Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 6 Issue 1

Study on Paediatric Emergencies: Neonatal Case from Bonzola Hospital

Bambi Ntumba Antoine1*, Yand Tshiband Merveille2, Tshishimbi Buashi Patrick2, Kanku Mukala Gracia3 and Miandabu Mbiya Fanny1

1Mbujimayi Higher Institute of Arts and Crafts (ISAM), Democratic Republic of Congo
2Institute Superior of Medical Techniques (ISTM) of Tshilenge, Democratic Republic of Congo
3Official University of Mbujimayi (UOM) in the Pediatrics Department, Democratic Republic of Congo

*Corresponding Author: Bambi Ntumba Antoine, Mbujimayi Higher Institute of Arts and Crafts (ISAM), Democratic Republic of Congo.

Received: October 25, 2021; Published: December 27, 2021

Abstract

Introduction: Globally, more than four million children under one month die each year ; about 40% of deaths of children under 5 occur during the neonatal period, most of which during the critical phase which constitutes the first week of life. The objective of this is to assess the frequency and severity of neonatal medical emergencies and relate the most common warning signs in new-borns.

Materials and Methods:We conducted a retrospective descriptive study from 1st January to 31 December 2020 newborns hospitalized in the neonatal unit of emergencies of the Bonzola hospital.

Results:We collected 468 babies (49.1%) in emergency situations out of 953 admitted. The sex ratio was 1.23. Neonatal medical emergencies were mainly in order of frequency: prematurity (34.8%), neonatal infection (26.7%), neonatal asphyxia (20.7%), respiratory distress (7.1%), intrauterine growth retardation (6.2%) The case fatality rate was 33.3%. The main causes of death from neonatal medical emergencies were: prematurity (51.3%), neonatal asphyxia (17.1%), respiratory distress (12%), neonatal infection (10.7%). Warning signs for families and/or health workers were mainly: thermal irregularities (28.4%, Low birth weight PN <1500 and/or GA <32SA (23.5%, skin colour abnormalities (13.5%), breathing difficulties (12.6%). 

Conclusion: Awareness, information, and education of mothers before discharge from hospital on the warning signs that may occur in newborns should reduce neonatal mortality.

Keywords: Newborn; Warning Sign; Neonatal Emergency

References

  1. The world health report 2005. “Let's give every mother and every child a chance” (2005).
  2. “Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for essential practice. Geneva, Switzerland: WHO, Integrated Management of Pregnancy and Childbirth (IMPAC)”. In: Giving Every Newborn Baby a Chance in Africa: Practical Evidence, Policy Support and Newborn Care Programs in Africa. Joy Lawn and Kate Kerber, eds Partnership for Maternal, Newborn and Child Health, CapeTown, 2006 (2003): 72.
  3. The State of the World's Children. Child Survival (2008).
  4. State of the World's Children 2006. “New York: United Nations Children's Fund”. In: Give Africa's Every Newborn a Chance: Practical evidence, policy support and programs for newborn care in Africa.Joy Lawn and Kate Kerber, eds Partnership for Maternal, Newborn and Health infant, Cape Town, (2006).
  5. “Millenium Objectives for development”.
  6. H Tetto Tatnke., et al. “Epidemiological and clinical aspect of medical emergencies in neonatology in Mahajanga Madagascar”. Review of Anesthesia-Resuscitation and Emergency Medicine1 (2011): 27-31.
  7. Bobossi Serengbe G., et al. “Neonatal morbidity and mortality at the pediatric complex of Bangui (CENTRAFRIQUE)”. Médecine d’Afrique Noire3 (2004): 159-163.
  8. Azoumah KD., et al. “Neonatal morbidity and mortality at CHU Kara (TOGO)”. Médecine d’Afrique Noire2 (2010): 109-112.
  9. LANSAC J. “Practice of childbirth, 4th edition”. Elsevier Masson (2006): 553.
  10. TRAORE B., et al. “Adolescent childbirth in the maternity ward of the Ségou Regional Hospital in Mali: obstetrical and neonatal prognosis”. Médecine d’Afrique Noire10 (2010): 449-454.
  11. NYENGA MA., et al. “Profile and risk of mortality in premature infants at Sendwe/Lubumbashi hospital, RD Congo”. Rev. Ped. Congo River 1 (2013).
  12. World Health Organization (WHO), Aahman E., et al. “The global burden of disease, 2004 update”. Geneva: WHO (2008): 153.
  13. Ongoiba Oumar. “Neonatal mortality at CHU Hassan II in FES (retrospective study of 235 cases)”. Thesis at Sidi Mohammed Ben Abdallah University. Year (2010): 152.
  14. Lachassinne E. “Infectious problems”. In: Francoual c, Huraux-Rendu c, Bouillie J. Pediatrics in maternity. Paris: Flammarion, Medicine-Sciences 47 (1999): 4-8.

Citation

Citation: Bambi Ntumba Antoine., et al. “Study on Paediatric Emergencies: Neonatal Case from Bonzola Hospital". Acta Scientific Medical Sciences 6.1 (2022): 285-291.

Copyright

Copyright: © 2022 Bambi Ntumba Antoine., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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