J Pediatrics Child Health, vol.1, no.1: 20-28, 2019.

Copyright © 2019 Samuel D, Zinabu D, Alemu B, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Key Words: Prevalence; Neonate; Neonatal mortality; Arba Minch General Hospital

Abbreviations: AHR (Adjusted Hazard Ratio), ANC (Antenatal Care), APGAR (Appearance, Pulse, Grimace, Activity and Respiratory effort), BEMONC (Basic Emergency Maternal and Neonatal Care), CHR (Crude Hazard Ratio), CS (Caesarian section), EBF (Exclusive breast Feeding), NICU (Neonatal Intensive Care Unit), PROM (Premature rupture of membrane), SVD (Spontaneous vaginal delivery).

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