Neonatal Mortality and Associated Factors at a Tertiary-Level Neonatal Intensive Care Unit in Mogadishu, Somalia: A Retrospective Study.

IF 1.7 Q2 PEDIATRICS
Pediatric health, medicine and therapeutics Pub Date : 2025-03-28 eCollection Date: 2025-01-01 DOI:10.2147/PHMT.S500093
Mohamud Eyow Ali, Yusuf Omar Hassan, Mohammed A M Ahmed, Liban Bile Mohamud
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Abstract

Background: Neonatal mortality is a significant global health challenge, particularly in sub-Saharan Africa. In Somalia, there is a notable absence of comprehensive reports or data on neonatal mortality rates within tertiary-level neonatal intensive care units (NICU). This study aims to identify key factors associated with neonatal mortality in Mogadishu, Somalia.

Materials and methods: A retrospective review of medical records was conducted for neonates admitted to the Neonatal Intensive Care Unit (NICU) of Mogadishu Somali Turkish Training and Research Hospital from August 2017 to September 2019. Logistic regression analysis was employed using SPSS (version 25) to compute adjusted odds ratios (aORs) along with 95% confidence intervals (CIs).

Results: Of 1043 neonates, 63.8% (n=665) were male, with a mean age of 1.48 days. Most neonates were full-term (55.3%, n=577), while 25.8% (n=269) were preterm (<32 weeks), and 11.9% (n=124) were late preterm (33-37 weeks). In total, 25.5% (n=266) had very low birth weight (<1500 grams). The average length of stay in the NICU was 7.38 days, and the overall mortality rate was 18.7% (n=195). Indications for NICU admissions were prematurity 27.0% (n=282), followed by birth asphyxia (18.0%, n=188), neonatal sepsis (14.6%, n=152), and acute respiratory distress syndrome (12.2%, n=127). Preterm neonates had significantly higher mortality rates (OR=2.14, 95% CI: 1.32-3.47, p=0.002), and those with a birth weight of <1500 grams had an even higher risk of mortality (OR=3.85, 95% CI: 2.50-5.92, p<0.001). Lack of ANC visits was associated with increased mortality risk (OR=1.67, 95% CI: 1.09-2.54, p=0.019), while cesarean delivery was also linked to higher mortality risk (OR=1.92, 95% CI: 1.29-2.85, p=0.002).

Conclusion: The study identified a Neonatal Mortality Rate that is acceptable compared to the mortality rates in other studies in Somalia and the sub-Saharan African region. These findings inform care strategies and resource allocation in prenatal and neonatal health services.

索马里摩加迪沙一家三级新生儿重症监护病房的新生儿死亡率及相关因素:回顾性研究。
背景:新生儿死亡率是一项重大的全球卫生挑战,特别是在撒哈拉以南非洲。在索马里,三级新生儿重症监护病房(NICU)内的新生儿死亡率明显缺乏全面的报告或数据。本研究旨在确定与索马里摩加迪沙新生儿死亡率相关的关键因素。材料与方法:回顾性分析2017年8月至2019年9月入住摩加迪沙索马里土耳其培训与研究医院新生儿重症监护病房(NICU)的新生儿病历。采用SPSS (version 25)进行Logistic回归分析,计算调整优势比(aORs)和95%置信区间(ci)。结果:1043例新生儿中,665例男婴占63.8%,平均年龄1.48 d。大多数新生儿为足月新生儿(55.3%,n=577),而25.8% (n=269)为早产儿(结论:与索马里和撒哈拉以南非洲地区的其他研究结果相比,该研究确定了可接受的新生儿死亡率。这些发现为产前和新生儿保健服务的护理策略和资源分配提供了信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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