Neonatal Mortality in a Tertiary Care Private Set Up in Saudi Arabia

DOI

10.2991/dsahmj.k.190521.002How to use a DOI?

Keywords

Congenital anomalies; neonatal mortality; private medical care; Saudi Arabia; sociodemographic index

Abstract

To ascertain Neonatal Mortality Rate (NMR), Early NMR (ENMR), Late NMR (LNMR), Corrected NMR (cNMR), and causes of neonatal mortality in a major tertiary care private maternity and Neonatal Intensive Care Unit (NICU) set up in Saudi Arabia. This was a retrospective analysis of hospital data. We ascertained 1-year data (from January 1, 2017 to December 31, 2017) from the electronic patient medical records database as well as the annual reports of four tertiary care labor and delivery rooms and NICU’s of Sulaiman Al Habib Medical Group (HMG). We obtained the total number of deliveries and neonatal outcomes and calculated overall NMR, ENMR, and LNMR rates per 1000 live births and stratified them by Sociodemographic Index (SDI). We analyzed the data using Microsoft Excel. The electronic patient records included data on 14,339 deliveries and 14,543 births (including twins and multiple births). We observed a total of 51 neonatal deaths (30: early, 21: late) resulting in NMR of 3.5/1000, ENMR of 2.06/1000, and LNMR of 1.44/1000. The deaths due to futility were 24 (47%), giving a cNMR of 1.8/1000. We found complications of extreme prematurity and congenital anomalies incompatible with life as the two major causes of death in our dataset. There was no death due to perinatal asphyxia. The NMR and cNMR were comparable to the most recent global, regional, and national data. The cNMR of a select population with high SDI served by a major private tertiary care set up was lower than the NMR of the global high SDI group. The high incidence of major and futile congenital anomalies warrants further study.

Copyright

© 2019 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.

Open Access

This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - JOUR
AU  - Sajjad Ur Rahman
AU  - Muhammad Hasan Abdulghani
AU  - Khalid Al Faleh
AU  - Jasim Anabrees
AU  - Mohammad Khalil
AU  - Konstantinos Mousafeiris
AU  - Mustafa Mohammad Mustafa
AU  - Maha Yassin Mansour
AU  - Adnan Mirza
AU  - Mohammad Mubarak
AU  - Mohamed Kamal
PY  - 2019
DA  - 2019/06/30
TI  - Neonatal Mortality in a Tertiary Care Private Set Up in Saudi Arabia
JO  - Dr. Sulaiman Al Habib Medical Journal
SP  - 16
EP  - 19
VL  - 1
IS  - 1-2
SN  - 2590-3349
UR  - https://doi.org/10.2991/dsahmj.k.190521.002
DO  - 10.2991/dsahmj.k.190521.002
ID  - UrRahman2019
ER  -