Infant Mortality

No abstract available.
Humans ; Infant ; Infant Mortality*

No abstract available.
Humans ; Infant ; Infant Mortality* ; Infant, Newborn* ; Nurseries*

PURPOSE: The purpose of this study is to determine the effectiveness of intravenous immunoglobuin (IVIG) administration in fullterm neonates having clinically suspected neonatal sepsis. METHODS: Forty full-term neonates admitted to the neonatal intensive care unit with clinically suspected neonatal sepsis, who had at least two positive diagnostic criteria were enrolled. Twenty neonates were enrolled into the IVIG arm and 20 in the placebo arm. Neonates with a gestational age of less than 36 weeks and those with any major congenital malformation were excluded. The neonates were randomized to receive 1 g/kg of IVIG or equivalent amount of normal saline. The treatments including antibiotics and supportive care were administered. RESULTS: The neonates in the therapy and placebo groups were comparable in terms of birth weight, gestational age, sex distribution, duration of antibiotics therapy and admission, elevation of serum IgG level, mortality rate, change of CBC, and serum level of acute phase reactants etc. CONCLUSION: Serum IgG values increased significantly 5 days after administration of IVIG in the IVIG-treated group and decreased significantly 5 days after administration of normal saline in the placebo group. However, there was no significant difference in the duration of antibiotics therapy and admission, or of mortality between the IVIG-treated and placebo groups. No adverse reactions to the IVIG infusions were noted during the study. Our preliminary observations suggest that the administration of 1 g/kg IVIG to neonates had some effect on augmentation of humural immune status in neonates with clinically suspected sepsis. But further study is needed to verify the benefit of IVIG infusion to neonatal sepsis.
Infant, Newborn ; Humans ; Mortality

The aim of the Fourth Millennium Developmental Goal is to reduce mortality among children less than 5 years by two thirds between 1990 and 2015. Efforts are more focus on improving children’s health. The aim of this study was to describe the trend of stillbirth and neonatal deaths in University Kebangsaan Malaysia Medical Centre from 2004 to 2010. A retrospective cross-sectional study was conducted using hospital data on perinatal mortality and monthly census delivery statistics. There were 45,277 deliveries with 526 stillbirths and neonatal deaths. More than half of the stillborn cases were classified as normally formed macerated stillbirth and prematurity was common in neonatal deaths. The trend of SB and NND was found fluctuating in this study. However, by using proportionate test comparing rate, there was a transient significant decline of stillbirth but not neonatal deaths rates between 2004 and 2006. On the other hand, the neonatal deaths rate showed significant increment from 2006 to 2008. When both mortality rates were compared using proportionate test, from the start of the study, year 2004 with end of the study, year 2010, there was no significant decline noted. Trends of stillbirth and neonatal death rates in University Kebangsaan Malaysia Medical Centre within 7 years study period did not show the expected outcome as in Millennium Developmental Goal of two thirds reduction.
Stillbirth ; Infant Mortality

Retrospective study on 31.404 births in 1996, 31.581 births in 1997 and 25.965 birhts in 1998 at Tu Du Obstetric and Gynecology hospital to compare rate and causes of the perinatal mortality. Perinatal mortality status during 3 years 1996-1998 were 24.6 ‰,17.8‰ and 16.9‰. Preterm delivery accounts for 9-10% total up to 70% of perinatal mortality. In the cause of preterm and neonatal mortality of 3 years: the first is respiratory distress syndrome and after that is congential malformation, asphyxia, neonatal infection, respectively. In the term mortality, the first is asphyxia, after that is congenital malformation neonatal infection, respiratory distress syndrome, respectively, in which the asphyxia is 0.97% and 42% in all causes of perinatal mortality
Retrospective Studies ; mortality ; Gynecology ; epidemiology ; Infant Mortality

Low birth weight (under 2,800g) has been shown to be related to poor infant outcome both in terms of elevated mortality and morbidity. Early indentification of low birth weigh infants by mean of using the rule to measure chest and arm circumference at the time of infant discharge from the community health service or at home may enable limited the risk of new born. This can be determine, since arms, chest circumference has a good correlation with birth weight. The cut – off point of = 9cm in arm circumference and = 29cm in chest circumference was being used as a predictor of high risk in infant with low birth weight under 2,800g
Infant, Newborn ; Infant, Low Birth Weight ; mortality

The health of newborns is inextricably linked to that of their mothers. Some maternal factors can influence neonatal survival, particularly for low birth weight babies who are more vulnerable to diseases than normal weight babies. The aim of this study is to assess the impact of maternal factors on neonatal mortality among low birth weight babies in Aceh Province, Indonesia. Study design was unmatched case control. Data collected from 2010 to 2012 in 8 districts in Aceh province, Indonesia. Total sample was 500, divided into 250 LBW who died in neonatal period (case group) and 250 who did not die in neonatal period (control group). There were 6 maternal variables analysed. Three of six variables analysed were not associated with neonatal mortality among LBW (P > 0.05); these were: maternal death, parity and education level. The age of the mother had a significant association with neonatal mortality among LBW (P < 0.05), but was not a determinant factor. The maternal illness and birth interval were determinant factors of neonatal mortality among LBW(P < 0.05); maternal illness (Adj OR= 2.6; 95 % CI: 1.68 - 4.0) and birth interval (Adj OR= 1.8; 95 % CI: 1.20 - 2.91). Maternal illness and birth interval were determinant factors of neonatal mortality among LBW. Appropriate care throughout stages of pregnancy and increasing women’s knowledge on high risk pregnancy are the key factors to the decrease of the neonatal mortality related to the maternal factors.​
Infant Mortality ; Infant, Low Birth Weight ; Indonesia

No abstract available.
Gestational Age* ; Humans ; Infant* ; Mortality*

Tracheoesophageal fistula with esophageal stenosis were described by Gibson in 1697, and successful primary surgical repair was accompished in 1941 by Haight, but this anomaly had a very grave prognosia, due to prematurity, combined other congenital anomaly, and [ostoperative pulmonary complication. Recently, early diagnosis, better preoperative and postoperative care, and proper anesthetic management have helped lower the mortality rate. Eighteen infants with esophageal atresia with T.E fistula were admitted to Severance Hospital, and 9 infants among these infants were surgically corrected under general anesthesia from Feb. 1970 to Feb. 1981 at Severance Hospital. This report described the results of anesthetic experience in the management of tracheoesophageal fistula, and the problems of anesthetic management of patients with trachoesophageal fistula were reviewed and discussed.
Infant ; Male ; Female ; Humans ; Mortality