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International Journal of Latest Research in Science and Technology

DOI:10.29111/ijlrst   ISRA Impact Factor:3.35

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FACTORS ASSOCIATED WITH EARLY NEONATAL MORBIDITY AND MORTALITY IN AN URBAN DISTRICT HOSPITAL IN DOUALA, CAMEROON.

Research Paper Open Access

International Journal of Latest Research in Science and Technology Vol.5 Issue 3, pp 43-49,Year 2016

FACTORS ASSOCIATED WITH EARLY NEONATAL MORBIDITY AND MORTALITY IN AN URBAN DISTRICT HOSPITAL IN DOUALA, CAMEROON.

Dr Essomba Noel Emmanuel, Dr Kedy Koum Danielle Christiane, Dr Moby Herv?, Dr Halle Marie Patrice, Dr Ngaba Guy Pascal, Dr Nguedjam Mbianda Manuela,

Correspondence should be addressed to :

Received : 03 May 2016; Accepted : 05 June 2016 ; Published : 30 June 2016

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Article No. 10663
Abstract

Background: Mortality in newborns remains high in black Africa, despite the Millennium Development Goals. The aim of this study was to determine the factors associated to early neonatal mortality in Douala- Cameroon. Methods: A cross sectional and analytical survey, has been conducted from May 2013 to January 2014. A pretest questionnaire was to collect the different variable of the survey. The tests of chi square and Fisher have been used for the associations of variables. The multivariate regression has permitted to analyze the associated factors. Results: Of 269 new borns admitted, 75.4% were born at the maternity of Bonassama, 51.5% was baby boys, 66.1% had an gestational age ≥ 37SA. The most frequent exit diagnoses were the neonatal infection 79.1%, the jaunisse 41.6%, the prematurity 33.4%. The early neonatal mortality rate has been estimated to 12.6%. The main causes of early neonatal mortality were the prematurity 41.1%, the neonatal infection 32.3%, the birth asphyxia 26.4%. The factors associated with early neonatal mortality were among others, the prematurity (OR = 21,3; 95% IC(1.49 - 304.24), P <0.0001), the birth asphyxia (OR=17.87; 95% IC(2.02 - 158.18), P <0.0001), respiration distress (OR=130.37 ; 95% IC(9.28 - 1832.51), P <0.0001). Conclusion: The early neonatal mortality is strongly associated to prematurity. The prevention of risk factors should reduce the neonatal mortality. The hold in charge of the newborn must be organized since the community until the different levels of the sanitary pyramid to give a better luck of survival to newborn.

Key Words   
Neonatal mortality; neonatal morbidity; factors

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To cite this article

Dr Essomba Noel Emmanuel, Dr Kedy Koum Danielle Christiane, Dr Moby Herv?, Dr Halle Marie Patrice, Dr Ngaba Guy Pascal, Dr Nguedjam Mbianda Manuela, , " Factors Associated With Early Neonatal Morbidity And Mortality In An Urban District Hospital In Douala, Cameroon. ", International Journal of Latest Research in Science and Technology . Vol. 5, Issue 3, pp 43-49 , 2016

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