alexa A Review of Neonatal Morbidity and Mortality in an Intensive Care Unit of a Paediatric Health Facility in Lagos, Nigeria | OMICS International | Abstract
ISSN: 2329-891X

Journal of Tropical Diseases & Public Health
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Review Article

A Review of Neonatal Morbidity and Mortality in an Intensive Care Unit of a Paediatric Health Facility in Lagos, Nigeria

Bamgboye M Afolabi1*, Cecilia O Clement2and Victor Inem3

1Health, Environment and Development Foundation, Lagos, Nigeria

2Department of Morbid Anatomy, College of Medicine, University of Lagos, Nigeria

3Institute of Child Health, College of Medicine, University of Lagos, Nigeria

*Corresponding Author:
Bamgboye M Afolabi
Health, Environment and Development Foundation
Lagos, Nigeria
Tel: +234 805 865 8029
E-mail: [email protected]

Received Date: May 30, 2013; Accepted Date: August 20, 2013; Published Date: August 22, 2013

Citation: Afolabi BM, Clement CO, Inem V (2013) A Review of Neonatal Morbidity and Mortality in an Intensive Care Unit of a Paediatric Health Facility in Lagos, Nigeria. J Trop Dis 1:115. doi: 10.4172/2329-891X.1000115

Copyright: © 2013 Afolabi BM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Introduction: Neonatal period in developing countries is characterized by various infectious diseases that make up leading causes and significant contributors to dismal morbidity and mortality statistics in this period of life. The diagnosis of neonatal sepsis in sub-Saharan Africa represents a challenge due to unavailability or scarcity of laboratory aids. The clinical diagnosis of sepsis may be difficult without laboratory aids irrespective of where the infant is born due to the fact that other non-infectious conditions can present with sepsis-like picture.

Objectives: The main objectives of this study were to document frequently diagnosed illnesses, record the management of the ill neonates and present the leading causes of death during the neonatal period for the purpose of future planning.

Methodology: This was a retrospective review of the medical records of children admitted into the Intensive Care Unit (ICU) of a public health facility between March 2005 and February 2007. Descriptive analysis was used to illustrate findings. The study was conducted between March 31, 2009 and June 30, 2009.

Results: Majority (135, 60.3%) of the study neonates (135 males, 89 females) were aged between 2-7 days. In all, 46 (20.5%) neonates weighed less than 2.5 kg. There was a considerable difference (t=-2.45; p=0.015; CI -0.60, -0.06) in the mean (± SEM) body temperature of 24-hour old neonates (36.7 ± 0.11) compared with those 2-7 days old (37.1 ± 0.06). Fever (56, 44%) was the most frequent presentation among neonates diagnosed with septicaemia (126, 56.3%), yellowness of the eyes (47, 65.3%) among those diagnosed with jaundice (72, 32.1%) and failure to cry (9, 25.7%) among those diagnosed with birth asphyxia (35, 15.6%). Full blood count was the most frequent (207, 92.4%) investigation requested for while antibiotics was the commonest (461, 205.8%) medication prescribed. Medications were administered to the neonates mainly through the intravenous route (538, 240.2%). In all, mortality among the studied neonates was 76 (33.9%).

Conclusion: More effective measures to improve neonatal mortality could be 1) improving access to antenatal care provided by trained medical professionals 2) giving general instructions to mothers who just gave birth regarding when to seek medical attention for her newborn infant 3) assessing local professional competencies 4) reviewing obstetrical procedures and interventions around the time of labour for women who deliver in hospital/private clinic settings, etc. For example appropriate chemoprophylaxis of pregnant mothers colonized with Group B Strep (GBS) proved to be a very effective prophylactic measure for early-onset neonatal GBS sepsis.


Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A


[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


porn sex

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

Gaziantep Escort

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A


[email protected]

1-702-714-7001Extn: 9037


James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

mp3 indir

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals


Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T


[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7