University of Jos Institutional Repository >
Medical Sciences >
Please use this identifier to cite or link to this item:
|Title: ||Pattern of Neonatal Admissions and Outcome in a Tertiary Institution in North Central Nigeria|
|Authors: ||Toma, Bose O.|
Ige, Olukemi O.
Abok, Ibrahim I.
Abah, Rose O.
|Issue Date: ||2013|
|Publisher: ||Journal of Medicine in the Tropics|
|Series/Report no.: ||Vol.15;Iss.2: Pp 121-125|
|Abstract: ||Background/Purpose: Neonatal morbidity and mortality contributes significantly to under‑five morbidity and mortality in
sub‑Saharan Africa accounting for 40% of under‑five mortality. A substantial reduction in neonatal mortality is therefore necessary
to achieve the Millennium Development Goal (MDG) 4 target by 2015. The aim of the study was to assess the pattern of neonatal
morbidity and mortality in our environment which will help to identify interventions for better neonatal outcome.
Materials and Methods: The study is a review of cases admitted into the neonatal unit of the Jos University Teaching Hospital
situated in the North Central part of Nigeria. The unit started operating from the permanent site of the hospital on 1 March 2010
after the relocation of the hospital from the previous site.
Data on all neonates admitted into the neonatal unit from 1 March 2010 to 28 February 2011 were obtained from the various
registers/records and analyzed. Data extracted included biodata, gestational age, birth weight, main diagnosis, duration of
admission, etc., In addition, the outcomes (discharged/died) were documented. All statistical analyses were performed using
two‑sided tests. A P < 0.05 was considered statistically significant.
Results: A total of 572 neonates were admitted, accounting for 54.6% of the 1047 pediatric medical admissions into the hospital.
The main causes of admission were neonatal infections (37.1%), prematurity (20.1%), and birth asphyxia (11.5%). Out of the
572 neonates, 111 (19.4%) died. About three quarters (76.5%) of the mortalities occurred in the first week of life with 46.4%
of these occurring in the first 24 hours (χ2-20.2, P < 0.001). The common causes of mortality were prematurity (43.2%), , birth
asphyxia (18.0%) and neonatal infections (17.1%)
Conclusion: There is a high burden for neonatal care at the institution. The three main causes of morbidity and mortality are
prematurity, infections, and birth asphyxia. Hence, neonatal care/facilities need to be improved especially to care for the high risk
neonate. Also, the importance of infection control cannot be overemphasized.|
|Appears in Collections:||Paediatrics|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.