Mortality and Associated Factors among Neonates Admitted at the Karatina Sub-County Hospital Newborn Unit, Nyeri
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Date
2024-03
Authors
Sogoti, T. Y.
Audi, S. A.
Gibuswa, D. M.
Manyega, A. N.
Manoti, N. G.
Rwabukoba, M. J.
Ngugi, A. N.
Wairimu, I. C. W.
Nyamai, L.
Ongecha, F.
Journal Title
Journal ISSN
Volume Title
Publisher
East African Medical Journal
Abstract
Background: Neonatal mortality is death within the first four weeks of life. The
developing world accounts for 99% of these deaths. Sub-Saharan Africa and
Kenya's Neonatal Mortality Rate (NMR) in 2022 was 26.7 deaths and 21 deaths per
1000 live births, respectively. There is need for more data locally and regionally on
neonatal mortality.
Aim: To determine the cases of mortality and associated factors at the hospital
between January 1st, 2019, and December 31st, 2020.
Methods: A cross-sectional analytical design using data abstraction forms for data
collection was used. The study included 108 neonates. Data analysis was done
using the SPSS software version 23. Descriptive statistics, measures of association
(p-values and odds ratios), and logistical regression were used to compare
variables.
Results: The NMR at Karatina Sub-County Hospital (KSCH) Newborn Unit (NBU)
was 78 deaths per 1000 neonates. Statistical significance was found between
neonatal mortality and parity (p=0.025), gestational age at birth (p=0.039), 5th-minute
Apgar score (p<0.0001), and need for resuscitation at birth (p<0.001). Respiratory distress (p=0.003) and respiratory distress syndrome (p=0.016) as morbidities during
admission significantly correlated with neonatal mortality.
Conclusion: There is a statistical significance between maternal and neonatal
factors with neonatal mortality. The Ministry of Health, the Nyeri County
Government, and clinicians should undertake measures to minimise these risk
factors.
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Citation
Sogoti, T. Y., Audi, S. A., Gibuswa, D. M., Manyega, A. N., Manotiti, G., Rwabukoba, M. J., ... & Gitonga, E. (2024). Mortality and associated factors among neonates admitted at the Karatina Sub-County Hospital Newborn Unit, Nyeri. East African Medical Journal, 101(3), 6837-6844.