Pattern, Causes and Treatment Outcomes of Neonatal Admission in the Tamale Teaching HospitalWalana W1*, Acquah Ekuban KS1, Abdul-Mumin A2,4, Naafu B3, Aruk E3, Vicar Kofi E1, Kampo S5 and Ziem Benogle J1
- *Corresponding Author:
- Walana W
Department of Clinical Microbiology
School of Medicine and Health Sciences, UDS, Tamale, Ghana
E-mail: [email protected]
Received date: November 16, 2016; Accepted date: November 30, 2016; Published date: December 09, 2016
Citation: Walana W, Acquah Ekuban KS, Abdul-Mumin A, Naafu B, Aruk E, et al. (2016) Pattern, Causes and Treatment Outcomes of Neonatal Admission in the Tamale Teaching Hospital. Clinics Mother Child Health 13:252. doi:10.4172/2090-7214.1000252
Copyright: © 2016 Walana W, 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.
Background: The burden of neonatal morbidity and mortality remains a major health challenge, and contributes hugely to deaths among children under five years old, especially in developing countries.
Objective: This study established the pattern, causes and treatment outcomes of admitted babies at the neonatal intensive care unit of the Tamale Teaching Hospital.
Method: A retrospective health facility based study was conducted by reviewing available data covering the period January 2013 to December 2015.
Results: A total of 4409 cases were reviewed out of which demographic data were complete for 3973 cases. Males were dominant 54.0% (2146) compared to females 46.0% (1827). Admissions were significantly common (χ2=457.3, P<0.001) among neonates ≤ 2 days old 62.0% (2947). The commonest cause of neonatal admission was sepsis (29.2%), followed by prematurity/low birth weight (26.9%), birth asphyxia (16.2%) and congenital anomalies (7.1%). Majority 82.7% (3220) of the neonates were successfully treated and discharged. However, 16.0% (621) of the neonates expired before or during treatment, while 1.1% (42) were transferred and 0.3% (10) absconded. Neonatal deaths were commonly associated with prematurity/low birth weight (44.8%), birth asphyxia (24.6%), neonatal sepsis (13.5%), and congenital anomalies (6.8%).
Conclusion: The relatively high number of neonatal cases coupled with the mortality rate observed requires a holistic approach to pregnancy care from conception to delivery, aimed at reducing neonatal morbidity and mortality.