Characteristics and Mortality of Neonates in an Emergency Obstetric and Neonatal Care Facility, Rural Burundi

Overview

Journal Public Health Action

Date 2015 Sep 23

PMID 26393046

Citations 10

Authors

I Zuniga

R Van den Bergh

B Ndelema

D Bulckaert

M Manzi

V Lambert

R Zachariah

A J Reid

A D Harries

Affiliations

Soon will be listed here.

Abstract

Setting: A Médecins Sans Frontières emergency obstetric and neonatal care facility specialising as a referral centre for three districts for women with complications during pregnancy or delivery in rural Burundi.

Objective: To describe the characteristics and in-facility mortality rates of neonates born in 2011.

Design: Descriptive study involving a retrospective review of routinely collected facility data.

Results: Of 2285 women who delivered, the main complications were prolonged labour 331 (14%), arrested labour 238 (10%), previous uterine intervention 203 (9%), breech 171 (8%) and multiple gestations 150 (7%). There were 175 stillbirths and 2110 live neonates, of whom 515 (24%) were of low birth weight, 963 (46%) were delivered through caesarean section and 267 (13%) required active birth resuscitation. Overall, there were 102 (5%) neonatal deaths. A total of 453 (21%) neonates were admitted to dedicated neonatal special services for sick and low birth weight babies. A high proportion of these neonates were delivered by caesarean section and needed active birth resuscitation. Of 67 (15%) neonatal deaths in special services, 85% were due to conditions linked to low birth weight and birth asphyxia.

Conclusion: Among neonates born to women with complications during pregnancy or delivery, in-facility deaths due to low birth weight and birth asphyxia were considerable. Sustained attention is needed to reduce these mortality rates.

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