TITLE:
Risk Factors for Neonatal Mortality at the Institute of Nutrition and Child Health of the Donka/Guinea-Conakry National Hospital
AUTHORS:
Bangoura Mmah Aminata, Kolié Ouo Ouo, Camara Salématou Hassimiou, Baldé Mariama, Bangoura Kaba, Diop Mamadou Moustapha, Camara Emmanuel, Diallo Fatoumata Binta, Doukouré Mamadou Aliou, Mamadou Mouctar Sow, Bémy Pé Néabey
KEYWORDS:
Neonatal Mortality, INSE, Guinea-Conakry
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.14 No.2,
March
15,
2024
ABSTRACT: Introduction: The birth of a baby is a moment of joy and
celebration. However, the neonatal period is a very delicate phase of life. Neonatal mortality
rates remain high in low-income countries. In Guinea, after 20 years, this rate
has fallen from 34.2% in 1998 to 32% in 2018. Objective: To identify the main risk factors for neonatal
mortality. Methods: This was an observational, analytical case-control
study, lasting 6 months from January 1 to June 30, 2019, conducted at the
Institut de Nutrition et de la Santé de l’Enfant (INSE) at Donka National
Hospital. Results: We collected 242 cases and 242 controls, i.e. a total of 484 records. 748 patients were registered, with 32.35% deaths. 82.86% of deaths occurred in the early
neonatal period. Statistical analysis revealed the main risk factors:
prematurity (RQ 7.39 95% CI 3.27 - 16.61 p = 0.0000003), hypothermia (RQ 2.29 95% CI 1.51 - 3.46 p = 0.0001), acute fetal distress (RQ 2.13 95% CI 1.33 - 3.43 p = 0.0016), low birth weight (QR 1.91 95% CI 1.12 - 3.24 p = 0.016), home birth (QR 3.26 95% CI 1.25 - 8.46 p = 0.015). Conclusion: Neonatal mortality is a health
problem in the INSE neonatology department. To reduce the mortality rate in
this referral facility, it is essential to equip it and provide ongoing
training for staff.