Pub Date : 2022-09-09DOI: 10.15406/jpnc.2022.12.00471
Yonas Fissha Adem, Yosef Haile, Moges Milashu
Background: Early neonatal death is a serious concern, both in the developing and developed worlds. Early neonatal death remains a health problem and is the biggest component of the neonatal mortality rate. Therefore, substantial reduction in early neonatal mortality is a crucial pre-requisite for achieving further gains in child survival in the country. However, the distribution of deaths in the community within the first week is poorly understood. Therefore, this study was conducted to assess time to death and its predictors among early neonates in the neonatal intensive care unit of Dessie Referral Hospital. Method: A retrospective cohort study was conducted in the early neonatal patient in Dessie referral hospital on the total sample size of 416 selected patients by using a simple random sampling technique. Data were collected by document review. Life table used to estimate the probability of survival, log-rank test to compare survival in two or more groups and the Cox proportional hazard model was used to determine factors associated with time to death of early neonate. The hazard ratio with 95% confidence level was used to declare statistical significant association. Result: A total of 416 early neonates were included in the study. There were 224(53.8%) male neonates. The overall early neonatal mortalities were 47(11.3%), of which 23.41% of them died on the first day of age. early neonatal mortality was associated with neonatal sepsis (AHR=3.349,95% CI,1.842-6.089), low birth weight of neonates (AHR=3.563%,95% CI,1.925-6.595), unable to breastfeeding during delivery (AHR=4.094,95% CI,1.603-10.452), neonatal respiratory distress (AHR=4.018,95% CI,1.733-9.371), perinatal asphyxia (AHR =2.540,95% CI,1.186-5.847). Conclusion: The causes of early neonatal death described in this study were preventable. Managing low birth weight, initiating exclusive breastfeeding, refining quality of service, and confirming the continuity of care are recommended to increase the survival of neonates.
{"title":"Time to death and its predictors among early neonatal patients in neonatal intensive care unit of Dessie referral hospital, South Wollo Zone, Northeast Ethiopia","authors":"Yonas Fissha Adem, Yosef Haile, Moges Milashu","doi":"10.15406/jpnc.2022.12.00471","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00471","url":null,"abstract":"Background: Early neonatal death is a serious concern, both in the developing and developed worlds. Early neonatal death remains a health problem and is the biggest component of the neonatal mortality rate. Therefore, substantial reduction in early neonatal mortality is a crucial pre-requisite for achieving further gains in child survival in the country. However, the distribution of deaths in the community within the first week is poorly understood. Therefore, this study was conducted to assess time to death and its predictors among early neonates in the neonatal intensive care unit of Dessie Referral Hospital. Method: A retrospective cohort study was conducted in the early neonatal patient in Dessie referral hospital on the total sample size of 416 selected patients by using a simple random sampling technique. Data were collected by document review. Life table used to estimate the probability of survival, log-rank test to compare survival in two or more groups and the Cox proportional hazard model was used to determine factors associated with time to death of early neonate. The hazard ratio with 95% confidence level was used to declare statistical significant association. Result: A total of 416 early neonates were included in the study. There were 224(53.8%) male neonates. The overall early neonatal mortalities were 47(11.3%), of which 23.41% of them died on the first day of age. early neonatal mortality was associated with neonatal sepsis (AHR=3.349,95% CI,1.842-6.089), low birth weight of neonates (AHR=3.563%,95% CI,1.925-6.595), unable to breastfeeding during delivery (AHR=4.094,95% CI,1.603-10.452), neonatal respiratory distress (AHR=4.018,95% CI,1.733-9.371), perinatal asphyxia (AHR =2.540,95% CI,1.186-5.847). Conclusion: The causes of early neonatal death described in this study were preventable. Managing low birth weight, initiating exclusive breastfeeding, refining quality of service, and confirming the continuity of care are recommended to increase the survival of neonates.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124613718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-05DOI: 10.15406/jpnc.2022.12.00469
Gudisa Bereda
Reye’s syndrome is defined as a fatal biphasic disorder that clinically described by preceding viral illness, protracted vomiting from one to two days before the onset of encephalopathy and liver dysfunction. Reye’s syndrome can be characterized as a constellation of delirium, fever, convulsions, vomiting, respiratory collapses, stupor, seizures, or coma typically following an earlier viral illness. Encephalopathy can be frequently progresses rapidly from lethargy to coma within twenty four to forty eight hrs. Both universal mitochondrial injury and triglyceride accumulations are the cornerstone etiology of Reye’s syndrome. Accumulation of high concentration of ammonia leads to encephalopathy and anicteric hepatitis with three times rise in liver enzymes. A frequent pathophysiological mechanism of Reye’s syndrome is induction of the mitochondrial permeability transition. The syndrome is correlated with a high mortality rate and the treatment is symptomatic including intensive care management with correction of metabolic abnormalities especially of hypotension, hypo glycaemia and acidosis, control of convulsions, and monitoring of intracranial hypertension due to cerebral edema. Agents to decrease serum ammonia concentrations are also usually used, the most frequent being are neomycin sulfate or lactulose. Anti-emetic such as ondansetron should be given to inhibit vomiting and potential aspiration.
{"title":"Etiology, pathophysiology and management of reye’s syndrome","authors":"Gudisa Bereda","doi":"10.15406/jpnc.2022.12.00469","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00469","url":null,"abstract":"Reye’s syndrome is defined as a fatal biphasic disorder that clinically described by preceding viral illness, protracted vomiting from one to two days before the onset of encephalopathy and liver dysfunction. Reye’s syndrome can be characterized as a constellation of delirium, fever, convulsions, vomiting, respiratory collapses, stupor, seizures, or coma typically following an earlier viral illness. Encephalopathy can be frequently progresses rapidly from lethargy to coma within twenty four to forty eight hrs. Both universal mitochondrial injury and triglyceride accumulations are the cornerstone etiology of Reye’s syndrome. Accumulation of high concentration of ammonia leads to encephalopathy and anicteric hepatitis with three times rise in liver enzymes. A frequent pathophysiological mechanism of Reye’s syndrome is induction of the mitochondrial permeability transition. The syndrome is correlated with a high mortality rate and the treatment is symptomatic including intensive care management with correction of metabolic abnormalities especially of hypotension, hypo glycaemia and acidosis, control of convulsions, and monitoring of intracranial hypertension due to cerebral edema. Agents to decrease serum ammonia concentrations are also usually used, the most frequent being are neomycin sulfate or lactulose. Anti-emetic such as ondansetron should be given to inhibit vomiting and potential aspiration.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125230879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-17DOI: 10.15406/jpnc.2022.12.00467
Abdelhakam GTamomh, Wafa Fadul, Atif Ahmed, Ahmed Ibn Edriss Mohamed
Background: Neonatal morbidity and mortality in our country is high; In order to improve neonatal outcome, it is crucial to identify the areas where health care can be improved. Therefore, studying the pattern of admission and outcome among neonates can be a valuable tool in auditing hospital performance. Materials and Methods: Descriptive cross sectional hospital based study. This study was covered all neonates fulfills case definition; admitted to NICU of Alobaid pediatric teaching hospital during the period from November 2020 to April. Results: the study show the pattern of admission and outcome among neonates with sample size of 750, most of them admitted at the first 24 hours of birth (94%), (70.8%) were term and almost the half of neonates had birth weight less than 2.5 kg (42.1%). The majority of the admitted neonates were delivered via caesarian-section (62.8%). Moreover, the most common cause of admission among them was prematurity and especially RDS (29%), neonatal sepsis (16.5%) and TTN (14%).About tow third of admitted neonates were discharge on good condition (70%) and the overall mortality was 152 neonates (20.4%). Additionally gestational age, maternal complication and antenatal care follow-up were found to be significantly associated with the neonatal outcome. Conclusion: prematurity, RDS and neonatal sepsis were most common cause of admission and death, all these etiologies are preventable up to some extent, and if detected earlier can be effectively treated in order to reduce morbidity and mortality. As (62.8%) of admitted neonates were delivered via caesarian-section, a revisit for the indications of cesarean deliveries may help to improve the neonatal outcome.
{"title":"Pattern of admission and outcome of neonates admitted to neonatal intensive care unit of alobaid pediatrics teaching hospital-North Kordofan state, Sudan","authors":"Abdelhakam GTamomh, Wafa Fadul, Atif Ahmed, Ahmed Ibn Edriss Mohamed","doi":"10.15406/jpnc.2022.12.00467","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00467","url":null,"abstract":"Background: Neonatal morbidity and mortality in our country is high; In order to improve neonatal outcome, it is crucial to identify the areas where health care can be improved. Therefore, studying the pattern of admission and outcome among neonates can be a valuable tool in auditing hospital performance. Materials and Methods: Descriptive cross sectional hospital based study. This study was covered all neonates fulfills case definition; admitted to NICU of Alobaid pediatric teaching hospital during the period from November 2020 to April. Results: the study show the pattern of admission and outcome among neonates with sample size of 750, most of them admitted at the first 24 hours of birth (94%), (70.8%) were term and almost the half of neonates had birth weight less than 2.5 kg (42.1%). The majority of the admitted neonates were delivered via caesarian-section (62.8%). Moreover, the most common cause of admission among them was prematurity and especially RDS (29%), neonatal sepsis (16.5%) and TTN (14%).About tow third of admitted neonates were discharge on good condition (70%) and the overall mortality was 152 neonates (20.4%). Additionally gestational age, maternal complication and antenatal care follow-up were found to be significantly associated with the neonatal outcome. Conclusion: prematurity, RDS and neonatal sepsis were most common cause of admission and death, all these etiologies are preventable up to some extent, and if detected earlier can be effectively treated in order to reduce morbidity and mortality. As (62.8%) of admitted neonates were delivered via caesarian-section, a revisit for the indications of cesarean deliveries may help to improve the neonatal outcome.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115948747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-12DOI: 10.15406/jpnc.2022.12.00466
Patricia Johane Ostia Garza, Moreno Alvarez Lucero Itzel, Reyes Miranda Elga Cristina, Guevara-Yáñez Roberto, Blanco Aguirre María Esther
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{"title":"Midas syndrome (microphthalmia syndrome and linear defects of the skin): case report","authors":"Patricia Johane Ostia Garza, Moreno Alvarez Lucero Itzel, Reyes Miranda Elga Cristina, Guevara-Yáñez Roberto, Blanco Aguirre María Esther","doi":"10.15406/jpnc.2022.12.00466","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00466","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128955236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-05DOI: 10.15406/jpnc.2022.12.00465
S. Gulati, Srishti Gulati, M.A.M. Ahmed, A. Sabhiki
{"title":"NSAIDS: Pain killers or kidney killers?","authors":"S. Gulati, Srishti Gulati, M.A.M. Ahmed, A. Sabhiki","doi":"10.15406/jpnc.2022.12.00465","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00465","url":null,"abstract":"","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126610074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-18DOI: 10.15406/jpnc.2022.12.00463
Gudisa Bereda
The pediatrics has various pharmacodynamic, physiological and pharmacokinetic properties as well as growth rate in comparison with adults. Gastric pH is neutral at birth but falls to pH 1-3 within twenty four to forty eight hours after birth. At birth, the blood-brain barrier is still not fully mature and medicinal products perhaps obtain access to the central nervous system with sequence toxicity. Plasma protein attaching of compounds is dependent on the amount of present attaching proteins, the number of available binding sites, the affinity constant of the medicine for the protein(s), and the availability of pathophysiological conditions or endogenous compounds that perhaps change the medicine-protein attaching interaction. Total body water, explained as percentage of body weight, reduces with age, from comparatively 80% in newborns to 60% by 1 year of age. Reversibly, body fat accelerates with age, from one percent to two percent in a preterm neonate to ten percent to fifteen percent in a term neonate and 20 to 25% in a 1-year-old. First-pass metabolism of zidovudine was decrease in the first 14 days of life. At birth, renal blood flow is only 5 to 6% of cardiac output, 15 to 25% by one year of age and reaches adult values after two years of age. Children's dosage depends on factors such as their age and weight, their health status, their respiratory system, and the stage of development of their body systems for drugs metabolism (e.g., liver enzymes) and elimination (e.g., kidneys). Young’s rule can be applied quickly approach a situation in which the patients weight is unknown; this rule cannot be used for newborns and consideration must be made for growth variability in growth at any given age. A young’s rule for calculating the dose of medicine correct for a child by adding twelve to the child’s age, dividing the sum by the child’s age, then dividing the adult dose by the figure obtained, as it expressed beneath: (age in years / age (years) + 12)) × adult dose.
{"title":"Pediatrics: pharmacokinetics and dose calculation","authors":"Gudisa Bereda ","doi":"10.15406/jpnc.2022.12.00463","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00463","url":null,"abstract":"The pediatrics has various pharmacodynamic, physiological and pharmacokinetic properties as well as growth rate in comparison with adults. Gastric pH is neutral at birth but falls to pH 1-3 within twenty four to forty eight hours after birth. At birth, the blood-brain barrier is still not fully mature and medicinal products perhaps obtain access to the central nervous system with sequence toxicity. Plasma protein attaching of compounds is dependent on the amount of present attaching proteins, the number of available binding sites, the affinity constant of the medicine for the protein(s), and the availability of pathophysiological conditions or endogenous compounds that perhaps change the medicine-protein attaching interaction. Total body water, explained as percentage of body weight, reduces with age, from comparatively 80% in newborns to 60% by 1 year of age. Reversibly, body fat accelerates with age, from one percent to two percent in a preterm neonate to ten percent to fifteen percent in a term neonate and 20 to 25% in a 1-year-old. First-pass metabolism of zidovudine was decrease in the first 14 days of life. At birth, renal blood flow is only 5 to 6% of cardiac output, 15 to 25% by one year of age and reaches adult values after two years of age. Children's dosage depends on factors such as their age and weight, their health status, their respiratory system, and the stage of development of their body systems for drugs metabolism (e.g., liver enzymes) and elimination (e.g., kidneys). Young’s rule can be applied quickly approach a situation in which the patients weight is unknown; this rule cannot be used for newborns and consideration must be made for growth variability in growth at any given age. A young’s rule for calculating the dose of medicine correct for a child by adding twelve to the child’s age, dividing the sum by the child’s age, then dividing the adult dose by the figure obtained, as it expressed beneath: (age in years / age (years) + 12)) × adult dose.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"447 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133781633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-11DOI: 10.15406/jpnc.2022.12.00462
Mohammed Ahmed Ibrahim Ahmed, Sherin Awad Babiker Bala, Fatima Obied Ahmed Adeeel, Nahla Ahmed Mohammed Abdelrahman
Background: Skin diseases are a significant public health concern that affects a considerable percentage of children, causing discomfort and disabilities. Objective: The focus of this research was to determine the most frequent skin diseases among children in the Dermatology Department of the Tropical Disease Teaching Hospital. Methodology: This is a retrospective hospital-based research that took place from January to December 2021 at the Tropical Disease Teaching Hospital. Results: One hundred and eighty patients, ranging in age from one to eighteen years old, were included in this study, with males accounting for 60.7 % of the total (n=68). The overwhelming majority of the patients (90.2%, n=101) were from Khartoum state. In the majority of cases (92.9 % - n=104), the patients' residential situations were a risk factor; there was no crowd in their households, and 83.9 % (94) of the participants had no animals in their homes. In terms of water supply, 85.7 % (96) of the patients used tap water. The majority of patients (90.2 % - n=101) had no seasonality skin condition, and none of the patients have any chronic disorders, according to their clinical data. Skin diseases are prevalent among the patients. Throughout study, contagious skin disease affected more than half of the patients (57.1 %, n =64). Furthermore, fungal infection was found in 62.5 % (40) of patients. The great majority of patients (96.4 %, n=108) responded well to therapy. Conclusion: The sex distribution revealed a significant disparity between males and females, with females outweighing males. The majority of the patients were under the age of five. The preponderance of the incidents was linked to housing situations. There is no seasonal variation in the occurrence of illness. Skin disease was evident in more than half of the individuals. A statistical correlation was revealed between the type of skin condition and a family history of similar condition, as well as the duration of treatment.
{"title":"Sudanese children’s common skin diseases","authors":"Mohammed Ahmed Ibrahim Ahmed, Sherin Awad Babiker Bala, Fatima Obied Ahmed Adeeel, Nahla Ahmed Mohammed Abdelrahman","doi":"10.15406/jpnc.2022.12.00462","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00462","url":null,"abstract":"Background: Skin diseases are a significant public health concern that affects a considerable percentage of children, causing discomfort and disabilities. Objective: The focus of this research was to determine the most frequent skin diseases among children in the Dermatology Department of the Tropical Disease Teaching Hospital. Methodology: This is a retrospective hospital-based research that took place from January to December 2021 at the Tropical Disease Teaching Hospital. Results: One hundred and eighty patients, ranging in age from one to eighteen years old, were included in this study, with males accounting for 60.7 % of the total (n=68). The overwhelming majority of the patients (90.2%, n=101) were from Khartoum state. In the majority of cases (92.9 % - n=104), the patients' residential situations were a risk factor; there was no crowd in their households, and 83.9 % (94) of the participants had no animals in their homes. In terms of water supply, 85.7 % (96) of the patients used tap water. The majority of patients (90.2 % - n=101) had no seasonality skin condition, and none of the patients have any chronic disorders, according to their clinical data. Skin diseases are prevalent among the patients. Throughout study, contagious skin disease affected more than half of the patients (57.1 %, n =64). Furthermore, fungal infection was found in 62.5 % (40) of patients. The great majority of patients (96.4 %, n=108) responded well to therapy. Conclusion: The sex distribution revealed a significant disparity between males and females, with females outweighing males. The majority of the patients were under the age of five. The preponderance of the incidents was linked to housing situations. There is no seasonal variation in the occurrence of illness. Skin disease was evident in more than half of the individuals. A statistical correlation was revealed between the type of skin condition and a family history of similar condition, as well as the duration of treatment.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"48 10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123181199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.15406/jpnc.2022.12.00461
Mengistu Lodebo Funga, M. Thomas
Background: Every year, more than 2.7 million new-borns die before reaching neonatal age in the world, with the majority of these deaths occurring at home. Surprisingly, half of these occur within the first 24 hours of delivery, and 75% occur in the early neonatal period. One low-cost approach to improving new-born baby health outcomes is to promote essential new-born care practices. Objective: Thus, the purpose of this study was to evaluate essential new-born care practices and associated factors among mothers who gave birth within the last 6 months in East Badewacho woreda, Hadiyya zone. Methods: From March 1 to April 30, 2018, a community-based cross-sectional study was designed. The sampled population consisted of 399 mothers who had live births within the previous six months, as determined by a multistage random sampling technique. The data was collected using a semi-structured questionnaire and entered into Epi-data version 3.1 before being exported to SPSS version 21 for analysis. A binary logistic regression analysis with a 95% confidence interval was performed. Results: Less than half of the mothers (34.1 %) practice essential new-born care. The husband's educational status [AOR=0.24, CI (0.089, 0.64)] and [AOR=0.314, CI (0.126, 0.78)], place of delivery [AOR=0.024, CI (0.009, 0.068)] and knowledge of essential new-born care [AOR=2.03, CI (1.223,3.371)] were significant predictors of essential new-born care practice. Conclusion: The study's findings revealed that essential new-born care was not widely practiced in East Badewacho Woreda. As a result, strengthen the link between health centers and health posts in order to increase ANC, institutional delivery, and PNC service utilization.
{"title":"Assessing essential new born care practice and associated factors in mothers who gave birth within the last 6 months in east badewacho woreda, hadiyya zone, Ethiopia","authors":"Mengistu Lodebo Funga, M. Thomas","doi":"10.15406/jpnc.2022.12.00461","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00461","url":null,"abstract":"Background: Every year, more than 2.7 million new-borns die before reaching neonatal age in the world, with the majority of these deaths occurring at home. Surprisingly, half of these occur within the first 24 hours of delivery, and 75% occur in the early neonatal period. One low-cost approach to improving new-born baby health outcomes is to promote essential new-born care practices. Objective: Thus, the purpose of this study was to evaluate essential new-born care practices and associated factors among mothers who gave birth within the last 6 months in East Badewacho woreda, Hadiyya zone. Methods: From March 1 to April 30, 2018, a community-based cross-sectional study was designed. The sampled population consisted of 399 mothers who had live births within the previous six months, as determined by a multistage random sampling technique. The data was collected using a semi-structured questionnaire and entered into Epi-data version 3.1 before being exported to SPSS version 21 for analysis. A binary logistic regression analysis with a 95% confidence interval was performed. Results: Less than half of the mothers (34.1 %) practice essential new-born care. The husband's educational status [AOR=0.24, CI (0.089, 0.64)] and [AOR=0.314, CI (0.126, 0.78)], place of delivery [AOR=0.024, CI (0.009, 0.068)] and knowledge of essential new-born care [AOR=2.03, CI (1.223,3.371)] were significant predictors of essential new-born care practice. Conclusion: The study's findings revealed that essential new-born care was not widely practiced in East Badewacho Woreda. As a result, strengthen the link between health centers and health posts in order to increase ANC, institutional delivery, and PNC service utilization.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131301704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-15DOI: 10.15406/jpnc.2022.12.00460
Gudisa Bereda
Miscarriage, premature birth, stillbirth, low birth weight, and a range of lifelong disorders can caused by excessive alcohol consumption during pregnancy is called fetal alcohol spectrum disorders. Alcohol is the most hazardous teratogens which are substances that can detriment an advancing fetus. Every time a pregnant woman has a drink; her unborn child has only, too. Alcohol, like carbon monoxide from cigarettes, passes easily through the placenta from the mother's bloodstream into her baby's blood and puts her fetus at risk of having a fetal alcohol spectrum disorder. Drinking alcohol while pregnant can result in cognitive, social, and motor inadequacies and distinctive lifelong challenges. Usage of alcoholic beverages by pregnant women perhaps results in abortion, fetal mortality and prematurity. The intentions of this review is to teach the women about risk of alcohol consumption during pregnancy on their child and also on themselves and warn them to cease alcohol during pregnancy totally to safe their child from various defects and themselves from unexpected health challenges.
{"title":"Risk of alcohol consumption during pregnancy on fetus","authors":"Gudisa Bereda","doi":"10.15406/jpnc.2022.12.00460","DOIUrl":"https://doi.org/10.15406/jpnc.2022.12.00460","url":null,"abstract":"Miscarriage, premature birth, stillbirth, low birth weight, and a range of lifelong disorders can caused by excessive alcohol consumption during pregnancy is called fetal alcohol spectrum disorders. Alcohol is the most hazardous teratogens which are substances that can detriment an advancing fetus. Every time a pregnant woman has a drink; her unborn child has only, too. Alcohol, like carbon monoxide from cigarettes, passes easily through the placenta from the mother's bloodstream into her baby's blood and puts her fetus at risk of having a fetal alcohol spectrum disorder. Drinking alcohol while pregnant can result in cognitive, social, and motor inadequacies and distinctive lifelong challenges. Usage of alcoholic beverages by pregnant women perhaps results in abortion, fetal mortality and prematurity. The intentions of this review is to teach the women about risk of alcohol consumption during pregnancy on their child and also on themselves and warn them to cease alcohol during pregnancy totally to safe their child from various defects and themselves from unexpected health challenges.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics & Neonatal Care","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114936868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-05-12DOI: 10.15406/jpnc.2022.12.00459
Dean Alexander
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