Early and late neonatal mortality in hospital settings. Causes and factors related to death (case of Sendwe hospital / DRC)

Abstract

Summary

Global neonatal mortality remains high in our city of Lubumbashi. It is dominated by early neonatal mortality which accounts for more than a third of overall neonatal mortality.

Objective: is to achieve a reduction in neonatal mortality by presenting the different causes and factors related to it.

Research question: What are the causes and factors associated with early and late neonatal mortality in Sendwe?

Methodology: We carried out a retrospective cross-sectional descriptive study with an analytical aim, ranging from January 1, 2019 to December 31, 2019, i.e. a period of 12 months. The analysis was performed using software, EPI INFO Version 6.04 CDC and Micrsoft Word 2016.

Results: During this period 1441 newborns were hospitalized in the neonatal department and 192 died, ie an intra-hospital neonatal mortality rate of 13.31% from all causes. Mortality is dominated by prematurity (56.25%), plus the male sex (56.25%), predominantly newborns born to mothers who suffered from uro-genital infections during pregnancy (38.02%) , newborns born to mothers aged between 25-35 years (47.40%), newborns born to women who have worked for more than 12 hours (72.63%), newborns born to upper delivery (87.50%), newborn with an APGAR score greater than 7 at the tenth minute of life (47.40%), newborns referred (68.23%), new - infants who were resuscitated (55.20%), newborns having spent more than 1 to 7 days of hospitalization (57.29%).

Conclusion

Neonatal mortality is still high at the hospital Sendwe, Regarding factors related to the mother, neonatal mortality occurred most in newborns born to women in periods of intense genital activity, women having had a prolonged labor of more than 12 hours, women who developed urogenital infections in the third trimester of pregnancy.