Paediatrica Indonesiana
Vol 54 No 4 (2014): July 2014

Risk factors for neonatal mortality at Moewardi Hospital, Surakarta

Dwi Hidayah (Department of Child Health, Sebelas Maret University Medical School/Dr. Moewardi Hospital)
Yulidar Hafidh (Department of Child Health, Sebelas Maret University Medical School/Dr. Moewardi Hospital)



Article Info

Publish Date
31 Aug 2014

Abstract

Background Neonatal mortality remains a major concern indeveloping countries. Identifying potential risk factors is importantin order to decrease the neonatal mortality rate. In MoewardiHospital, Surakarta, the risk factors for neonatal mortality havenot been assessed.Objective To evaluate potential risk factors of n eonatalmortality.Methods We reviewed medical records of all neonates hospitalizedin the neonatal intensive care unit (NICU) at Dr. MoewardiHospital from January to December 2011. Analyzed variables weresex, birth weight, gestational age, maternal age, place of delivery,mode of delivery, and sepsis. Data were analyzed by Chi square andbinary logistic regression with 95% confidence intervals (CI).Results Out of841 neonates, the mortality rate was 212 (25.2%).Univariate logistic regression revealed that the significant riskfactors for neonatal mortality were preterm (OR 4.41 ; 95%CI4.24 to 4.57; P=0.0001) , low bir th weight (OR 4.30; 95%CI4.13 to 4.47; P=0.0001), sepsis (OR 2.99; 95%CI 2.81 to 3.17;P=0.0001), maternal age 2:35 years (OR 1.53; 95%CI 1.37 to1.70), and non-spontaneous delivery (OR 1.67; 95%CI 1.50 to1.84). Further multivariate regression analysis revealed that thesignificant risk factors were preterm (OR 2.2 7; 95%CI 2.05 to 2.48;P=0.0001), low birth weight (OR 2.49; 95%CI 2.27 to 2.71; P=0.0001), and sepsis (OR 2.50; 95%CI 2.30 to 2.69; P= 0.0001).Conclusion The risk factors for neonatal mortality in the NICUare preterm, low birth weight, and sepsis.

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Journal Info

Abbrev

paediatrica-indonesiana

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Paediatrica Indonesiana is a medical journal devoted to the health, in a broad sense, affecting fetuses, infants, children, and adolescents, belonged to the Indonesian Pediatric Society. Its publications are directed to pediatricians and other medical practitioners or researchers at all levels of ...