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Research Article Open Access
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.
Neonatal, Sepsis, Prematurity, Low birth weight, Care to be Taken for New Borns, Maternal Psychology, General Care Taken for Mother and Child