Causes of Neonatal Mortality in the Neonatal Intensive Care Unit of Taleghani Hospital

Authors

1 Social Determinants of Health Research Center, Preventive and Community Medicine Specialist, Tabriz University of Medical Sciences, Tabriz, Iran

2 Sayed Hamzeh Health Center, Tabriz University of Medical Sciences, Tabriz, Iran

3 Department of Pediatrics, Tabriz University of Medical Sciences, Director of Department of Neonatal Health, Ministry of Health and Medical Education, Tabriz, Iran

4 Pediatrics Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Background: Neonatal survival is one of the most important challenges today. Over 99% of neonatal mortalities occur in the developing countries, and epidemiologic studies emphasize on this issue in the developed countries, as well. In this study, we attempted to investigate the causes of neonatal mortality in Taleghani Hospital, Tabriz, Iran.
Methods: In this cross-sectional study, we studied causes of neonatal mortality in neonatal intensive care unit (NICU) of Taleghani Hospital, Tabriz, Iran, during 2013-2014. Data collection was performed by the head nurse and treating physician using a pre-designed questionnaire. Most of the data were extracted from the neonatal records. Information regarding maternal underlying diseases and health care during pregnancy was extracted from mothers' records.
Results: A total of 891 neonates were admitted to NICU of Taleghani Hospital of Tabriz, Iran, during 2013-2014, 68 (7.5%) of whom died. Among these cases, 37 (%54.4) were male, 29 (29.4%) were extremely low birth weight, and 16 (23.5%) weighed more than 2.5 kg. The main causes of mortality were congenital anomalies (35.3%), prematurity (26.5%), and sepsis (10.3%), respectively.
Conclusion: Congenital anomaly is the most common cause of mortality, and the pattern of death is changing from preventable diseases to unavoidable mortalities

Keywords


1. Gonzalez R, Merialdi M, Lincetto O, Lauer J, Becerra C, Castro R, et al. Reduction in neonatal mortality in Chile between 1990-2000. Pediatrics. 2006; 117(5):e949-54.

2. Jehan I, Harris H, Salat S, Zeb A, Mobeen N, Pasha O, et al. Neonatal mortality, risk factors and causes: a prospective population-based cohort study in urban Pakistan. Bull World Health Organ. 2009; 87(2):130-8.

3. Javanmardi Z, Beygi M, Ghodousi A. Investigating about the causes of neonates ‘death in the hospitals of Isfahan province. Sci J Forensic Med. 2009; 15(4):229-33 (Persian).

4. Sareshtedari M, Shahamat H, Sadegi T. Cause and related factors of neonatal mortality in Qazvin NICU. Hakim Health Syst Res J. 2012; 14(4):227-32 (Persian).

5. Lawn JE, Cousens S, Zupan J; Lancet Neonatal Survival Steering Team. 4 million neonatal death: when? where? why? Lancet 2005; 365(9462):891-900.

6. Hemmati M, Gheini S. Neonatal mortality rate prevalence in Motazedi hospital of Kermanshah (2002-2003). J Kermanshah Univ Med Sci. 2006; 10(2):130-7 (Persian).

7. Goodman DC, Fisher ES, Little GA, Stukel TA, Chang CH, Schoendorf KS. The relation between the availability of neonatal intensive care and neonatal mortality. N Engl J Med 2002; 346(20):1538-44.

8. Plug I, Hoffman R, Mackenbach J. Avoidable mortality in the European Union: towards better indicators for the effectiveness of health systems. Rotterdam, Netherlands: Amenable Mortality in the European Union, Towards Better Indicators for the Effectiveness of Health Systems (AMIEHS); 2011.

9. Ersdal HL, Mduma E, Svensen E, Perlman J. Birth asphyxia: a major cause of early neonatal mortality in a Tanzanian rural hospital. Pediatrics. 2012; 129(5):e1238-43.

 10. Nayeri F, Amini E, Yazdi ZO, Naieri AD. Evaluation of the cause and predisposing factors in neonatal mortality by using international coding disease version 10 in Valiasr hospital. Iran J Pediatr. 2007; 17(1):21-6 (Persian).