Prematurity: A Major Cause of Early Neonatal Mortality in Ad-din Medical College Hospital

  • Nasim Jahan consultant Pediatrics and Neonatology, Asgar Ali hospital, Dhaka, Bangladesh
  • Md Abdul Mannan Prof. of Neonatology, Department of Neonatology, Ad-din Medical College Hospital (AMCH), Dhaka, Bangladesh
  • Shirin Akter Specialist, Asgar Ali Hospital, Dhaka
  • Farhana Afroz Specialist , Asgar Ali Hospital, Dhaka
  • Tashmin Farhana Specialist, Asgar Ali Hospital, Dhaka
  • Mahmuda Nasrin Clinical staff, Asgar Ali Hospital, Dhaka
  • Zenifer Islam Clinical staff, Asgar Ali Hospital, Dhaka
  • Nandita Nazma Associate professor, Department of pediatrics, International Medical College & Hospital, Tongi, Dhaka
Keywords: Prematurity; Perinatal asphyxia (PNA); Meconium aspiration syndrome (MAS); Early neonatal mortality

Abstract

Objective: Early neonatal mortality within the fi rst 24 hours contributes substantially to overall neonatal mortality rates. Reliable cause- specific mortality data are limited; thus the estimated proportion of prematurity-related deaths nationally remains questionable. The objective was to determine the presumed causes of neonatal death within the fi rst 24 hours in Ad-din Medical College Hospital.

Methods: This is a retrospective study initiated in January of 2016 to December 2016, conducted in the delivery room and adjacent neonatal area at Ad-din Medical College Hospital. Research assistants were trained to observe and record events related to labor, neonatal resuscitation, and 24-hour postnatal course. Perinatal asphyxia (PNA) was defined as failure to initiate spontaneous respirations and/or 5-minute Apgar score <7, prematurity as gestational age <37 weeks, and low birth weight (LBW) as birth weight (BW) < 2500gm. Data were analyzed with using the SPSS version (Chi-Square test).

Results: Over 1 year, 14316 neonates were born and evaluated. Of these, 1867 were admitted to the neonatal area. Twenty seven neonates died secondary to Prematurity (55.56%), PNA (37.03%) and Meconium aspiration syndrome (7.41%).

Conclusions: Most cases of early neonatal mortality were related to Prematurity and its related complications and Perinatal asphyxia are additional important considerations. Reducing Perinatal mortality requires a multifaceted approach with attention to issues related to potential complications of Prematurity and its related complications and PNA.

Bangladesh Journal of Medical Science Vol.18(3) 2019 p.593-597

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Abstract
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Published
2019-05-30
How to Cite
Jahan, N., Mannan, M. A., Akter, S., Afroz, F., Farhana, T., Nasrin, M., Islam, Z., & Nazma, N. (2019). Prematurity: A Major Cause of Early Neonatal Mortality in Ad-din Medical College Hospital. Bangladesh Journal of Medical Science, 18(3), 593-597. https://doi.org/10.3329/bjms.v18i3.41634
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Original Articles