Assessment Of Factors Causing Mortality Rate Of Neonate In Al-Batool Teaching Hospital In Mosul City

Abstract

Aim: The study aim to find out the neonatal mortality rate among the neonates admitted for a period year to theneonatal intensive care unit in Al-Batool Teaching Hospital in Mosul city.Methodology: A retrospective study the sample collecting from review the register for neonate intensive careunit in AL-Batool Teaching Hospital through one year 2010 (January – December). It registry (341) deaths ofneonate. Were (180) male, and (161) female with duration of stay in Neonate Intensive Care Unit between (1 -3) days old. Data collected for period from (1/12/2011) to (25/1/2012).Results: From the (23198) infant admitted to intensive care unit at Al-Batool Teaching Hospital in Mosul Citywithin one year 2010 (January to December), 341 died. The 4 common causative illnesses were respiratorydistress syndrome (42 %), prematurity (19%) and congenital abnormality (14%) and low birth weight (11%) .Ninety three percent of deaths of neonate occurred within the first three days of their life. The mortality rateincreased with the low in birth weight, as well as gestational age between (29-30Wks). For early-neonatalmortality, odds were observed for birth weight less than 2,500 g or gestation less than 35 weeks.Conclusion: This study concluded that over a quarter of mother age were (31-35) years old (twenty sevenpercent), while, the thirty eight percent of neonate were died within three days after born. The predominance ofmales for death (Fifty three percent) and (twenty nine percent) of them birth weight was (500 - 999 g). Sixtyeight percent were delivered of normal vaginal delivery, with very high case fatality rate (Twenty five) thosewho were delivered (29th - 30th) weeks. Respiratory distress was the commonest primary diagnosis (Forty twopercent) among all admitted neonates, followed by premature (Nineteen percent), congenital malformations(Fourteen percent), and low birth weight (Eleven percent).Recommendation: This study recommended that a need for great efforts to determine and reduce risk factorsassociated with neonatal mortality, and to adequately evaluate the medical and nursing care provided inneonate intensive care units. A neonatal care for pregnant woman is the key for safe neonatal life.