Frequency of Causes of Mortality Among Neonatal Age Group In Pediatrics Unit of Civil Hospital, Karachi
DOI:
https://doi.org/10.53555/hsn.v2i3.288Keywords:
neonates, mortality, karachi, frequency.Abstract
Objective: Frequency of Causes of Mortality among Neonatal Age Group In Pediatrics Unit of Civil Hospital, Karachi. Participants and Method: It was a statistical study, conducted at Pediatric Unit of Civil Hospital, Karachi. In this study all data was collected by the co-investigators during a period of 1 st January 2014 to 31 st December 2014,867 neonates were selected as these number of infants presented in the year 2014 in civil hospital, Karachi, and in the end data was analyzed by using SPSS 20.0 version. Results: Out of 867 neonates, 475(54.8%) were baby boys and 392(45.2%) were baby girls. The highest prevailing condition, being reason for admissions in both genders, was low birth weight, found in 116 boys and 96 girls. Out of 867 neonates admitted, 282 neonates suffered mortality with mortality percentage being 32.52%. Low birth weight (<2.5kg) caused largest number of mortalities (72 neonates), keeping in view their highest prevalence. The highest mortality ratio was
found in preterm plus low birth weight (<1.5kg) neonates causing mortality in 46 out of 77 neonates admitted with this condition (59.74%) revealing the severity and lack of management of this condition. Conclusion: low birth weight appears to be the commonest cause of mortality among neonates in our locality. low birth weight not appears to be a great issue in first world countries like U.S.A, China and entire Europe but it appears to be a great threat to the lives of our neonates which can be prevented by improving the nutrition status of the pregnant females during their pregnancy, as by improving this we can save the lives of our neonates which are a precious part of one’s family.
Downloads
References
iWorld health report 2005: Make every mother and child count. Geneva: WHO; 2005.
iiLawn JE, Cousens S, ZupanJ. 4 million neonatal deaths: When? Where? Why? Lancet 2005; 365: 891-900 doi: 10.1016/S0140-6736(05)71048-5 pmid: 15752534.
iiiImtiazJehan , Hillary Harris , Soha.il Salat , Amna Zeb , NaushabaMobeen , Omrana Pasha , Elizabeth M McClure , Janet Moore , Linda L Wright & Robert L Goldenberg .Neonatal mortality, risk factors and causes: a prospective population-based cohort study in urban Pakistan.Bulletin of the World Health Organization 2009;87:130-138. doi: 10.2471/BLT.08.050963
ivLukonga ,Michelo. Factors associated with neonatal mortality in the general population: evidence from the 2007 Zambia Demographic and Health Survey (ZDHS); a cross sectional study. Pan Afr Med J. 2015
vZupan, Jelka. "Perinatal mortality in developing countries." New England Journal of Medicine 352.20 (2005): 2047-2048.
viNaeye, Richard L., et al. "Neonatal mortality, the male disadvantage." Pediatrics 48.6 (1971): 902-906.
viiJones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. How many child deaths can we prevent this year? Lancet. 2003;362:65–71.
viiiFanaroff AA, Stoll BJ, Wright LL, Carlo WA, Ehrenkranz RA, Stark AR, Bauer CR, Donovan EF, Korones SB, Laptook AR, et al. Trends in neonatal morbidity and mortality for very low birthweight infants. Am J Obstet Gynecol. 2007;196:147.e1–147.e8
ixBlack RE, Cousens S, Johnson HL, Lawn JE, Rudan I, et al. (2010) Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 375: 1969–1987.
xEdmond, Karen M., et al. "Delayed breastfeeding initiation increases risk of neonatal mortality." Pediatrics 117.3 (2006): e380-e386.
xiHuffman, Sandra L., Elizabeth R. Zehner, and Cesar Victora. "Can improvements in breast-feeding practices reduce neonatal mortality in developing countries?." Midwifery 17.2 (2001): 80-92.
xiiT Duke,Neonatal pneumonia in developing countries,Arch Dis Child Fetal Neonatal Ed 2005;90:F211-FF219 doi:10.1136/adc.2003.048108
xiiiApisarnthanarak, Anucha, et al. "Ventilator-associated pneumonia in extremely preterm neonates in a neonatal intensive care unit: characteristics, risk factors, and outcomes." Pediatrics 112.6 (2003): 1283-1289.
xivS Vergnano, M Sharland, P Kazembe, C Mwansambo, P T Heath;Neonatal sepsis: an international perspective;Arch Dis Child Fetal Neonatal Ed 2005;90:F220-FF224doi:10.1136/adc.2002.022863
xvLukacs, Susan L., Kenneth C. Schoendorf, and Anne Schuchat."Trends in sepsis-related neonatal mortality in the United States, 1985–1998." The Pediatric infectious disease journal 23.7 (2004): 599-603.
xviSimmons LE, Rubens CE, Darmstadt GL, Gravett MG (2010) Preventing preterm birth and neonatal mortality: exploring the epidemiology, causes, and interventions. SeminPerinatol 34: 408–415
xviiOlga Basso , Allen J. Wilcox and Clarice R. Weinberg; Birth Weight and Mortality: Causalityor Confounding?;Oxford JournalsMedicine & Health American Journal of Epidemiology Volume 164, Issue 4Pp. 303-311.
xviiiBryce J, Boschi-Pinto C, Shibuya K, Black RE, WHO Child Health Epidemiology Reference Group WHO estimates of the causes of death in children. Lancet. 2005;365:1147–52.
xixMcIntire, Donald D., and Kenneth J. Leveno. "Neonatal mortality and morbidity rates in late preterm births compared with births at term." Obstetrics & Gynecology 111.1 (2008): 35-41.
xxRush, R. W., et al. "Contribution of preterm delivery to perinatal mortality." BMJ 2.6042 (1976): 965-968.
xxiAnne CC Lee, MD, MPH,a Luke C. Mullany, PhD, James M. Tielsch, PhD, Joanne Katz, ScD,Subarna K. Khatry, MBBS, Steven C. LeClerq, MPH, Ramesh K. Adhikari, MD,Shardaram R. Shrestha, MPH, and Gary L. Darmstadt, MD;Risk Factors for Neonatal Mortality due to Birth Asphyxia in Southern Nepal;Pediatrics. 2008 May; 121(5): e1381–e1390.doi: 10.1542/peds.2007-1966
xxiiMacDonald, Hugh M., et al. "Neonatal asphyxia. I. Relationship of obstetric and neonatal complications to neonatal mortality in 38,405 consecutive deliveries." The Journal of pediatrics 96.5 (1980): 898-902.
xxiiiKorkmaz A, Tekşam O, Yurdakök M, Yiğit S, Tekinalp G;Fetal malnutrition and its impacts on neonatal outcome in preterm infants. TurkJ Pediatr. 2011 May-Jun;53(3):261-8.
xxivDavid L. Pelletier;The Potentiating Effects of Malnutrition on Child Mortality: Epidemiologic Evidence and Policy Implications;DOI: http://dx.doi.org/10.1111/j.1753-4887.1994.tb01376.x 409-415 First published online: 1 December 1994
xxvBamji MS, V S Murthy PV, WilliamsL, Vardhana Rao MV;Maternal nutritional status & practices & perinatal, neonatal mortalityin rural Andhra Pradesh, India;Indian J Med Res. 2008 Jan;127(1):44-51.
xxviWEBB, JEAN F. "Maternal Nutrition and Perinatal Mortality." Canadian Journal of Public Health/Revue Canadienne de Sante'ePublique (1956): 482-484.
xxviiAsindi AA, Ibia EO, Udo JJ: Mortality pattern in Nigerian children in the 1980s.J Trop Med Hyg 1991, 94:152-5
xxviiiBehrman RE: The field of paediatrics. In Nelson Textbook of Paediatrics.14th edition. WB Sanders Co, Philedephia; 1992:1-5
xxixDe Galan-Roosen ,Kuijpers JC, Meershoek AP, van Velzen D. Contribution of congenital malformations to perinatal mortality. Eur J ObstetGynecolReprod Biol. 1998 Sep;80(1):55-61
xxxLe Hesran JY: The particularities of malaria in the child.Med Trop 2000, 60(10):92-98.
xxxiFischer PR: Congenital Malaria: an African survey.ClinPediatr (Phila) 1997, 36(7):411-3
xxxiiNyirjesy, Paul, et al. "Malaria during pregnancy: neonatal morbidity and mortality and the efficacy of chloroquine chemoprophylaxis." Clinical infectious diseases 16.1 (1993): 127-132.
xxxiiiSteketee RW, Wirima JJ, Slutsker L, Heymann DL, Breman JG: The problem of malaria and malaria control in pregnancy in sub-Saharan Africa.v
xxxivMcDermott JM, Wirima JJ, Steketee RW, Breman JG, Heymann DL: The effect of placental malaria infection on perinatal mortality in rural Malawi
xxxvTako EA, Zhou A, Lohoue J, Leke R, Taylor DW, Leke RF: Risk factors for placental malaria and its effect on pregnancy outcome in Yaounde, Cameroon.
xxxviPhibbs, Ciaran S., et al. "The effects of patient volume and level of care at the hospital of birth on neonatal mortality." Jama 276.13 (1996): 1054-1059.
xxxviiRabindraNath Roy et al. Mortality Pattern of the Hospitalised Children in a Tertiary Care Hospital of Kolkata. Indian Journal of Community Medicine, 2008 Jul:33(3), 187-9.
xxxviiiICMR Young Infant Study Group. Age profile of Neonatal Deaths. Indian Paediatrics, 2008 Dec 17: 45,991-4
xxxixHafizur Rahman, Sandra Thompson,Mohammed Ali, NurulAlam, Md. Yunus, and Peter Kim Streatfield: Causes of Neonatal Deaths in a Rural Subdistrict of Bangladesh: Implications for Intervention: J Health PopulNutr. 2010 Aug; 28(4): 375–382
xlMarchant T, Willey B, Katz J, Clarke S, Kariuki S, Kuile Ft, et al. (2012) Neonatal Mortality Risk Associated with Preterm Birth in East Africa, Adjusted by Weight for Gestational Age: Individual Participant Level Meta-Analysis. PLoS Med 9(8): e1001292. doi:10.1371/journal.pmed.1001292
xliAlonso , Fuster V, Luna F.: Causes of neonatal mortality in Spain (1975-98): influence of sex, rural-urban residence and age at death.: J Biosoc Sci. 2006 Jul;38(4):537-51
xliiSohelyYasmin,DavidOsrin, Elizabeth Paul, & AnthonyCostello: Neonatal mortality of low-birth-weight infants in Bangladesh: Bull World Health Organ vol.79 n.7 Genebra Jul. 2001
xliiiSingh M. Hospital based data on perinatal and neonatal mortality in India. Jan-Mar 1986; Indian Paediatrics; 23:579-84.
xlivUmesh Y Ramadurg, C H Ghattargi, Gagan S, Manjula R, Ramesh Y Mayappanavar, Dip Bhadja, Sandhya S Nair:A Study of Causes of Neonatal Mortality in Tertiary Care Hospital, Bagalkot:International Journal of Health Information and Medical Research Vol: 1, Issue: 2, April 2014
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2016 gnpublication@
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
In consideration of the journal, Green Publication taking action in reviewing and editing our manuscript, the authors undersigned hereby transfer, assign, or otherwise convey all copyright ownership to the Editorial Office of the Green Publication in the event that such work is published in the journal. Such conveyance covers any product that may derive from the published journal, whether print or electronic. Green Publication shall have the right to register copyright to the Article in its name as claimant, whether separately
or as part of the journal issue or other medium in which the Article is included.
By signing this Agreement, the author(s), and in the case of a Work Made For Hire, the employer, jointly and severally represent and warrant that the Article is original with the author(s) and does not infringe any copyright or violate any other right of any third parties, and that the Article has not been published elsewhere, and is not being considered for publication elsewhere in any form, except as provided herein. Each author’s signature should appear below. The signing author(s) (and, in
