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Volume 34, Issue 4 (9-2024)
JHNM 2024, 34(4): 326-334 |
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Roshani Tabrizi A, Sharami S H, Sabetghadam S, Mansour Ghanaei M, Sharafi R, Dalil Heirati S F et al . Factors Related to Neonatal Mortality at Discharge Among Premature Neonates in a Tertiary Care Hospital in North of Iran. JHNM 2024; 34 (4) :326-334
URL: http://hnmj.gums.ac.ir/article-1-2209-en.html
URL: http://hnmj.gums.ac.ir/article-1-2209-en.html
Ali Roshani Tabrizi1 
, Seyedeh Hajar Sharami *2 , Shadi Sabetghadam3 , Mandana Mansour Ghanaei4 , Reza Sharafi5 , Seyedeh Fatemeh Dalil Heirati6 , Habib Eslami-Kenarsari7
, Seyedeh Hajar Sharami *2 , Shadi Sabetghadam3 , Mandana Mansour Ghanaei4 , Reza Sharafi5 , Seyedeh Fatemeh Dalil Heirati6 , Habib Eslami-Kenarsari7
1- Pediatrician, Reproductive Health Research Center, Al-zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
2- Professor, Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. ,sharami@gums.ac.ir
3- Assistant Professor, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Professor, Reproductive Health Research Center, Department of Obstetrics & Gynecology, Alzahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
5- Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
6- Midwifery (MSc), Reproductive Health Research Center, Al-zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
7- Biostatistics (MSc), Vice-chancellor for Research and Technology, Guilan University of Medical Sciences, Rasht, Iran.
2- Professor, Reproductive Health Research Center, Department of Obstetrics & Gynecology, Al-zahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. ,
3- Assistant Professor, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
4- Professor, Reproductive Health Research Center, Department of Obstetrics & Gynecology, Alzahra Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
5- Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
6- Midwifery (MSc), Reproductive Health Research Center, Al-zahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
7- Biostatistics (MSc), Vice-chancellor for Research and Technology, Guilan University of Medical Sciences, Rasht, Iran.
Abstract: (695 Views)
Introduction: The neonatal period is vital for child survival. In Iran, neonatal mortality rate is high in preterm births. Various factors influence the risk of neonatal mortality in preterm births in different populations but these factors are poorly documented.
Objective: This study aimed to determine predictors of neonatal mortality at discharge among preterm neonates admitted to a tertiary care hospital in Rasht, north of Iran.
Materials and Methods: This is a retrospective cross-sectional study. The medical records of 1145 premature neonates admitted to a tertiary care hospital in Rasht from 2017 to 2022 were examined and the data were collected using a checklist. Descriptive statistics, chi-square test, and Fisher’s exact test were used to analyze the data. Multiple logistic regression was used to identify the predictors of neonatal mortality at discharge.
Results: Most of the neonates had an age ≥33 weeks (71.9%) with a birth weight above 2500 g (94.1%). In most cases, the preterm birth was spontaneous (74.2%). The neonatal mortality frequency at discharge was 78 per 1000 live births. Respiratory distress syndrome was the most common cause of death in all age groups (61 per 1000 live births). Predictors of neonatal mortality were fetal sex (OR=0.24, 95% CI; 0.08%, 0.69%, P=0.008), gestational age (OR=0.57, 95% CI; 0.47%, 0.71%, P=0.001), mode of delivery (OR=3.50, 95% CI; 1.04%, 11.78%, P=0.042), five-minute Apgar score (OR=0.40, 95% CI; 0.21%, 0.77%, P=0.006), fetal distress (OR=0.18, 95% CI; 0.04%, 0.73%, P=0.016), and neonatal intensive care unit (NICU) admission (OR=0.26, 95% CI; 0.08%, 0.78%, P=0.016).
Conclusion: Neonatal mortality at discharge among premature neonates is high in the study hospital in northern Iran. Improving the quality of services and resource allocation are recommended to increase the survival rate of premature neonates.
Objective: This study aimed to determine predictors of neonatal mortality at discharge among preterm neonates admitted to a tertiary care hospital in Rasht, north of Iran.
Materials and Methods: This is a retrospective cross-sectional study. The medical records of 1145 premature neonates admitted to a tertiary care hospital in Rasht from 2017 to 2022 were examined and the data were collected using a checklist. Descriptive statistics, chi-square test, and Fisher’s exact test were used to analyze the data. Multiple logistic regression was used to identify the predictors of neonatal mortality at discharge.
Results: Most of the neonates had an age ≥33 weeks (71.9%) with a birth weight above 2500 g (94.1%). In most cases, the preterm birth was spontaneous (74.2%). The neonatal mortality frequency at discharge was 78 per 1000 live births. Respiratory distress syndrome was the most common cause of death in all age groups (61 per 1000 live births). Predictors of neonatal mortality were fetal sex (OR=0.24, 95% CI; 0.08%, 0.69%, P=0.008), gestational age (OR=0.57, 95% CI; 0.47%, 0.71%, P=0.001), mode of delivery (OR=3.50, 95% CI; 1.04%, 11.78%, P=0.042), five-minute Apgar score (OR=0.40, 95% CI; 0.21%, 0.77%, P=0.006), fetal distress (OR=0.18, 95% CI; 0.04%, 0.73%, P=0.016), and neonatal intensive care unit (NICU) admission (OR=0.26, 95% CI; 0.08%, 0.78%, P=0.016).
Conclusion: Neonatal mortality at discharge among premature neonates is high in the study hospital in northern Iran. Improving the quality of services and resource allocation are recommended to increase the survival rate of premature neonates.
Article Type : Research |
Subject:
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Received: 2023/08/6 | Accepted: 2024/05/11 | Published: 2024/10/1
Received: 2023/08/6 | Accepted: 2024/05/11 | Published: 2024/10/1
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