Articles Vol. 64 No. 4 28/07/2023

12. RESEARCH ON NEONATAL MORTALITY IN THE PEDIATRIC CENTER OF BACH MAI HOSPITAL

Pham Van Hung1,2, Do Hoang Hai1,2, Nguyen Thanh Nam1,2, Pham Van Dem
1 Bach Mai Hospital
2 Bệnh viện Bạch Mai
Corresponding author: bsntnam@gmail.com
DOI: 10.52163/yhc.v64i4.734
22 Views
20 Downloads
Keywords
Neonatal mortality, pediatric center, Bach Mai hospital, preterm birth.
Abstract

Objective: To study neonatal mortality in the pediatric center of Bach Mai Hospital.

Subject and methods: A descriptive study was conducted on 373 neonatal admitted to the pediatric center of Bach Mai Hospital.

Results: Of the 373 hospitalized infants, 32 died, accounting for 8.6%. Most newborns hospitalized on the first day accounted for 70% (261/373). About 68.8 % of neonatal deaths occurred in the first week, and the mortality rate gradually decreased over time, with a rate of 15.6% in the second week, 9.4% in the third week, and 6.2% in the fourth week. In the first week, mortality was mainly in the first three days after giving birth, with a rate of 56.3%. Preterm birth with complications is a leading cause of death in neonatal with a rate of 37.5%, followed by perinatal asphyxia with a rate of 34.4%. Two causes of birth defects and neonatal sepsis with rates of 21.9% and 6.3%, respectively.

Conclusion: The rate of neonatal mortality is still relatively high. Most newborns admitted to the hospital are preterm. Most infant deaths occur in the first week after birth. The preterm birth with complications postpartum asphyxia is a leading cause of death in neonatal.

References
[1]
UNICEF, Neonatal mortality, 2018. Google Scholar
[2]
Bonita FS, Richard EB, Overview of Pediatrics, Google Scholar
[3]
Robert M. Kliegman Nelson Text Book of Google Scholar
[4]
Pediatrics, 20th Edition, (Elsevier), Philadelphia, Google Scholar
[5]
, 20-39. Google Scholar
[6]
WHO, Preterm birth fact sheet No363. [Google Google Scholar
[7]
Scholar], 2016. Google Scholar
[8]
Orsido TT, Asseffa NA, Berheto TM, Predictors Google Scholar
[9]
of Neonatal mortality in Neonatal intensive care Google Scholar
[10]
unit at referral Hospital in Southern Ethiopia: a Google Scholar
[11]
retrospective cohort study. BMC pregnancy and Google Scholar
[12]
childbirth, 19(1), 2019, 83. Google Scholar
[13]
Nguyễn Thị Xuân Hương, “Tình hình bệnh tật và Google Scholar
[14]
TVSS tại khoa nhi Bệnh viện đa khoa trung ương Google Scholar
[15]
Thái Nguyên trong 3 năm (2008-2010)”, 2010. Google Scholar
[16]
Trần Văn Sơn, Bùi Hồng Cẩm, Võ Phi Ấu, Google Scholar
[17]
“Khảo sát tình hình bệnh tật và TVSS tại khoa Google Scholar
[18]
sơ sinh bệnh viện sản nhi cà mau từ T6/ 2013 – Google Scholar
[19]
T5/2014”, 2014. Google Scholar
[20]
Schindler T, Koller-Smith L, Lui K et al., Causes Google Scholar
[21]
of death in very preterm infants cared for in Google Scholar
[22]
neonatal intensive care units: a populationbased Google Scholar
[23]
retrospective cohort study. BMC pediatrics, 17(1), 2017, 59. Google Scholar
[24]
Sankar MJ, Natarajan CK, Das RR et al., When Google Scholar
[25]
do newborns die? A systematic review of Google Scholar
[26]
timing of overall and cause-specific neonatal Google Scholar
[27]
deaths in developing countries. Journal of Google Scholar
[28]
Perinatology, 36(S1), S1, 2016. Google Scholar
[29]
Yasmin S, Osrin D, Paul E et al., Neonatal Google Scholar
[30]
mortality of low-birth-weight infants in Google Scholar
[31]
Bangladesh. Bulletin of the World Health Google Scholar
[32]
Organization, 79, 2001, 608-614. Google Scholar
[33]
Nga NT, Neonatal Mortality in Vietnam: Google Scholar
[34]
Challenges and Effects of a Community-Based Google Scholar
[35]
Participatory Intervention (Doctoral dissertation, Google Scholar
[36]
Acta Universitatis Upsaliensis), 2013. Google Scholar
[37]
Oza S, Lawn JE, Hogan DR et al., Neonatal Google Scholar
[38]
cause-of-death estimates for the early and Google Scholar
[39]
late neonatal periods for 194 countries: Google Scholar
[40]
–2013. Bulletin of the World Health Google Scholar
[41]
Organization, 93, 2014, 19-28. Google Scholar
[42]
Wang CH, Du LZ, Ma XL et al., Analysis of Google Scholar
[43]
Inhospital Neonatal Death in the Tertiary Neonatal Google Scholar
[44]
Intensive Care Unit in China: A Multicenter Google Scholar
[45]
Retrospective Study. Chinese medical Google Scholar
[46]
journal, 129(22), 2016, 2652. Google Scholar
[47]
Lapecorella M, Mariani G, International Google Scholar
[48]
Registry on Congenital Factor VII Deficiency. Google Scholar
[49]
Factor VII deficiency: defining the Google Scholar
[50]
clinical picture and optimizing therapeutic Google Scholar
[51]
options. Haemophilia, 14(6), 2008, 1170-1175. Google Scholar