Neonatal Transfer Situation Following Implementation of a Perinatal Network: An Analysis in Douala, Cameroon

儿科学期刊(英文) Pub Date : 2022-01-01 DOI:10.4236/ojped.2022.121016

D. K. Koum, D. N. Njinkui, Monique Carole Magnibou, L. Foko, C. Eposse, Rhita Mbono, P. E. Eboumbou, C. Penda

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引用次数: 1

Abstract

Background: Postnatal transfer (PT) is interhospital transport of care-needing newborns. In 2016, a perinatal network was implemented to facilitate PT in the town of Douala, Cameroon. The network was supposed to improve PTrelated care standards. This study aimed at determining characteristics of PT five years following the implementation of this network. Methods: A crosssectional study was carried out from February to May 2021 at neonatology wards of six hospitals in Douala. Medical records of newborns transferred to the hospitals were scrutinized to document their characteristics. Parents were contacted to obtain information on PT route and itinerary. Data were analyzed using Epi Info software and summarized as percentages, mean and odds ratio. Results: In total, 234 of the 1159 newborns admitted were transferred, giving a PT prevalence of 20.2% (95% CI 17.9% 22.6%). Male-to-female ratio of the transferred newborns was 1.3. Neonatal infection (26.5%), prematurity (23.5%) and respiratory distress (15.4%) were the main reasons for transfer. Only 3% of the PT was medicalized while only 2% of the newborns were transferred through perinatal network. On admission, hypothermia and respiratory distress were found in 31% and 35% of the newborns, respectively. The mortality rate among babies was 20% and these had a two-fold risk of dying (95% CI 1.58 3.44, p < 0.0001). Conclusion: PT and the perinatal network are lowly organized and implemented in Douala. Sensitization of medical staff on in utero transfer, creating center for coordination of the How to cite this paper: Koum, D.K., Njinkui, D.N., Magnibou, M.C., Foko, L.P.K., Eposse, C., Mbono, R., Eboumbou, P.E. and Penda, C.I. (2022) Neonatal Transfer Situation Following Implementation of a Perinatal Network: An Analysis in Douala, Cameroon. Open Journal of Pediatrics, 12, 148161. https://doi.org/10.4236/ojped.2022.121016 Received: December 30, 2021 Accepted: February 27, 2022 Published: March 2, 2022 Copyright © 2022 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access

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围产期网络实施后的新生儿转移情况:喀麦隆杜阿拉的分析

背景:产后转运(PT)是需要护理的新生儿的医院间转运。2016年，在喀麦隆杜阿拉镇实施了一个围产期网络，以促进PT。该网络本应提高ptr相关的护理标准。本研究旨在确定该网络实施后五年PT的特征。方法:于2021年2月至5月在杜阿拉6家医院的新生儿病房进行横断面研究。对转到医院的新生儿的医疗记录进行了仔细审查，以记录其特征。我们联系了家长，以了解PT路线和行程。采用Epi Info软件对数据进行分析，汇总成百分比、平均值和比值比。结果:1159例入院新生儿中，共有234例转院，PT患病率为20.2% (95% CI 17.9% 22.6%)。转移新生儿的男女比例为1.3。新生儿感染(26.5%)、早产(23.5%)和呼吸窘迫(15.4%)是转移的主要原因。只有3%的PT接受了医疗治疗，而只有2%的新生儿通过围产期网络转移。入院时，分别有31%和35%的新生儿出现体温过低和呼吸窘迫。婴儿死亡率为20%，死亡风险为2倍(95% CI 1.58 3.44, p < 0.0001)。结论:杜阿拉地区PT和围产期网络组织实施较差。医护人员对子宫内移植的敏感化，创建协调中心如何引用本文:Koum, d.k.， Njinkui, d.n.， Magnibou, m.c.， Foko, l.p.k.， Eposse, C, Mbono, R.， eboubou, P.E.和Penda, C.I.(2022)围产期网络实施后的新生儿转移情况:在喀麦隆杜阿拉的分析。儿科杂志，12,148161。https://doi.org/10.4236/ojped.2022.121016收稿日期:2021年12月30日收稿日期:2022年2月27日出版日期:2022年3月2日版权所有©作者与科研出版公司。本作品采用知识共享署名国际许可协议(CC BY 4.0)。http://creativecommons.org/licenses/by/4.0/开放获取

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