neonatal mortality in a tertiary hospital in southern nigeria

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1、NeonatalmortalityinatertiaryhospitalinSouthernNigeria：C.N.Onyearugha1，H.A.Ugboma【摘要】Objective:ethods:ThisisaretrospectivestudyofneonatalmortalityinatertiaryhospitalfromAugust2004toJuly2007(a3yearperiod).Dataobtainedincludetotallivebirths,neonataldeaths

2、,relevantinformationonpregnancy,labouranddelivery,neonatalmorbidityanddurationoflife.Results:Thereortalityrateof14.4/1000livebirths.Earlyneonatalmortalityconstituted81.8%ofoverallneonatalmortalityajorcausesbeingprematurity40%severebirthasphyxia29.5%and

3、neonatalsepsis18.3%.Los)constituted55.5%oftotalneonatalmortality.Conclusion:EarlyneonatalmortalityconstitutesanoveringproportionofneonatalmortalityinSouthernNigeria.Thiscanbesignificantlycurtailedbyreducingtheincidenceanddeathfromprematurity,severebirt

4、hasphyxiaandneonatalsepsis.【关键词】NeonatalMortality;Associatedfactors;SouthernNigeria　Introduction　　TheMillenniumDevelopmentGoal.(MDG)4mitsinternationalmunitytoreducingmortalityinchildrenagedunder5Yearsbytostofiddleinecountries.Oftheestimatednearly4milli

5、onneonataldeaththatoccurredgloballyintheyear2000,onlyabout1%occurredindevelopedcountriesortalityrateislessthan4perthousandlivebirths,ortalityratemorethan33perthousandlivebirth[6,7].　　ToachieveMDG.4asubstantialreductioninneonatalmortalityespeciallyinthe

6、developingnationsmustbemade[8].　　Aneasilyoverlookedbutrealchallengeinpolicyanalysisisthesloortalityovertheyears.Childsurvivalprogramsindevelopingcountrieshavetendedtofocusonpneumonia,diarrheamalaria,malnutritionandvaccinepreventablediseasesportantcause

7、sofdeathafterthefirstmonthoflife[9].　　Aspostneonatalmortalityratesfall,prenatalandneonatalmortalitiesareincreasinglybeingimportantpublichealthissuesindevelopingcountries.　　Toachieveanysignificantreductioninneonatalmortality,itspatternofoccurrencemustbe

8、evaluatedtherebydeterminingareasustbefocusedtocurbitspresentlyunacceptablehighlevel.　　ThisstudyinethepatternofneonatalmortalityinatertiaryhealthinstitutioninSouthernNigeria,asnosuchstudyhasbeendoneherepreviously.Theresultsobtainedulatio