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. 2024 Jan 15:47:15.
doi: 10.11604/pamj.2024.47.15.39379. eCollection 2024.

Neonatal mortalities without detected risk factors before birth at Mtendeli hospital, Tanzania: a cross-sectional study

Alen Kinyina  1 , Sarah Mohamed Chamos  2 , Hussein Moremi  3 , Melkior Assenga  4 , Mussa Bago  5 , Renatus Mathias  6
Affiliations

Neonatal mortalities without detected risk factors before birth at Mtendeli hospital, Tanzania: a cross-sectional study

Alen Kinyina et al. Pan Afr Med J. .

Abstract

Introduction: neonatal mortality rate (NMR) is defined as the probability of dying during the first 28 days of life expressed per 1,000 live births. The death of neonates without risk factors at the end of pregnancy could be an indicator of sub-optimal quality care during labor and care of sick neonates. Therefore, this study aimed to determine the factors associated with neonatal deaths happening without detected risks during prenatal period.

Methods: a cross-sectional study was conducted from 2017 to 2021.The recruited pregnant women were those who had a live, term, single-intrauterine pregnancy without detectable fetal abnormality at the time of starting labor. The data were collected through open data kit (ODK) forms that were customized in kobo tool in the tablets. The data analysis was performed using STATA statistical software. The factors associated with neonatal mortality were analyzed in a multiple logistic regression and considered significant if p < 0.05.

Results: among the 4401 enrolled mothers, neonatal deaths were 361 (8.2%). The factors associated with death of neonates without risk factors during prenatal period were low Apgar score [AOR = 4.38: 95%CI (2.33-7.72)], male sex [AOR=2.25: 95%CI (1.12-3.81)], gestational age above 40 weeks [AOR=4.79: (2.50-7.61)] and assisted vaginal delivery [AOR = 2.55: 95%CI (1.12-4.96)].

Conclusion: the increased number of neonatal deaths are associated with sex of neonates, low Apgar score, post maturity and assisted vaginal delivery. The hospital-based studies should be done to address the preventable neonatal deaths with no detected risk factors before birth.

Keywords: Apgar score; Neonates; antenatal; birth; mortality; pregnancy.

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Conflict of interest statement

The authors declare no competing interest.

Figures

Figure 1
Figure 1
flow diagram for included and excluded samples at Mtendeli hospital
Figure 2
Figure 2
trends of neonatal death from 2017 to 2021 at Mtendeli hospital
See this image and copyright information in PMC

References

    1. United Nations International Children's Emergency Fund (UNICEF) Levels & Trends in Child Mortality. UNICEF. 2019.
    1. Vardell E. Global health observatory data repository. Medical reference services quarterly. 2020 Jan 2;39(1):67–74. - PubMed
    1. Masaba BB, Mmusi-Phetoe RM. Neonatal Survival in Sub-Sahara: a review of Kenya and South Africa. J Multidiscip Healthc. 2020 Jul 29;13:709–716. - PMC - PubMed
    1. World Health Organization (WHO) Geneva: WHO; 2020. Newborns Reducing Mortality.
    1. Sharrow D, Hug L, You D, Alkema L, Black R, Cousens S, et al. Global, regional, and national trends in under-5 mortalities between 1990 and 2019 with scenario-based projections until 2030: a systematic analysis by the UN Inter-Agency Group for Child Mortality Estimation. The Lancet Global Health. 2022 Feb 1;10(2):e195–206. - PMC - PubMed