Study of mortality and morbidities of premature under 1500 g: NCHU of Rabat Experience
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 8
Abstract
Background: Prematurity remains a major public health problem in developing countries and its reduction remains a crucial challenge for improving children's health. This study aimed to describe the risk factors for mortality and morbidity in premature whose birth weight is less than 1500 g. Methods: This was a retrospective, descriptive, analytical study carried out over a period of 12 month (January to December 2015) in the neonatology department of the National Reference and Nutrition Center of the Rabat Children's Hospital. Included were all preterm infants under 1500g. Excluded from the study were newborns with hypotrophy and cases of malformation. The main socio-demographic data, maternal obstetric and neonatal data were collected from records of the National Center of Reference in Neonatology and Nutrition. Results: One hundred and thirty-one preterm infants were included.50.80% was female and 49.20% were male. Associated morbidity factors were rural origin 1[0.75-0.82] p<0.05, no antenatal corticotherapy 1.02[0.75-0.82] p<0.05 and multiple pregnancy (p<0,05).Mortality factors were related to very low birth weight 1.39[2.1-3.59] p<0.05,neonal distress 1.2[0.03-0.19]p<0.05,and hemostasis disorders (p<0.05). Conclusion: The reduction of the mortality of the very premature infants requires a multidisciplinary care of the pregnant woman and a good follow-up in our context. . In parallel it is more than urgent to develop a national program for the prevention and care of premature babies in Morocco.
Authors and Affiliations
L. Drame
Keywords
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