Preterm Babies' Survival and its Predictors among Newborns Admitted to The Neonatal Intensive Care Unit at Public Hospitals, East Shewa, Oromia, Ethiopia, 2022. Cross Sectional Secondary Data Review
Mogos Gudeta1, *, Tadele Banti2, Mulugeta Garedew1
Abstract
Introduction
In Ethiopia, complications from preterm are the second most common cause of mortality for children under five. The nation's greatest rate of newborn deaths occurs in the Oromia region. The study aimed to assess the survival of preterm neonates and the risk factors of newborns admitted to hospitals in east Shewa, Ethiopia.
Methods
Preterm babies admitted were followed up between May 1 to May 30, 2022, using an institution-based retrospective follow-up design. A structured and pre-tested questionnaire was used. The median time to survive, life table, the Kaplan Meier curve, and the log-rank test were computed. Both bi-variable and multivariable Cox regression models were applied to analyze the data.
Result
Preterm neonates with respiratory distress syndrome (AHR: 3.06, 95% CI: 1.99, 4.72), perinatal asphyxia (AHR: 2.74, 95% CI: 1.82, 4.11), neonatal sepsis (AHR: 2.85, 95% CI: 1.90, 4.27), and gestational age 32 weeks (AHR: 2.1, 95% CI: 1.22, 3.5) were all statistically significant predictors of mortality.
Conclusion
s: The median risk time to death was 8 days, measured in days after admission. When compared to EDHS, where the preterm infant death rate is 30 per 1000 live births, hospital's rate is greater. Predictors for newborn infections were gestational ages of less than or equal to 32 weeks, prenatal hypoxia, respiratory distress, and neonatal infection.
* Address correspondence to this author at the Department of Midwifery, Salale University, Ethiopia; E-mail: mogasbeya@gmail.com
