Neonatal mortality rates at Al-Sadar city 2015 – 2019
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Abstract
Neonatal mortality is an index for newborn care and maternal health care. It is a useful indicator for obstetrical and neonatal healthcare services quality and availability. It is influenced by environmental, economic and social factors. Therefore, it is a measure of socio-economic status and health system. The study was a cross sectional one. It was conducted at Al Resafa side in Baghdad city. The requested data were reviewed from medical records (sex, cause of death, etc.). Chi-square was used to show the impact of dependent variables (death causes) on the independent variables (sex, and type of neonatal death). P value < 0.05 was considered statistically significant. The results showed number of neonatal deaths per 1000 livebirths ranged from 19.30-19.08 per 1000 livebirths between 2015 - 2019 respectively. Males had the highest neonatal deaths through studied years (54.8%, 54.5%, 56.4%, 57.2%, and 59 respectively). Prematurity (487, 32.1%), and respiratory distress syndrome (387, 25.5%) were significantly the common causes of early neonatal deaths. Sepsis (216, 30.1%), and respiratory distress syndrome (149, 20.8%) were significantly the main late neonatal deaths causes (kh 2= 429.582, p value = 0.001). Both males and females mainly died from prematurity (340, 285; 27%, 29.2% respectively). The distribution of causes of neonatal death were significantly varied between sexes (kh2= 20.782, p value= 0.001). In conclusions, neonatal mortality rate is high in the studied period. Two thirds of neonatal death occurred early.
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Kliegman R, Behrman R. The Fetus and the Neonatal Infant in Nelson Textbook of Pediatrics 19th ed. Philadelphia, Elsevier Saunders; 2011: p. 532.
Park K. Park’s textbook of preventive and social medicine 25th ed. Jabalpur, Banarsidas Bhanot; 2019: p.619.
Al Hussainy A, Al-Maiahy T, Khalaf A, Eleiwe S. Leading Risk Factors to Neonatal Mortality: A retrospective study in Iraqi sample. J Am Sci 2017;13(5):1-7
WHO, World health report 2005 Make every mother and child count, Geneva: WHO; 2005, Available at https://www.who.int/whr/2005/en/ (accessed 19 Apr 2022)
Dettrick Z, Gouda HN, Hodge A, Jimenez-Soto E. Measuring Quality of Maternal and Newborn Care in Developing Countries Using Demographic and Health Surveys. PLoS One. 2016;11(6): e0157110.
Yu YH. Victor Global, regional and national perinatal and neonatal mortality. J Perinal med. 2003; 31:376-9.
Nasheit NA. Perinatal and neonatal mortality and morbidity in Iraq.J Maternal Fetal Neonatal Med. 2003;13(1):64-7.
Rodrigues EC, da Costa B, Luciano da Veiga G, Adami F, Carlesso J, Winter F, et al. Neonatal mortality in Luanda, Angola: what can be done to reduce it?. Revista Brasileira de Crescimento e Desenvolvimento Humano. 2019; 29(2):161-168.
Knoema, World data atlas, Iraq, health. Iraq - Neonatal mortality rate, 2021. Available at https://knoema.com/atlas/Iraq/topics/Health/Health-Status/Neonatal-mortality-rate (accessed 19 Apr 2022)
Al-Jadiri HS, Ali BM, Al-Diwan JK. Geopolitical factors affecting childhood nutrition: Iraqi case. Journal of the Faculty of Medicine Baghdad. 2021 Jul 13;63(2):80-1.
Saeed HS, Ali BM, Al-Diwan JK. Peace and Improvement in Iraqi Childhood Nutrition. Indian Journal of Public Health Research & Development. 2021 Oct; 12(4): 106 – 109. DOI: 10.37506/ijphrd. v12i4.16530.
Aziz MH. Director of human resources and development. Ministry of Health. Personnel communication. August 2020.
Azize P, Muhammad L, Kareem N. The Causes of early neonatal death in Sulaimani Intensive Care Unit At Maternity Teaching Hospital Between Jan 2016- Feb 2017. Kurdistan Journal of Applied Research. 2017;2(2).
Knoema, World data atlas, Egypt, health. Egypt - Neonatal mortality rate, 2021. Available at https://knoema.com/atlas/Egypt/Neonatal-mortality-rate#:~:text=In%202019%2C%20neonatal%20mortality%20rate,1%2C000%20live%20births%20in%202019 (accessed 19 Apr 2022)
UNICEF, Lebanon, Neonatal mortality rate data, 2021, Available at https://data.unicef.org/resources/data_explorer/unicef_f/?ag=UNICEF&df=GLOBAL_DATAFLOW&ver=1.0&dq=LBN.CME_MRM0.&startPeriod=1970&endPeriod=2021 (accessed 19 Apr 2022)
Debelew GT, Afework MF, Yalew AW. Determinants and Causes of Neonatal Mortality in Jimma Zone, Southwest Ethiopia: A Multilevel Analysis of Prospective Follow Up Study. PLoS ONE. 2014; 9(9): e107184.
Nielsen BB, Liljestrand J, Hedegaard M, Thilsted SH, Joseph A. Reproductive pattern, perinatal mortality, and sex preference in rural Tamil Nadu, south India: community based, cross sectional study. BMJ. 1997;314(7093):1521-4.
Kaushik SL, Parmar VR, Grover N, Kaushik R. Neonatal mortality rate: relationship to birth weight and gestational age. Indian J Pediatr. 1998 May-Jun;65(3):429-33. doi: 10.1007/BF02761138. PMID: 10771994.
Salih W, Al-Kaseer E. Neonatal Mortality in Central Teaching Hospital of Children in Baghdad/ Iraq 2014-2017. (dissertation), Council of Community and Family medicine, Iraqi Board for Medical Specialization in community medicine; 2019.
Lynne C. Huffman, Paul H. Wise, in Developmental-Behavioral Pediatrics. 4th Ed. Elsevier; 2009.
Margo S. Harrison, Robert L. Goldenberg, Global burden of prematurity. Seminars in Fetal and Neonatal Medicine. 2016;21(2):74-9.
Skokic´ F, Muratovic´ S, Radoja G. Perinatal and maternal outcomes in Tuzla Canton during 1992–1995 war in Bosnia and Herzegovina. Croat Med J. 2006;47(5):714–21.
Jawad HA, Al-kaseer EA, Al-Diwan JK. Neonatal Mortality in Two Tertiary Pediatric Hospitals in Baghdad (2012-2016). Journal of the Faculty of Medicine. 2017; 59(4):330-2.
Campbell O, Gipson R, El Mohandes A. Mohsen L. The Egypt National Perinatal/Neonatal Mortality Study 2000. Journal of Perinatology.2014; 24(5):284-9.
Hornik CP, Fort P, Clark RH, Watt K, Benjamin DK, Jr, Smith PB, Manzoni P, Jacqz-Aigrain E, Kaguelidou F, Cohen-Wolkowiez M. 2012. Early and late onset sepsis in very-low-birth-weight infants from a large group of neonatal intensive care units. Early Hum. Dev. 88:S69–S74.
Joint Committee on Reducing Maternal and Neonatal Mortality in Indonesia, Development, Security, and Cooperation. Policy and Global Affairs, National Research Council, Indonesian Academy of Sciences. Reducing Maternal and Neonatal Mortality in Indonesia: Saving Lives, Saving the Future. Washington (DC): National Academies Press (US); 2013. Available at: https://www.ncbi.nlm.nih.gov/books/NBK201704/ (accessed 19 Apr 2022)
Awqati NA, Ali MM, Al-Ward NJ. Causes and differentials of childhood mortality in Iraq. BMC Pediatr. 2009; 9:40.
Rosenstock S, Katz J, Mullany LC, Khatry SK, LeClerq SC, Darmstadt GL, Tielsch JM. Sex differences in neonatal mortality in Sarlahi, Nepal: the role of biology and environment. J Epidemiol Community Health. 2013;67(12):986-91.
Naeye RL, Burt LS, Wright DL, Blanc WA, Tatter D. Neonatal mortality, the male disadvantage. Pediatrics. 1971 Dec;48(6):902-6. PMID: 5129451.
Gizaw M, Molla M, Mekonnen W. Trends and risk factors for neonatal mortality in Butajira District, south Central Ethiopia, (1987–2008): a prospective cohort study. BMC Pregnancy Childbirth.2014; 14:64.
Mekonnen Y, Tensou B, Telake DS, Degefie T, Bekele A. Neonatal mortality in Ethiopia: trends and determinants. BMC Public Health.2013; 13:483.
Kolola T, Ekubay M, Tesfa E, Morka W. Determinants of Neonatal Mortality in North Shoa Zone, Amhara Regional State, Ethiopia. PLoS One. 2016; 11(10): e0164472.