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Neonatal mortality in a public referral hospital in Konya over a three-year period

Year 2023, Volume: 11 Issue: 3, 107 - 110, 15.10.2023

Abstract

Aim: Pregnancy outcomes are important markers of a country's social and economic development, as they indicate the quality of care in the prenatal and neonatal period. The aim of this study was to determine the mortality rate and causes of mortality in the last 3 years in our Neonatal Intensive Care Unit (NICU).
Method: Cases involving patients who died in Konya City Hospital Neonatal Clinic between August 1st, 2020, and July 31st, 2023, were included in the study. Demographic data, length of hospitalization, prenatal risk factors, mode of delivery, causes of mortality, and mortality rate were examined.¬
Results: The records of a total of 4177 infants admitted between August 1st, 2020, and July 31st, 2023, were reviewed and a total of 226 patients who died during their hospitalization in the neonatal clinic between these dates were included in the study. Accordingly, the 3-year mortality rate in our NICU was calculated as 5.4%. The most common cause of mortality in infants hospitalized in the NICU was prematurity and its complications (40.7%). Other common causes were respiratory diseases, sepsis, and cardiac diseases.¬¬
Conclusion: Effective measures should be taken to reduce perinatal and neonatal mortality, such as adequate and quality antenatal care, improving child health and disease prevention actions, reducing potential complications during pregnancy, childbirth and postpartum, as well as promoting early diagnosis.

References

  • 1. World Health Organization. Neonatal and Perinatal Mortality: Country, Regional and Global Estimates, 2019.
  • 2. T.C Sağlık Bakanlığı Halk Sağlığı Müdürlüğü,Türkiyede bebek ölümleri durum raporu 2021, syf 14-54.
  • 3. United Nations, Department of Economic and Social Affairs, Sustainable Development <sustainabledevelopment.un.org>
  • 4. World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 12th Revision. Geneva: World Health Organization; 2019.
  • 5. Türk Neonatoloji Derneği Dernek Bültenleri. http://www.neonatology.org.tr/hakkimizda/dernek-bulteni/. Sayı 27-31.
  • 6. Demirel G, Tezel B, Özbaş S, et al. Rapid decrease of neonatal mortality in Turkey. Matern Child Health J 2013;17(7):1215-21.
  • 7. Lawn JE, Cousens S, Zupan J, Lancet Neonatal Survival Steering Team. 4 million neonatal deaths: When? Where? Why? Lancet 2005; 365: 891-900.
  • 8. Budhathoki SS, Sunny AK, Paudel PG, et al. Epidemiology of neonatal infections in hospitals of Nepal: evidence from a large-scale study. Arch Public Health 2020; 78:39.
  • 9. Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet 2015; 385(9966):430-440.
  • 10. Koshida S, Yanagi T, Ono T,et al. Possible Prevention of Neonatal Death: A Regional Population-Based Study in Japan. Yonsei Med J 2016; 57(2):426-429.
  • 11. Callaghan WM, MacDorman MF, Rasmussen SA, et al. The contribution of preterm birth to infant mortality rates in the United States. Pediatrics. 2006; 118: 1566–1573.
  • 12. Bernardino FBS, Gonçalves TM, Pereira TID, et al. Trends in neonatal mortality in Brazil from 2007 to 2017. Cien Saude Colet. 2022; 27(2): 567-578.

Konya Şehir Hastanesinde üç yıllık dönemde yenidoğan mortalite oranları

Year 2023, Volume: 11 Issue: 3, 107 - 110, 15.10.2023

Abstract

Amaç: Gebeliğin sonuçları, prenatal ve neonatal dönemin kalitesini gösterdiğinden, ülkenin sosyal ve ekonomik gelişmişliğini gösteren önemli belirteçlerindendir. Bu çalışmada, yenidoğan yoğun bakım ünitemizin son üç yıllık mortalite hızının ve mortalite nedenlerinin belirlenmesi amaçlanmıştır.
Yöntem: Konya Şehir Hastanesi Yenidoğan Kliniğinde 1 Ağustos 2020-31 Temmuz 2023 tarihleri arasında ölen olgular çalışmaya dâhil edilmiştir. Olguların demografik verileri, yatış süreleri, prenatal risk faktörle¬ri, doğum şekli, mortalite nedenleri ve mortalite oranı belirlenmiştir.
Bulgular: 1 Ağustos 2020-31 Temmuz 2023 tarihleri arasında yatırılan toplam 4.177 bebeğin kayıtları incelenmiş ve bu tarihler arasında yenidoğan kliniğinde yatışı sırasında vefat eden toplam 226 hasta çalışmaya dâhil edilmiştir. Bu sonuçlar ile yenidoğan yoğun bakım ünitemizde üç yıllık mortalite oranı %5.4 olarak hesaplanmıştır. Yenidoğan yoğun bakım ünitesinde yatan bebeklerin en sık mortalite nedeni prematürite ve komplikasyonları iken (% 40,7), diğer sık sebepler respiratuvar hastalıklar, sepsis ve kardiyak has¬talıklar olarak belir¬lendi.
Sonuç: Perinatal ve neonatal mortaliteyi azaltmak için yeterli ve kaliteli doğum öncesi bakım, çocuk sağlığı ve hastalıkları önlemeye yönelik eylemlerin geliştirilmesi, gebelikte, doğumda ve doğum sonrasında olası komplikasyonların azaltılmasına ek olarak erken teşhise yardımcı olmak gibi etkili önlemler alınmalıdır.

References

  • 1. World Health Organization. Neonatal and Perinatal Mortality: Country, Regional and Global Estimates, 2019.
  • 2. T.C Sağlık Bakanlığı Halk Sağlığı Müdürlüğü,Türkiyede bebek ölümleri durum raporu 2021, syf 14-54.
  • 3. United Nations, Department of Economic and Social Affairs, Sustainable Development <sustainabledevelopment.un.org>
  • 4. World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 12th Revision. Geneva: World Health Organization; 2019.
  • 5. Türk Neonatoloji Derneği Dernek Bültenleri. http://www.neonatology.org.tr/hakkimizda/dernek-bulteni/. Sayı 27-31.
  • 6. Demirel G, Tezel B, Özbaş S, et al. Rapid decrease of neonatal mortality in Turkey. Matern Child Health J 2013;17(7):1215-21.
  • 7. Lawn JE, Cousens S, Zupan J, Lancet Neonatal Survival Steering Team. 4 million neonatal deaths: When? Where? Why? Lancet 2005; 365: 891-900.
  • 8. Budhathoki SS, Sunny AK, Paudel PG, et al. Epidemiology of neonatal infections in hospitals of Nepal: evidence from a large-scale study. Arch Public Health 2020; 78:39.
  • 9. Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet 2015; 385(9966):430-440.
  • 10. Koshida S, Yanagi T, Ono T,et al. Possible Prevention of Neonatal Death: A Regional Population-Based Study in Japan. Yonsei Med J 2016; 57(2):426-429.
  • 11. Callaghan WM, MacDorman MF, Rasmussen SA, et al. The contribution of preterm birth to infant mortality rates in the United States. Pediatrics. 2006; 118: 1566–1573.
  • 12. Bernardino FBS, Gonçalves TM, Pereira TID, et al. Trends in neonatal mortality in Brazil from 2007 to 2017. Cien Saude Colet. 2022; 27(2): 567-578.
There are 12 citations in total.

Details

Primary Language Turkish
Subjects Infant and Child Health, Neonatology
Journal Section Original Articles
Authors

Beyza Özcan 0000-0002-2834-5823

Melek Büyükeren 0000-0001-8602-6241

Aytaç Kenar 0000-0001-5257-4987

Ramazan Keçeci 0000-0001-8753-2541

Publication Date October 15, 2023
Acceptance Date September 23, 2023
Published in Issue Year 2023 Volume: 11 Issue: 3

Cite

Vancouver Özcan B, Büyükeren M, Kenar A, Keçeci R. Konya Şehir Hastanesinde üç yıllık dönemde yenidoğan mortalite oranları. pediatr pract res. 2023;11(3):107-10.