Birthweight-specific neonatal mortalities.
To evaluate the performance of the Special Care Baby Unit of Afif General Hospital over 3 years.
A retrospective analysis of all admissions and deaths in the Special Care Baby Unit, with emphasis on birthweight-specific patterns and rates during the period 1/7/93 to 30/6/96 at Afif General Hospital, Afif, Riyadh Region.
The overall mortality rate was 11.7% ; the rates in the first, second and third periods were 6.3,15.4 and 16.3% respectively, that of the first period being significantly lower than subsequently (p<0.001).
Early neonatal deaths occurred significantly more frequently among babies in the lower end of the birthweight distribution scale (p<0.05).
Respiratory distress syndrome contributed most frequently to deaths among very low birthweight babies, whereas severe birth asphyxia was the predominant diagnosis among those of normal birthweight, which in some cases were due to obstetric complications with largely unpredictable outcome.
The pattern of mortality does not differ significantly from elsewhere in the Kingdom ; the vast majority of deaths occurring among very low birth weight babies and respiratory distress syndrome being a major contributor.
The unique position of Afif is a major factor underlying decisions to transfer sick neonates.
Mots-clés Pascal : Mortalité, Nouveau né, Homme, Evaluation, Facteur risque, Poids naissance faible, Détresse respiratoire, Arabie Saoudite, Asie
Mots-clés Pascal anglais : Mortality, Newborn, Human, Evaluation, Risk factor, Low birth weight, Respiratory distress, Saudi Arabia, Asia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0429513
Code Inist : 002B27B11. Création : 25/01/1999.