Low-tech, high impact: care for premature neonates in a district hospital in Burundi. A way forward to decrease neonatal mortality

BMC Research Notes
Brigitte NdelemaAnthony Reid

Abstract

Death among premature neonates contributes significantly to neonatal mortality which in turn represents approximately 40% of paediatric mortality. Care for premature neonates is usually provided at the tertiary care level, and premature infants in rural areas often remain bereft of care. Here, we describe the characteristics and outcomes of premature neonates admitted to neonatal services in a district hospital in rural Burundi that also provided comprehensive emergency obstetric care. These services included a Neonatal Intensive Care Unit (NICU) and Kangaroo Mother Care (KMC) ward, and did not rely on high-tech interventions or specialist medical staff. A retrospective descriptive study, using routine programme data of neonates (born at <32 weeks and 32-36 weeks of gestation), admitted to the NICU and/or KMC at Kabezi District Hospital. 437 premature babies were admitted to the neonatal services; of these, 134 (31%) were born at <32 weeks, and 236 (54%) at 32-36 weeks. There were 67 (15%) with an unknown gestational age but with a clinical diagnosis of prematurity. Survival rates at hospital discharge were 62% for the <32 weeks and 87% for the 32-36 weeks groups; compared to respectively 30 and 50% in the literature on neonate...Continue Reading

References

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Jan 1, 2013·Reproductive Health·Joy E LawnLiz Molyneux

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Citations

Oct 30, 2016·Journal of Tropical Pediatrics·Johanna ThomsonNorthan Hurtado
Sep 6, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·Kajal JainRamesh Agarwal
Aug 13, 2021·BMC Health Services Research·George AyodoNadia Diamond-Smith

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