Journal of Clinical Neonatology

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 8  |  Issue : 4  |  Page : 232--237

Determinants of neonatal mortality among newborns admitted to neonatal intensive care unit Adama, Ethiopia: A case–control study


Hirpha Abera Kolobo1, Tolossa Eticha Chaka1, Roza Teshome Kassa2 
1 Department of Pediatrics and Child Health, Adama Hospital Medical College, Ethiopia
2 Department of Midwifery, College of Health Sciences, School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia

Correspondence Address:
Asst. Prof. Roza Teshome Kassa
Department of Midwifery, College of Health Sciences, School of Nursing and Midwifery, Addis Ababa University, Addis Ababa
Ethiopia

Context: The majority of problems during the early neonatal period are causally related with the fetal life or the birth process; while most problems during late neonatal life are acquired. Aims: This study aims to assess the determinant factors of neonatal mortality among newborns admitted to neonatal intensive care unit of Adama Hospital Medical College (AHMC). Setting and Design: An institutional-based retrospective case–control design was conducted at AHMC. Subjects and Materials: A total of 300 neonates study participants were recruited. Medical record review was employed to collect data. Statistical Analysis Used: Data were entered, cleaned, and analyzed by SPSS version 20 statistical package. Descriptive summaries using frequencies and proportions were used. Binary and multivariable logistic regressions were used. Results: Antenatal care, gravidity, and parity were significant factors to neonatal death. It was found that neonates who were born from mothers who had no antenatal care No single visit) had 2.7 times at risk of death (crude odds ratio = 2.7 95% confidence interval = 1.3, 5.6 adjusted odds ratio = 1.5 P = 0.008). Neonates who were delivered by assisted vaginal delivery were 5.9 times at risk of death than neonates who were delivered by singular value decomposition. It was found that asphyxia and neonatal death have a strong association. Conclusions: Antenatal follow-up, assisted vaginal delivery, cesarean delivery, gestational age, birth weight, sepsis, and asphyxia were significant neonatal risk factors for neonatal death. Most of these factors may be prevented and manageable by good antenatal care, intrapartum care, and neonatal care.


How to cite this article:
Kolobo HA, Chaka TE, Kassa RT. Determinants of neonatal mortality among newborns admitted to neonatal intensive care unit Adama, Ethiopia: A case–control study.J Clin Neonatol 2019;8:232-237


How to cite this URL:
Kolobo HA, Chaka TE, Kassa RT. Determinants of neonatal mortality among newborns admitted to neonatal intensive care unit Adama, Ethiopia: A case–control study. J Clin Neonatol [serial online] 2019 [cited 2021 Feb 28 ];8:232-237
Available from: https://www.jcnonweb.com/article.asp?issn=2249-4847;year=2019;volume=8;issue=4;spage=232;epage=237;aulast=Kolobo;type=0