摘要
Introduction: Neonatal mortality is a serious problem, particularly in developing countries. Objective: To study the epidemiological and clinical profiles of newborns who died during their hospitalization in the neonatology unit of the hospital in Mali. Methodology: This was a prospective study over a 12-month period (January 1 to December 31, 2020) including all newborns aged 0 - 28 days who died during their hospitalization. Results: A total of 424 neonates were hospitalized in neonatology, 54 died, or 12.73%. Newborns aged 0 - 7 days at admission were the most represented at 79.63% and 94.4% were full-term babies. The male gender was dominant with a ratio of 1.17. The following characteristics were frequently observed in the mothers: not educated (46.3%), poor 75.9%, living in urban areas (68%), housewives 75.4%, and having had less than 4 antenatal care visits (53.7%). For babies, respiratory distress and hyperthermia were the most common reasons for hospitalization (37% and 22.2%, respectively), with 40% being resuscitated at birth. Infection and perinatal anoxia were the most frequent diagnoses, respectively 96.3% and 37%. The death occurred within the first three days of hospitalization in 60% of cases. Conclusion: In order to reduce the mortality rate in our facilities, monitoring of pregnancy and delivery, and correct management of newborns both at birth and in the pediatric wards are important.
Introduction: Neonatal mortality is a serious problem, particularly in developing countries. Objective: To study the epidemiological and clinical profiles of newborns who died during their hospitalization in the neonatology unit of the hospital in Mali. Methodology: This was a prospective study over a 12-month period (January 1 to December 31, 2020) including all newborns aged 0 - 28 days who died during their hospitalization. Results: A total of 424 neonates were hospitalized in neonatology, 54 died, or 12.73%. Newborns aged 0 - 7 days at admission were the most represented at 79.63% and 94.4% were full-term babies. The male gender was dominant with a ratio of 1.17. The following characteristics were frequently observed in the mothers: not educated (46.3%), poor 75.9%, living in urban areas (68%), housewives 75.4%, and having had less than 4 antenatal care visits (53.7%). For babies, respiratory distress and hyperthermia were the most common reasons for hospitalization (37% and 22.2%, respectively), with 40% being resuscitated at birth. Infection and perinatal anoxia were the most frequent diagnoses, respectively 96.3% and 37%. The death occurred within the first three days of hospitalization in 60% of cases. Conclusion: In order to reduce the mortality rate in our facilities, monitoring of pregnancy and delivery, and correct management of newborns both at birth and in the pediatric wards are important.
作者
Korotoumou Wéllé Diallo
Bourama Kané
Aboubacar Sangaré
Kadidiatou Touré
Fatoumata Léonie François Diakité
Mamadou Traoré
Mohamed Maba Traoré
Mamadou Berthé
Mariam Maiga
Abdoul Aziz Diakité
Fatoumata Dicko Traoré
Korotoumou Wéllé Diallo;Bourama Kané;Aboubacar Sangaré;Kadidiatou Touré;Fatoumata Léonie François Diakité;Mamadou Traoré;Mohamed Maba Traoré;Mamadou Berthé;Mariam Maiga;Abdoul Aziz Diakité;Fatoumata Dicko Traoré(Department of Pediatrics, Mali Hospital, Bamako, Mali;Department of Pediatrics, Gabriel Touré University Hospital, Bamako, Mali;Reference Health Center of Commune V, Bamako, Mali;Department of Medical Imaging, Mali Hospital, Bamako, Mali;National Institute of Public Health, Bamako, Mali;Reference Health Center of Commune VI, Bamako, Mali)
