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Paper Information

Journal:   IRANIAN JOURNAL OF PEDIATRICS   AUGUST 2014 , Volume 24 , Number 4; Page(s) 393 To 400.
 
Paper: 

RISK FACTORS FOR NEONATAL MORTALITY AT THE YAOUNDE GYNAECO-OBSTETRIC AND PEDIATRIC HOSPITAL, CAMEROON

 
 
Author(s):  CHIABI ANDREAS*, TAKOU VANESSA, MAH EVELYNE, NGUEFACK SERAPHIN, SIYOU HYPOLYTE, TAKOU VIRGINIE, TCHOKOTEU PIERRE FERNAND, MBONDA ELIE
 
* GYNAECO-OBSTETRIC AND PEDIATRIC HOSPITAL/FACULTY OF MEDICINE AND BIOMEDICAL SCIENCES, UNIVERSITY OF YAOUNDE I, CAMEROON, YAOUNDE, CAMEROON
 
Abstract: 

Objective: Neonatal mortality is a major health problem in sub-Saharan Africa and the risk factors are not well established. The objective of this study was to determine the risk factors for neonatal mortality at the Yaounde Gynaeco-Obstetric and Pediatric Hospital.
Methods: We conducted a retrospective and analytic case-control study from the medical records of newborns admitted at the neonatal unit of this hospital between 1st March 2003 and 31st December 2012.850 subjects were enrolled; that is 425 cases and 425 controls.
Findings: The intra-hospital neonatal mortality rate was 9.83%. The main causes of neonatal mortality were in descending order: neonatal sepsis (60.2%), complications from prematurity (42.6%), birth asphyxia (37.4%), and congenital malformations (11.8%).The most prominent risk factors for neonatal mortality after multivariate analysis with logistic regression were: prolonged membrane rupture (OR: 3.8719, 95% CI: 2.3619-6.3471; P=0.0000), low birth weight (OR: 1.6240, 95% CI: 1.0108-2.6091; P=0.0450), Apgar score less than 7 at the 5th minute (OR: 6.8979, 95% CI: 4.0709-11.6883; P=0.0000), and congenital malformations (OR: 4.3307, 95% CI: 1.6120-11.6347; P=0.0037). Delivery by cesarean section (OR: 0.2644, 95% CI: 0.1478-0.4732; P=0.0000) and being born in this hospital (OR: 0.4409; 95% CI: 0.2566-0.7576; P=0.0030) were protective.
Conclusion: Neonatal mortality was influenced by both maternal and neonatal factors. This could be reduced through sensitization of pregnant women on the need of good quality antenatal visits, and capacitating the health personnel on the adequate management of high risk neonates.

 
Keyword(s): NEONATAL MORTALITY, HOSPITAL, RISK FACTORS, CAMEROON
 
 
References: 
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APA: Copy

CHIABI, A., & TAKOU, V., & MAH, E., & NGUEFACK, S., & SIYOU, H., & TAKOU, V., & TCHOKOTEU, P., & MBONDA, E. (2014). RISK FACTORS FOR NEONATAL MORTALITY AT THE YAOUNDE GYNAECO-OBSTETRIC AND PEDIATRIC HOSPITAL, CAMEROON. IRANIAN JOURNAL OF PEDIATRICS, 24(4), 393-400. https://www.sid.ir/en/journal/ViewPaper.aspx?id=408026



Vancouver: Copy

CHIABI ANDREAS, TAKOU VANESSA, MAH EVELYNE, NGUEFACK SERAPHIN, SIYOU HYPOLYTE, TAKOU VIRGINIE, TCHOKOTEU PIERRE FERNAND, MBONDA ELIE. RISK FACTORS FOR NEONATAL MORTALITY AT THE YAOUNDE GYNAECO-OBSTETRIC AND PEDIATRIC HOSPITAL, CAMEROON. IRANIAN JOURNAL OF PEDIATRICS. 2014 [cited 2021May14];24(4):393-400. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=408026



IEEE: Copy

CHIABI, A., TAKOU, V., MAH, E., NGUEFACK, S., SIYOU, H., TAKOU, V., TCHOKOTEU, P., MBONDA, E., 2014. RISK FACTORS FOR NEONATAL MORTALITY AT THE YAOUNDE GYNAECO-OBSTETRIC AND PEDIATRIC HOSPITAL, CAMEROON. IRANIAN JOURNAL OF PEDIATRICS, [online] 24(4), pp.393-400. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=408026.



 
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