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Abstract

ABSTRACT: BACK GROUND: The neonatal mortality rate is a key outcome indicator for newborn care and directly reflects prenatal, natal, and postnatal care. Early neonatal deaths are more closely associated with pregnancy related factors and maternal health, whereas late neonatal deaths are associated more with factors in the newborn`s environment. OBJECTIVE: To find out the neonatal mortality rate and to identify the factors related with neonatal mortality among neonates admitted in the Aseptic Neonatal Care Unit of Fatema AL Zahraa Hospital. METHODS: A cross - sectional hospital-based study was done depending on data collected from records of the Aseptic Neonatal Care Unit (ANCU) of Fatema AL Zahraa Hospital in Baghdad, to find out the number of deaths within the neonatal period (0-28 days) that was conducted from 1st of Jan 2017 to 31st of Dec 2017. Data was also, collected from Obstetrical Ward to determine the number of live births for the same period. The data was collected by using special form including; the number of deaths in neonatal period, cause of death, neonatal gender, gestational age, birth weight, mother`s age, educational level, history of congenital anomaly in previous pregnancy , antenatal care, parity, consanguinity, type of delivery, pregnancy outcome, total number of live births, and history of medical disease during pregnancy . RESULTS: The Neonatal Mortality Rate (NMR) was 14.37 per 1000 live birth. NMR was very high among low-birth-weight preterm infants, (50%) of mothers completed the primary school, (71.89 %) of mothers had positive history for Consanguinity,15% of mothers had positive history of congenital anomaly in previous pregnancy,(70.41%) of mothers were in the (20-35 years) age group. Normal vaginal delivery (NVD) in (63.01%) of cases. The most common cause of neonatal deaths in the preterm delivery was respiratory distress syndrome (RDS), and in the full term delivery was asphyxia. CONCLUSION: The neonatal mortality rate was 14.37 per 1000 live birth. The maternal and neonatal demographic data that were related with increased NMR were prematurity, lack of antenatal care, multipara mother, repeated CS, mother`s hypertension, and consanguineous marriage. .

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