Morbidity and Mortality Pattern of Preterm Low Birth Weight Neonates Admitted in Amhara Region Refferal Hospitals of Ethiopia Retrospective Follow-Up Study
Résumé
Abstract Introduction: Being born preterm low birth weight was found as the main risk factor for neonatal mortality and development of different morbidities. Even though prevalence of preterm low birth weight neonates is high. There is information gap about prevalence of their morbidity and mortality pattern in this study area. Objective This study was conducted to assess morbidity and mortality pattern of preterm low birth weight neonates admitted in Amhara region referral hospitals of Ethiopia. Methodology: Retrospective follow up study was conducted on preterm low birth weight neonates admitted in Amhara region referral hospital between January 01 /2017 and December 30 /2018. Data were entered to Epi- data 4.4.2.1 and exported to STATA 14 for cleaning and analysis. Logistic regression model was used to analyze the data. Result This study revealed that 37.8 %( 95%CI: 32.4–43.5) participants were died. The most common morbidities found in preterm low birth neonates was 219 (75.26%) hypothermia followed by 201(69.07%), 145(49.83%), 39(13.4%) and 24(8.25%) with sepsis, RDS, jaundice, congenital anomaly morbidities respectively. Sepsis (AOR: 2.06(95% CI: 1.05–4.02), RDS (AOR: 3.28 (95% CI: 1.81–5.95), congenital abnormality (AOR: 3.14(95%CI: 1.16–8.54), hypoglycemia (AOR 3.81(95%CI: 1.27–11.44) were independent factors of mortality Conclusion In this study, mortality of preterm low birth neonatal was higher and public health issue. Hypothermia, Sepsis, RDS, jaundice and congenital anomaly were common morbidities. Sepsis, respiratory distress, hypoglycemia and congenital anomaly were factors of mortality.
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