Document Detail


Morbidity and mortality patterns of admissions into the Special Care Baby Unit of University of Abuja Teaching Hospital, Gwagwalada, Nigeria.
MedLine Citation:
PMID:  20329678     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the morbidity and mortality patterns of patients admitted into the Special Care Baby Unit (SCBU) of the University of Abuja Teaching Hospital (UATH), Gwagwalada, Nigeria. METHOD: A retrospective analysis of records of patients admitted into the SCBU of the UATH over an 18 month period ofJanuary 2005 to June 2006 was carried out. RESULT: A total of 654 patients were admitted into SCBU of UATH during the review period, there were 351 (53.7%) males, and 303 (46.3%) females given a male to female ratio of 1.2:1. The four leading causes of admissions were low birth weight (LBW) 32.7%, neonatal sepsis (NNS) 19.1%, severe birth asphyxia (SBA) 12.7%, and neonatal jaundice (NNJ) 8.7%. Eighty one (37.9%) of the LBW were term and small for gestational (SGA), while 133 (62.1%) were preterm. Of the 87 (13.3%) deaths recorded during the review period, SBA (21.7%), LBW (20.1%), neonatal meningitis (15.4%),and NNS (11.2%) were the four leading causes of preventable deaths, while congenital abnormalities (20.0%) was the commonest cause of non-preventable conditions. 71.2% of all deaths occurred within the first 72 hours of admission, while 57.7% of such deaths were babies of mothers from low socio-economic background. CONCLUSION: Patterns of admissions and mortality into SCBU of UATH were comparable to studies elsewhere, and points to preventable conditions as the leading causes of such admissions and deaths. Efforts to reduce LBW, SBA, NNS and NNJ through enhancement of good antenatal and delivery services, as well as improvement in the facilities in the unit will assist in death reduction. Health education and economic empowerment especially of women will be an added advantage.
Authors:
A A Okechukwu; A Achonwa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nigerian journal of clinical practice     Volume:  12     ISSN:  1119-3077     ISO Abbreviation:  Niger J Clin Pract     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-03-24     Completed Date:  2010-04-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101150032     Medline TA:  Niger J Clin Pract     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  389-94     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, University of Abuja Teaching Hospital, Gwagwalada, Abuja. nebokest@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Asphyxia Neonatorum / epidemiology*
Cause of Death
Female
Hospitals, Teaching
Hospitals, University
Humans
Infant Mortality / trends*
Infant, Low Birth Weight
Infant, Newborn
Intensive Care, Neonatal / statistics & numerical data
Jaundice / epidemiology*
Male
Morbidity / trends
Nigeria / epidemiology
Patient Admission / statistics & numerical data*,  trends
Retrospective Studies
Sepsis / epidemiology*
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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