11. RESEARCH ON RISK FACTORS ASSOCIATED WITH PRETERM NEONATAL MORTALITY IN PEDIATRIC CENTER OF BACH MAI HOSPITAL

Do Hoang Hai1, Nguyen Thanh Nam1, Pham Van Hung1, Trinh Hoai Phuong2, Pham Van Dem3
1 Bach Mai Hospital
2 Hanoi Medical University
3 VNU - University of Medicine and Pharmacy

Main Article Content

Abstract

Objective: To determine the risk factors associated with preterm neonatal mortality in the pediatric center of Bach Mai Hospital.


Subject and methods: A prospective descriptive study was conducted on 324 preterm neonatal admitted to the pediatric center of Bach Mai Hospital.


Results: The preterm infant mortality rate was 12.7%. The risk factors, including Maternal illnesses, hypothermia, SpO2< 90%, Apgar score < 5, a patient coming from the countryside, patients who were mechanically ventilated, congenital disabilities and low-birth-weight are risk factors associated with increased preterm neonatal mortality has statistically significant with p≤ 0,05. The profound impact on preterm neonatal mortality was hypothermia, birth defects, One minute Apgar score < 5, patients mechanically ventilated and patients from the countryside.


Conclusion: Enhance health care for pregnancy, especially for maternal illnesses and living in countryside. Improving Delivery Room Resuscitation for Infants Affected by maternal conditions.

Article Details

References

[1] UNICEF, Neonatal mortality, 2018.
[2] Bonita FS and Richard EB, Overview of
Pediatrics, Robert M. Kliegman Nelson Text
Book of Pediatrics, 20th Edition, (Elsevier),
Philadelphia, 2016, 20-39.
[3] WHO, Preterm birth fact sheet No363. [Google
Scholar], 2016
[4] Orsido TT, Asseffa NA, Berheto TM, Predictors
of Neonatal mortality in Neonatal intensive care
unit at referral Hospital in Southern Ethiopia: a
retrospective cohort study, BMC pregnancy and
childbirth, 2019, 19(1), 83.
[5] Martin JA, Hamilton HB, Osterman MJ et al.,
National vital statistics reports: from the Centers
for Disease Control and Prevention, National
Center for Health Statistics, Natl Vital Stat Rep,
2017, 66, 1-62.
[6] Allanson ER, Muller M, Pattinson RC, Causes
of perinatal mortality and associated maternal
complications in a South African province:
challenges in predicting poor outcomes, BMC
pregnancy and childbirth, 2015, 15(1), 1-7
[7] Hosein D, Mahdi S, Amir KH et al., Comparison
of the Combined versus Conventional Apgar
Scores in Predicting Adverse Neonatal
Outcomes, PLoS One, 2016, 11(2), 1-11.
[8] Beletew B, Mengesha A, Wudu M et al.,
Prevalence of neonatal hypothermia and its
associated factors in East Africa: a systematic
review and meta-analysis, MC Pediatr, 2020.
20(1), 1-12.
[9] Anuriev AM, Achev V, Hypoxic-ischemic brain
damage in premature newborns, Zh Nevrol
Psikhiatr Im S S Korsakova, 119(8), 2019, 63-69.
[10] Oza S, Lawn JE, Hogan et al., Neonatal causeof-
death estimates for the early and late neonatal
periods for 194 countries: 2000–2013. Bulletin
of the World Health Organization, 93, 2014,19-28.
[11] Wang XL, Wang J, Yuan L et al., Trend and
causes of neonatal mortality in a level III
Children’s Hospital in Shanghai: A 15-year
retrospective study. World Journal of Pediatrics,
14(1), 2018, 44-45.