Conference abstract
Associated factors of neonatal death at the Yaoundé Central Hospital
Pan African Medical Journal - Conference Proceedings. 2023:18(94).03
Oct 2023.
doi: 10.11604/pamj-cp.2023.18.94.2188
Archived on: 03 Oct 2023
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Keywords: Associated factors, neonatal death, Cameroon
Oral presentation
Associated factors of neonatal death at the Yaoundé Central Hospital
Kengne Francis Barnabe1,&
1School of Health Sciences of Catholic University of Central Africa, Yaoundé, Cameroon
&Corresponding author
Introduction: according to UNICEF, 80% of all newborn deaths (ND) result from three preventable and treatable conditions. However, 6,700 neonates are dying every day around the world. Since 2004, ND in Cameroon only showed a slight insignificant drop. Meanwhile, there has been a raise in ND since 2019 in Yaounde Central Hospital. This study was aimed at determining the associated factors of neonatal mortality amongst newborn babies at the Yaounde Central Hospital (YCH).
Methods: we conducted a 1 to 5 matched case-control study. Using quota sampling followed by systematic sampling procedures and with the help of the Cochran formula for a probabilistic sampling size calculation, a developed questionnaire was addressed to a sample population of 1,428 neonates (cases = 238, controls = 1,190) in the Yaounde Central Hospital.
Results: after adjustment, associated factors of neonatal death at the YCH were the absence of placental abnormality (AHR=0.235; P-value =0.016), placenta praevia grade 1 (AHR =1.237; P-value = 0.007), placenta praevia grade 3 (AHR =1.193; P-value = 0.01), placenta abruption sher 0 (AHR =5.092; P-value = 0.015), placenta abruption sher 3 (AHR =17.944; P-value = 0.016, caesarean delivery (AHR =1.777; P-value = 0.002), the absence of prematurity (AHR =0.376; P-value = 0.0), the odds of not being placed under oxygen (AHR =5.680; P-value = 0.0), and referral after delivery (AHR=11.966; P-value = 0.018; 95%; CI= [1.53; 93.597]).
Conclusion: the raise of neonatal mortality at the Yaounde Central Hospital was explained at 73.6% by the type of placenta involved in pregnancy (8.3%), the mode of delivery (11.6%), the age of pregnancy at birth (prematurity, 20%), the obvious practice of putting a new-born under oxygen (26.8%), and the referral status of the new-born (6.9%). From this perspective, acting only on the three main preventable and treatable causes of neonatal death is not enough.
Associated factors of neonatal death at the Yaoundé Central Hospital
Kengne Francis Barnabe1,&
1School of Health Sciences of Catholic University of Central Africa, Yaoundé, Cameroon
&Corresponding author
Introduction: according to UNICEF, 80% of all newborn deaths (ND) result from three preventable and treatable conditions. However, 6,700 neonates are dying every day around the world. Since 2004, ND in Cameroon only showed a slight insignificant drop. Meanwhile, there has been a raise in ND since 2019 in Yaounde Central Hospital. This study was aimed at determining the associated factors of neonatal mortality amongst newborn babies at the Yaounde Central Hospital (YCH).
Methods: we conducted a 1 to 5 matched case-control study. Using quota sampling followed by systematic sampling procedures and with the help of the Cochran formula for a probabilistic sampling size calculation, a developed questionnaire was addressed to a sample population of 1,428 neonates (cases = 238, controls = 1,190) in the Yaounde Central Hospital.
Results: after adjustment, associated factors of neonatal death at the YCH were the absence of placental abnormality (AHR=0.235; P-value =0.016), placenta praevia grade 1 (AHR =1.237; P-value = 0.007), placenta praevia grade 3 (AHR =1.193; P-value = 0.01), placenta abruption sher 0 (AHR =5.092; P-value = 0.015), placenta abruption sher 3 (AHR =17.944; P-value = 0.016, caesarean delivery (AHR =1.777; P-value = 0.002), the absence of prematurity (AHR =0.376; P-value = 0.0), the odds of not being placed under oxygen (AHR =5.680; P-value = 0.0), and referral after delivery (AHR=11.966; P-value = 0.018; 95%; CI= [1.53; 93.597]).
Conclusion: the raise of neonatal mortality at the Yaounde Central Hospital was explained at 73.6% by the type of placenta involved in pregnancy (8.3%), the mode of delivery (11.6%), the age of pregnancy at birth (prematurity, 20%), the obvious practice of putting a new-born under oxygen (26.8%), and the referral status of the new-born (6.9%). From this perspective, acting only on the three main preventable and treatable causes of neonatal death is not enough.
