{"title":"Determinants of Low Birth Weight Among Newborns Delivered in Silte Zone Public Health Facilities, Southern Ethiopia: A Case-Control Study","authors":"Shafi Seid, Beyene Wondafrash, Nurezeman Gali, Abdulfeta Ali, Bekri Mohammed, Shemsu Kedir","doi":"10.2147/rrn.s368436","DOIUrl":"https://doi.org/10.2147/rrn.s368436","url":null,"abstract":"","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48825338","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}
G. Falciglia, Hernan Sierra-Fernandez, Melissa Freeman, D. Healy, Jennifer S Wicks, D. Robinson
{"title":"Advancing Clinical Decision Support Systems for the Management of Neonatal Nutrition: Barriers to Implementation","authors":"G. Falciglia, Hernan Sierra-Fernandez, Melissa Freeman, D. Healy, Jennifer S Wicks, D. Robinson","doi":"10.2147/rrn.s355468","DOIUrl":"https://doi.org/10.2147/rrn.s355468","url":null,"abstract":"","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42229815","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}
{"title":"Parental Satisfaction with Neonatal Intensive Care Unit Services and Associated Factors in Jimma University Medical Center, Ethiopia","authors":"Z. Adal, Gamechu Atomsa, Gemechu Tulu","doi":"10.2147/rrn.s351224","DOIUrl":"https://doi.org/10.2147/rrn.s351224","url":null,"abstract":"","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43098422","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}
Purpose: Use of umbilical catheters is standard practice in neonatal intensive care units due to ease of insertion and provision of longer-term vascular access. Complications of umbilical venous catheters, including extravasation of total parenteral nutrition (TPN) fluid, are rare but when they occur have high mortality and morbidity. Umbilical venous catheters tend to migrate over time, and their position may change, so a high index of suspicion should be maintained. Our aim was to describe a case with extravasation of parenteral nutrition fluid and review the medical literature. Patients and Methods: Case report. Results: The infant was born at 28 weeks' gestation (1510 g). On day 6 he presented with nonspecific abdominal distension, hypotension, respiratory deterioration, metabolic acidosis and was critically ill. Radiological and ultrasound findings were consistent with TPN ascites due to a malpositioned umbilical venous catheter. Bedside paracentesis without laparotomy was carried out. Despite a stormy course, the infant recovered and the liver injury with conjugated hyperbilirubinemia improved over a period of several months. Conclusion: Emergency bedside ultrasound and paracentesis with catheter removal may be lifesaving and avoid laparotomy in an already critically unwell preterm infant.
{"title":"Acute Management of Intraperitoneal Extravasation of Total Parenteral Nutrition (TPN) in a Very Preterm Infant: Case Report and Literature Review","authors":"A. Majid, J. Barrett, M. Meyer","doi":"10.2147/rrn.s325774","DOIUrl":"https://doi.org/10.2147/rrn.s325774","url":null,"abstract":"Purpose: Use of umbilical catheters is standard practice in neonatal intensive care units due to ease of insertion and provision of longer-term vascular access. Complications of umbilical venous catheters, including extravasation of total parenteral nutrition (TPN) fluid, are rare but when they occur have high mortality and morbidity. Umbilical venous catheters tend to migrate over time, and their position may change, so a high index of suspicion should be maintained. Our aim was to describe a case with extravasation of parenteral nutrition fluid and review the medical literature. Patients and Methods: Case report. Results: The infant was born at 28 weeks' gestation (1510 g). On day 6 he presented with nonspecific abdominal distension, hypotension, respiratory deterioration, metabolic acidosis and was critically ill. Radiological and ultrasound findings were consistent with TPN ascites due to a malpositioned umbilical venous catheter. Bedside paracentesis without laparotomy was carried out. Despite a stormy course, the infant recovered and the liver injury with conjugated hyperbilirubinemia improved over a period of several months. Conclusion: Emergency bedside ultrasound and paracentesis with catheter removal may be lifesaving and avoid laparotomy in an already critically unwell preterm infant.","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47028932","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}
Hala Alasaad, Ela Beyyumi, T. Zoubeidi, N. Khan, Omar Abu-Sa’da, M. Khassawneh, A. Souid
Introduction: Hypoglycemia is frequent in level-1 postnatal units (PNU), which can result in many transfers to the level-3 neonatal unit (NNU). Objectives: This study reports on hypoglycemia (capillary blood glucose <2.5 mmol/L in the first 24 h) in at-risk infants. Its main objective was to evaluate the impact of hypoglycemia in level-1 PNU on level-3 NNU admissions. Methods: The study was retrospective, conducted between January 01, 2018 and December 31, 2018. Inclusion criteria were infants in the PNU who were: 1) late-preterm (35≤ weeks’ gestation <37), 2) infants-of-diabetic mothers (IDM), and/or 3) low (2.0–2.5 kg) or high (>4.0 kg) birthweight. Results: Of the 3192 deliveries, 983 (31%) were eligible for study enrollment; 77% were IDM and 19% late-preterm. A total of 192 (19.5%) newborns had hypoglycemia in the first 4 h and 42 (4.3%) within 4–24 h. Twenty-two (2.2%) newborns were transferred to NNU, 17 in first 4 h and five within 4–24 h. Overall, independent predictors of NNU transfer were late-preterm, cesarean delivery, and glucose measurement <1.5 h ( P ≤ 0.019). Independent predictors of hypoglycemia in the first 4 h were late-preterm, cesarean delivery, glucose measurement before feeding, and glucose measurement <1.5 h ( P ≤ 0.045). The independent predictor of hypoglycemia within 4–24 h was cesarean delivery ( P = 0.017). Ten neonates had blood glucose ≤1.0 mmol/L; they all required NNU transfer for intravenous glucose. Conclusion: This study shows frequent low glucose readings in these infants (overall prevalence, 23.8%) and confirms the need for clinical observation and regular monitoring. It is prudent to initiate and maintain proper feeding and to adhere to evidence-based guidelines.
低血糖症常见于1级产后单位(PNU)，这可能导致许多转移到3级新生儿单位(NNU)。目的:本研究报告低血糖(毛细血管血糖4.0 kg)出生体重。结果:在3192例分娩中，983例(31%)符合研究入组条件;77%为IDM, 19%为晚早产儿。共有192名(19.5%)新生儿在前4小时发生低血糖，42名(4.3%)新生儿在4 - 24小时内发生低血糖。22名(2.2%)新生儿被转移到NNU, 17名在前4小时，5名在4 - 24小时内。总体而言，NNU转移的独立预测因素是晚期早产、剖宫产和血糖测量<1.5 h (P≤0.019)。前4 h低血糖的独立预测因子为晚期早产、剖宫产、喂养前血糖测定、血糖测定<1.5 h (P≤0.045)。4-24 h内低血糖的独立预测因子为剖宫产(P = 0.017)。10例新生儿血糖≤1.0 mmol/L;他们都需要NNU转移静脉注射葡萄糖。结论:本研究显示这些婴儿低血糖读数频繁(总患病率为23.8%)，证实需要进行临床观察和定期监测。谨慎的做法是开始并维持适当的喂养，并遵循循证指导方针。
{"title":"Impacts of Hypoglycemia in At-Risk Infants on Admissions to Level-3 Neonatal Units in a Tertiary-Care Hospital","authors":"Hala Alasaad, Ela Beyyumi, T. Zoubeidi, N. Khan, Omar Abu-Sa’da, M. Khassawneh, A. Souid","doi":"10.2147/rrn.s339211","DOIUrl":"https://doi.org/10.2147/rrn.s339211","url":null,"abstract":"Introduction: Hypoglycemia is frequent in level-1 postnatal units (PNU), which can result in many transfers to the level-3 neonatal unit (NNU). Objectives: This study reports on hypoglycemia (capillary blood glucose <2.5 mmol/L in the first 24 h) in at-risk infants. Its main objective was to evaluate the impact of hypoglycemia in level-1 PNU on level-3 NNU admissions. Methods: The study was retrospective, conducted between January 01, 2018 and December 31, 2018. Inclusion criteria were infants in the PNU who were: 1) late-preterm (35≤ weeks’ gestation <37), 2) infants-of-diabetic mothers (IDM), and/or 3) low (2.0–2.5 kg) or high (>4.0 kg) birthweight. Results: Of the 3192 deliveries, 983 (31%) were eligible for study enrollment; 77% were IDM and 19% late-preterm. A total of 192 (19.5%) newborns had hypoglycemia in the first 4 h and 42 (4.3%) within 4–24 h. Twenty-two (2.2%) newborns were transferred to NNU, 17 in first 4 h and five within 4–24 h. Overall, independent predictors of NNU transfer were late-preterm, cesarean delivery, and glucose measurement <1.5 h ( P ≤ 0.019). Independent predictors of hypoglycemia in the first 4 h were late-preterm, cesarean delivery, glucose measurement before feeding, and glucose measurement <1.5 h ( P ≤ 0.045). The independent predictor of hypoglycemia within 4–24 h was cesarean delivery ( P = 0.017). Ten neonates had blood glucose ≤1.0 mmol/L; they all required NNU transfer for intravenous glucose. Conclusion: This study shows frequent low glucose readings in these infants (overall prevalence, 23.8%) and confirms the need for clinical observation and regular monitoring. It is prudent to initiate and maintain proper feeding and to adhere to evidence-based guidelines.","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42320087","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}
{"title":"Determinants of Perinatal Mortality in Public Hospitals of Iluu Abbaa Boor Oromia Region, South West Ethiopia, 2019: Unmatched Case–Control Study","authors":"A. Geda, Shuayib Shemsu, Rukiya Debalke","doi":"10.2147/RRN.S290480","DOIUrl":"https://doi.org/10.2147/RRN.S290480","url":null,"abstract":"","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44738626","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}
Background: Hypothermia contributes to morbidity and mortality of newborns. While there have been improvements in neonatal mortality both globally and nationally, there are still important regional differences. Adopting prevention and intervention practices to reduce hypothermia at birth may help achieve the global and national goal of reducing neonatal mortality. Purpose: To assess the contribution of admission hypothermia to mortality among hospitalized newborn infants. Methods: Retrospective cohort study was conducted in Sheik Hassan Yabare Jigjiga University Referral Hospital. Neonates were admitted to the Neonatal Intensive Care Unit were selected by using simple-random sampling technique from record of neonates. Descriptive survival analysis such as Log rank test, life table and Kaplan–Meier survival curve and bivariate and multivariate inferential Cox regression were used to estimate hazard ratios with 95% confidence intervals. Results: Among 588 neonates, 146 (24.8%) died and 442 (75.2%) were censored. A total of 2509 days were followed for hypothermic neonates and 2337 days for normothermic neonates. The death rate was 37 per 1000 days and 22 per 1000 days for hypothermic and normothermic neonates, respectively. Survival function between the two groups differed significantly. Hypothermic neonates had a 59% (AHR: 1.59, CI: 1.1, 2.3) hazard of death than normothermic neonates. Not having initiated breastfeeding (AHR: 1.9, CI: 1.13, 3.1), vaginal mode of delivery (AHR: 0.68, CI: 0.5, 0.98), suspected sepsis (AHR: 1.5, CI: 1.06, 2.1), and respiratory distress (AHR: 2, CI: 1.44, 2.88) were significant predictors of neonatal death. Conclusion: The death rate for hospitalized, hypothermic neonates was greater than those who were normothermic. Hospitalized newborns should be monitored closely and hypothermia minimized. Management and guidelines to minimize hypothermia management practices should be rigorously evaluated in medical resource-limited settings.
{"title":"The Effect of Admission Hypothermia for Neonatal Death Among Neonates Admitted to Neonatal Intensive Care Unit at Sheik Hassan Yabare Jigjiga University Referral Hospital in Jigjiga City, Somali Region, Eastern Ethiopia","authors":"A. Ibrahim, A. Farah, M. Osman, Abdiwahab Hashi","doi":"10.2147/RRN.S297470","DOIUrl":"https://doi.org/10.2147/RRN.S297470","url":null,"abstract":"Background: Hypothermia contributes to morbidity and mortality of newborns. While there have been improvements in neonatal mortality both globally and nationally, there are still important regional differences. Adopting prevention and intervention practices to reduce hypothermia at birth may help achieve the global and national goal of reducing neonatal mortality. Purpose: To assess the contribution of admission hypothermia to mortality among hospitalized newborn infants. Methods: Retrospective cohort study was conducted in Sheik Hassan Yabare Jigjiga University Referral Hospital. Neonates were admitted to the Neonatal Intensive Care Unit were selected by using simple-random sampling technique from record of neonates. Descriptive survival analysis such as Log rank test, life table and Kaplan–Meier survival curve and bivariate and multivariate inferential Cox regression were used to estimate hazard ratios with 95% confidence intervals. Results: Among 588 neonates, 146 (24.8%) died and 442 (75.2%) were censored. A total of 2509 days were followed for hypothermic neonates and 2337 days for normothermic neonates. The death rate was 37 per 1000 days and 22 per 1000 days for hypothermic and normothermic neonates, respectively. Survival function between the two groups differed significantly. Hypothermic neonates had a 59% (AHR: 1.59, CI: 1.1, 2.3) hazard of death than normothermic neonates. Not having initiated breastfeeding (AHR: 1.9, CI: 1.13, 3.1), vaginal mode of delivery (AHR: 0.68, CI: 0.5, 0.98), suspected sepsis (AHR: 1.5, CI: 1.06, 2.1), and respiratory distress (AHR: 2, CI: 1.44, 2.88) were significant predictors of neonatal death. Conclusion: The death rate for hospitalized, hypothermic neonates was greater than those who were normothermic. Hospitalized newborns should be monitored closely and hypothermia minimized. Management and guidelines to minimize hypothermia management practices should be rigorously evaluated in medical resource-limited settings.","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":"Volume 11 1","pages":"43-55"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49094996","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}
Purpose: To determine the magnitude and determinants of immediate adverse neonatal outcomes among babies born by cesarean section in public hospitals in the Harari region, Eastern Ethiopia. Patients and Methods: A prospective follow-up study among 715 eligible babies born by cesarean section in Jegula and Hiwot Fana public hospitals in Harar. Neonate is said to have immediate adverse outcomes if one of the following were detected: (1) baby died, or (2) admitted to NICU, or (3) its primitive reflexes were absent within 24 hours after delivery Adjusted risk ratios (ARRs) and 95% confidence intervals (CIs) were computed using modified Poisson regression. Results: During the follow-up period, a total of 44 babies died, 139 admitted to NICU, and 133 had absent neonatal reflexes. In general, 157 had an adverse neonatal outcome after CS. The following conditions were postively and statistically related with the outcome: estimated household income (ARR 2.19 CI 1.57–3.07), having no Antenatal care (ARR 1.46 1.08–-1.97), history of medical or obstetric condition (ARR 1.78 CI 1.38–2.31, having an absolute indication for delivery (ARR 1.71 CI 1.28–2.29), presence of meconium (ARR 1.61 CI 1.22–2.12), low birth weight (ARR 1.96 CI 1.42–2.70), and respiratory depression at birth (ARR 2.50 CI 1.80–3.48). Conclusion: A fifth of babies developed immediate adverse outcomes after a cesarean section. Several maternal clinical factors were predictors for immediate adverse neonatal outcomes. Assessing previous clinical and obstetric conditions of the women during ANC would help properly plan in averting the occurrence of immediate adverse neonatal outcomes after birth.
目的：确定埃塞俄比亚东部哈拉里地区公立医院剖宫产婴儿新生儿直接不良结局的程度和决定因素。患者和方法：对哈拉尔Jegula和Hiwot Fana公立医院715名符合条件的剖宫产婴儿进行前瞻性随访研究。如果检测到以下情况之一，新生儿会立即出现不良后果：（1）婴儿死亡，或（2）入住新生儿重症监护室，或（3）分娩后24小时内其原始反射缺失。使用改良泊松回归计算调整后的风险比（ARRs）和95%置信区间（CI）。结果：在随访期间，共有44名婴儿死亡，139名婴儿入住新生儿重症监护室，133名婴儿出现新生儿反射缺失。总的来说，157例新生儿CS后出现不良结局。以下情况与结果呈正相关且具有统计学意义：估计家庭收入（ARR 2.19 CI 1.57–3.07），没有产前护理（ARR 1.46 1.08–-1.97），有医疗或产科病史（ARR 1.78 CI 1.38–2.31），有绝对分娩指征（ARR 1.76 CI 1.28–2.29），有胎粪（ARR 1.61 CI 1.22–2.12），低出生体重（ARR 1.96 CI 1.42–2.70）和出生时呼吸抑制（ARR 2.50 CI 1.80–3.48）。结论：五分之一的婴儿在剖宫产后立即出现不良后果。一些母体临床因素是新生儿近期不良结局的预测因素。评估ANC期间妇女先前的临床和产科状况将有助于正确规划，避免出生后新生儿立即出现不良后果。
{"title":"Magnitude and Determinants of Immediate Adverse Neonatal Outcomes Among Babies Born by Cesarean Section in Public Hospitals in Harari Region, Eastern Ethiopia","authors":"Y. Abdullahi, N. Assefa, H. S. Roba","doi":"10.2147/RRN.S296534","DOIUrl":"https://doi.org/10.2147/RRN.S296534","url":null,"abstract":"Purpose: To determine the magnitude and determinants of immediate adverse neonatal outcomes among babies born by cesarean section in public hospitals in the Harari region, Eastern Ethiopia. Patients and Methods: A prospective follow-up study among 715 eligible babies born by cesarean section in Jegula and Hiwot Fana public hospitals in Harar. Neonate is said to have immediate adverse outcomes if one of the following were detected: (1) baby died, or (2) admitted to NICU, or (3) its primitive reflexes were absent within 24 hours after delivery Adjusted risk ratios (ARRs) and 95% confidence intervals (CIs) were computed using modified Poisson regression. Results: During the follow-up period, a total of 44 babies died, 139 admitted to NICU, and 133 had absent neonatal reflexes. In general, 157 had an adverse neonatal outcome after CS. The following conditions were postively and statistically related with the outcome: estimated household income (ARR 2.19 CI 1.57–3.07), having no Antenatal care (ARR 1.46 1.08–-1.97), history of medical or obstetric condition (ARR 1.78 CI 1.38–2.31, having an absolute indication for delivery (ARR 1.71 CI 1.28–2.29), presence of meconium (ARR 1.61 CI 1.22–2.12), low birth weight (ARR 1.96 CI 1.42–2.70), and respiratory depression at birth (ARR 2.50 CI 1.80–3.48). Conclusion: A fifth of babies developed immediate adverse outcomes after a cesarean section. Several maternal clinical factors were predictors for immediate adverse neonatal outcomes. Assessing previous clinical and obstetric conditions of the women during ANC would help properly plan in averting the occurrence of immediate adverse neonatal outcomes after birth.","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45315538","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}
Ibrahim Ismail Muhumed, Jemal Yusuf Kebira, M. O. Mabalhin
Background: The burden of preterm birth is a serious public health concern contributing substantially to neonatal death and a significant cause of long-term loss of human potential. Despite the majority of preterm births have no clear risk factors, identifying factors shown to have an increased risk of preterm birth may have paramount importance in designing an effective intervention strategy. Therefore, the objective of this study was to determine the prevalence of preterm birth and associated factors among mothers who gave birth in public hospitals of Fafen Zone, Somali region, Eastern Ethiopia. Methods: Facility-based cross-sectional study was conducted in public hospitals of Fafen Zone, Somali regional state, Eastern Ethiopia, from March 1st to April 1st, 2019. Systematic sampling technique has been used to select 607 immediate postnatal mothers with newborn. Data were collected by face-to-face interviewers using a structured and pretested questionnaire and reviewing the mother’s profile card. The outcome measure of interest was preterm birth. Bivariate and multivariate logistic regression analyses had been performed using SPSS version 20. Statistically significant association of variables had been claimed based on the Adjusted Odds Ratio (AOR) with its 95% CI and P-value <0.05. Results: This study showed that 74 (12.3%) of a total of 600 Mothers gave preterm birth. Being a rural resident [(AOR=4.48, 95% CI: (1.39–14.44)], having a history of abortion [(AOR=5.01, 95% CI: (1.86–13.45)], having hypertensive disorder of pregnancy [(AOR=3.32, 95% CI: (1.08–-10.20)], being female sex [(AOR=8.32, 95% CI: (4.56–17.05)], and being low birth weight of newborn [(AOR=3.80, 95% CI: (1.55–9.82)] were found to be significantly associated with preterm birth. Conclusion: The prevalence of preterm birth in the study area was 12.3%. Different prenatal and newborn care intervention strategies shall consider the factors associated to improve pregnancy outcome and thereby reducing preterm related death in the study area.
{"title":"Preterm Birth and Associated Factors Among Mothers Who Gave Birth in Fafen Zone Public Hospitals, Somali Regional State, Eastern Ethiopia","authors":"Ibrahim Ismail Muhumed, Jemal Yusuf Kebira, M. O. Mabalhin","doi":"10.2147/RRN.S295820","DOIUrl":"https://doi.org/10.2147/RRN.S295820","url":null,"abstract":"Background: The burden of preterm birth is a serious public health concern contributing substantially to neonatal death and a significant cause of long-term loss of human potential. Despite the majority of preterm births have no clear risk factors, identifying factors shown to have an increased risk of preterm birth may have paramount importance in designing an effective intervention strategy. Therefore, the objective of this study was to determine the prevalence of preterm birth and associated factors among mothers who gave birth in public hospitals of Fafen Zone, Somali region, Eastern Ethiopia. Methods: Facility-based cross-sectional study was conducted in public hospitals of Fafen Zone, Somali regional state, Eastern Ethiopia, from March 1st to April 1st, 2019. Systematic sampling technique has been used to select 607 immediate postnatal mothers with newborn. Data were collected by face-to-face interviewers using a structured and pretested questionnaire and reviewing the mother’s profile card. The outcome measure of interest was preterm birth. Bivariate and multivariate logistic regression analyses had been performed using SPSS version 20. Statistically significant association of variables had been claimed based on the Adjusted Odds Ratio (AOR) with its 95% CI and P-value <0.05. Results: This study showed that 74 (12.3%) of a total of 600 Mothers gave preterm birth. Being a rural resident [(AOR=4.48, 95% CI: (1.39–14.44)], having a history of abortion [(AOR=5.01, 95% CI: (1.86–13.45)], having hypertensive disorder of pregnancy [(AOR=3.32, 95% CI: (1.08–-10.20)], being female sex [(AOR=8.32, 95% CI: (4.56–17.05)], and being low birth weight of newborn [(AOR=3.80, 95% CI: (1.55–9.82)] were found to be significantly associated with preterm birth. Conclusion: The prevalence of preterm birth in the study area was 12.3%. Different prenatal and newborn care intervention strategies shall consider the factors associated to improve pregnancy outcome and thereby reducing preterm related death in the study area.","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49344606","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}
F. Ahmed, Saleh Al-wageeh, E. Al-shami, K. Al-naggar, M. Askarpour, Mohammed Naji
Purpose: Circumcision is one of the most prevalently performed surgeries worldwide. It is a common non-therapeutic procedure, which, based on the cultural and social background of people, could be performed by individuals at different levels of skill ranging from trained medical professionals to non-specialists. Therefore, this surgery could cause complications of varying frequencies and types. For example, penile damage during the circumcision procedure is a severe and rare complication leaving patients with morbidity and life-long consequences. Here, we reported two cases of penile injury during a ritual circumcision. Patients and Methods: This study was approved by the ethics committee of Ibb University of Medical Sciences. Case 1: A 6-month-old child was brought to hospital by parents with complaints of purulent discharge around the penis after ritual circumcision performed 3 days ago with complete skin loss in the whole part of the penis extended to the scrotum and suprapubic area. Case 2: A 2-month-old child was brought to hospital with complaints of penile discharge and gangrene after ritual circumcision performed 10 days ago. Results: Case 1: He was treated with daily debridement and wound irrigation followed by a surgical procedure to bury the penis in the scrotum for future reconstructive surgery. Case 2: A suprapubic cystostomy was inserted into the bladder. Then, daily debridement and wound irrigation was performed for the child. To treat penile gangrene, two options were available. The first option was to bury the penis in the scrotum and do reconstructive surgery later. The second option was to change the child’s anatomical sex from male to female. Conclusion: We suggest that every child, before a circumcision procedure, should be evaluated by a medically trained professional. This procedure should also be carried out in aseptic conditions. Additionally, the circumcision procedure needs to be performed by an experienced medical professional.
{"title":"Penile Injury During Ritual Circumcision","authors":"F. Ahmed, Saleh Al-wageeh, E. Al-shami, K. Al-naggar, M. Askarpour, Mohammed Naji","doi":"10.2147/rrn.s281896","DOIUrl":"https://doi.org/10.2147/rrn.s281896","url":null,"abstract":"Purpose: Circumcision is one of the most prevalently performed surgeries worldwide. It is a common non-therapeutic procedure, which, based on the cultural and social background of people, could be performed by individuals at different levels of skill ranging from trained medical professionals to non-specialists. Therefore, this surgery could cause complications of varying frequencies and types. For example, penile damage during the circumcision procedure is a severe and rare complication leaving patients with morbidity and life-long consequences. Here, we reported two cases of penile injury during a ritual circumcision. Patients and Methods: This study was approved by the ethics committee of Ibb University of Medical Sciences. Case 1: A 6-month-old child was brought to hospital by parents with complaints of purulent discharge around the penis after ritual circumcision performed 3 days ago with complete skin loss in the whole part of the penis extended to the scrotum and suprapubic area. Case 2: A 2-month-old child was brought to hospital with complaints of penile discharge and gangrene after ritual circumcision performed 10 days ago. Results: Case 1: He was treated with daily debridement and wound irrigation followed by a surgical procedure to bury the penis in the scrotum for future reconstructive surgery. Case 2: A suprapubic cystostomy was inserted into the bladder. Then, daily debridement and wound irrigation was performed for the child. To treat penile gangrene, two options were available. The first option was to bury the penis in the scrotum and do reconstructive surgery later. The second option was to change the child’s anatomical sex from male to female. Conclusion: We suggest that every child, before a circumcision procedure, should be evaluated by a medically trained professional. This procedure should also be carried out in aseptic conditions. Additionally, the circumcision procedure needs to be performed by an experienced medical professional.","PeriodicalId":87354,"journal":{"name":"Research and reports in neonatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42672751","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}
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