Main Article Content
Background: Neonatal morbidity and mortality are major global public health challenges with approximately 3.1 million babies worldwide dying each year in the first month of life. The vast majority of neonatal death occurs in developing countries.
Aims: This study was undertaken to assess the magnitude of neonatal mortality and identify the main causes and associated factors of neonatal mortality.
Methodology: A retrospective study of 5791 neonates was conducted in Benghazi children hospital from 1st January 2013 up to December 2014.
Results: During the two years of the study there were 5791 neonates admitted to neonatal unit of Benghazi hospital, out of them 389 died (6.7% of total neonatal admissions) accounting for 59.6% of the total Paediatric deaths within the same period, moreover approximately one neonate died every 48 hours throughout the study period. There was a slight predominance of male deaths 225 (57.5%) over females 164 (42.5%). The majority of neonates were Libyan 365 (94%), 212 of them were born in Benghazi, while the remaining 177 from other cities. Preterm neonate accounted for 35% (138) of deceased neonates. The most common causes were lung diseases of prematurity (29%), sepsis (25%), Congenital Heart Diseases (12.5%), post-operative intestinal obstruction (7%), multiple congenital anomalies (7%), intractable convulsions (6.5%).
Conclusion: This study indicated that neonatal mortality represented the highest portion of all deaths reported at Benghazi children hospital during the study period. Lung diseases of prematurity was found to be the top leading cause followed by sepsis then congenital heart diseases. Male showed marginal predominance over female in this study. More than one third of deceased neonates were preterm.
Christopher JG, Nicholas GG, Charity M, Anna BK, Grace M, et al. Training Zambian traditional birth attendants to reduce neonatalmortality in the Lufwanyama Neonatal Survival Project (LUNESP).Int J Gynecol Obstet. 2012;118:77-82.
Adetola AO, Tongo OO, Orimadegun AE, Osinusi K. Neonatal mortality in an urban population in Ibadan, Nigeria. Pediatr Neonatol. 2011;52:243-250.
UN document no. A/RES/70/1. New York: United Nations. UN General Assembly. Transforming our world: the 2030 Agenda for Sustainable Development: Report of the Secretory General; 2015.
Bangdiwala SI, Niswade A, Ughade S, Zodpey S. Integrating results from formative phase studies for informing the design of intervention studies on neonatal health in India. World Health Popul. 2006; 1:1–10
Mangiaterra V, Mattero M, Dunkelberg E Why and how to invest in neonatal health. Semin Fetal Neonatal Med. 2006; 11: 37-47.
Lawn JE, Wilczynska-Ketende K, Cousens SN. Estimating the causes of 4 million neonatal deaths in the year 2000. Int J Epidemiol. 2006;35(3):706-18.
Alburke S, Ashur B, Assadi M. Neonatal and Perinatal Mortality Rates in Neonatal Intensive Care Unit ofMisurata Teaching Hospital – Libya/2013. J Hematol Thrombo Dis. 2013;3(2 ):1-6.
UNICEF report available online; 2019.
Accessed on Jun, 27, 2019 @ Availble:http://Www.Google.Com/Search?Gcx=W&Sourceid=Chrome&Ie=Utf-8&Q=Infant+Mortality+Rate+In+Libya+Pdf
Onayade AA, Sule SS, Elusiyan JB. Determinants of neonatal mortality at Wesley Guild Hospital, Ilesa, Nigeria. Niger J Med. 2006;15:271-276.
Bacak SJ, Baptiste-Roberts K, Amon E, Ireland B, Leet T. Risk factors for neonatal mortality among extremely-low-birth-weight infants. Am J Obstet Gynecol. 2005;192: 862-867
Druschel C, Hughes JP, Olsen C. Mortality among infants with congenital malformations, New York State, 1983 to 1988. Public Health Rep. 1996;111:359-365.
Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2013; 379(9832):2151-61.