@2024 Afarand., IRAN
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2019;3(2):47-51
ISSN: 2251-8215 Sarem Journal of Reproductive Medicine 2019;3(2):47-51
Mortality and Morbidity of Neonates Weighing less than 1500 Grams; Case Study of Sarem Women’s Hospital
ARTICLE INFO
Article Type
Original ResearchAuthors
Mortazavi M. (*1)Abed J. (1)
Abedini Z. (1)
Karimi Z. (1)
Vafaee A. (1)
(*1) Sarem Fertility & Infertility Research Center, Sarem Women’s Hospital, Tehran, Iran
Correspondence
Address: Sarem Women Hospital, Basij Square, Phase 3, Ekbatan Town, Tehran, Iran. Postal Code: 1396956111Phone: +98 (21) 22016816
Fax: -
mazy_mor@yahoo.com
Article History
Received: February 2, 2018Accepted: April 13, 2018
ePublished: June 15, 2019
ABSTRACT
Aims
In recent years, Advances in science and technology have decreased the mortality rate of premature infants significantly. Nevertheless, 70% of neonatal deaths still have a direct correlation with prematurity. It seems that updated statistics of mortality and morbidity rate of very low birth weight infants (VLBW) are necessary for proper planning. Although the mortality and morbidity rates of premature infants have been studied in many countries, there are few studies in this field in Iran. Therefore, this study was done to determine the mortality rate of neonates weighing less than 1500 grams.
Materials & Methods This retrospective cohort study was done in 138 premature infants with intrauterine age more than 24 weeks and birth weight less than 1500 grams. These infants have been hospitalized in a neonatal intensive care unit (NICU) of Sarem women’s Hospital during the years 1388-1395.
Findings The mean birth weight of these infants was 1077.00±287.00 g and the mean gestational age was 28.90±3.00 weeks. The survival rate was 78.3% in this group. The highest survival rate was in the group of infants weighing 1500-1000 g and 90% of them were discharged from the hospital. The neonatal mortality rate increased with birth weight loss so that in infants weighing less than 700 g survival rate was 27.8%.
Conclusion The mortality rate of infants increases with birth weight loss. In addition, the gestational age and apgar score of the fifth minute are related to neonatal mortality.
Materials & Methods This retrospective cohort study was done in 138 premature infants with intrauterine age more than 24 weeks and birth weight less than 1500 grams. These infants have been hospitalized in a neonatal intensive care unit (NICU) of Sarem women’s Hospital during the years 1388-1395.
Findings The mean birth weight of these infants was 1077.00±287.00 g and the mean gestational age was 28.90±3.00 weeks. The survival rate was 78.3% in this group. The highest survival rate was in the group of infants weighing 1500-1000 g and 90% of them were discharged from the hospital. The neonatal mortality rate increased with birth weight loss so that in infants weighing less than 700 g survival rate was 27.8%.
Conclusion The mortality rate of infants increases with birth weight loss. In addition, the gestational age and apgar score of the fifth minute are related to neonatal mortality.
CITATION LINKS
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[22] Alijani Ranani H, Madhoshi S, Tour M, Moghimzadeh F. Evaluation of the cause and predisposing factors in neonatal mortality based on international coding disease version10 in Aboozar Hospital of Ahvaz. Yafteh. 2017;19(1):124-33. [Persian]
[2]Kamrani K, Nasiri Kalmarzi R, Naseri M, Khosroshahi N, Sotoudeh K. Surfactant effects on mortality and morbidity of respiratory distress syndrome in neonates. Iran J Pediatr. 2008;18(Suppl 1):65-70. [Persian]
[3] Afjeh SA, Sabzehei MK. The INSURE method in VLBW preterm infant with RDS. Pejouhandeh. 2010;15(5):199-203. [Persian]
[4]Haghighi L, Nojomi M, Mohabbatian B, Najmi Z. Survival predictors of preterm neonates: hospital based study in Iran (2010-2011). Iran J Reprod Med. 2013;11(12):957-64.
[5]Edraki M, Moravej H, Rambod M. Effect of a home visit educational program on mortality and morbidity of preterm newborn. J Shahid Sadoughi Univ Med Sci. 2012;19(6):736-44. [Persian]
[6]Saigal S, Doyle LW. An overview of mortality and sequelae of preterm birth from infancy to adulthood. Lancet. 2008;371(9608):261-9.
[7]Mirzarahimi M, Abedi A, Shahnazi F, Saadati H, Enteshari A. Causes and rate of mortality among the newborns in NICU and newborns unit at Imam Khomeini and Alavi Hospitals in Ardabil from September 2006 to September 2007. J Ardabil Univ Med Sci. 2008;8(4):424-30. [Persian]
[8]Bahman-Bijari B, Niknafs P, Maddahiyan S. Causes of neonatal mortality in Kerman province in 2008-2009. J Urmia Univ Med Sci. 2012;22(6):501-6. [Persian]
[9] Golestan M, Fallah R, Akhavan Karbasi S. Neonatal mortality of low birth weight infants in Yazd Iran. Iran J Reprod Med. 2008;6(4):205-8.
[10]Heidarnia MA, Abadi AR, Motlagh ME, Heidarzadeh M, Habibelahi A, Raji F. Profile of neonatal mortality in Iran in 2012. Tehran Univ Med J. 2016;74(7):475-82. [Persian]
[11]Fallahian M. Mortality rate of preterm neonates in two teaching hospitals in Tehran, Islamic Republic of Iran. East Med Health J. 1995;1(2):201-4.
[12] Lissauer T, Fanaroff AA, Miall L, Fanaroff J. Neonatology at a glance. 3rd edition. Wiley-Blackwell; 2015.
[13] de Waal CG, Weisglas-Kuperus N, van Goudoever JB, Walther FJ. The NeoNed study group, the LNF study group (2012) mortality, neonatal morbidity and two year follow-up of extremely preterm infants born in the Netherlands in 2007. Plos One. 2012;7(7):e41302.
[14] Stoll BJ, Hansen NI, Bell EF, Shankaran S, Laptook AR, Walsh MC, et al. Neonatal outcomes of extremely preterm infants from the NICHD neonatal research network. Pediatrics. 2010;126(3):443-56.
[15] Parappil H, Rahman S, Salama H, Al Rifai H, Parambil NK, El Ansari W. Outcomes of 28+1 to 32+0 weeks gestation babies in the state of Qatar: finding facility-based cost effective options for improving the survival of preterm neonates in low income countries. Int J Environ Res Public Health. 2010;7(6):2526-42.
[16]Afjeh SA, Sabzehei MK, Fallahi M, Esmaili F. Survival of very low birth weight infants in neonatal intensive care unit at the Mahdieh hospital (Tehran-Iran). J Babol Univ Med Sci. 2012;14(6):7-16.
[17]Boskabadi H, Kalateh Molaee M, Ghavidel M. Determining the viability of preterm newborns hospitalized in the neonatal intensive care unit in Ghaem hospital, Mashhad. J Mazandaran Univ Med Sci. 2014;24(119):163-73.
[18] Aref NM, Jaberi N, Khalili PE, Isfahani P. Survey of neonatal mortality in NICU in Amiralmomenin hospital of Zabol university of sciences in 2014: J Rafsanjan Univ Med Sci. 2016;15(1):91-8. [Persian]
[19] Keshavarzi F, Rezaei M, Iranfar S, Fakheri T, Nankali A, Imani, A. Advanced maternal age relationship with pregnancy complications. Behbood. 2011;15(3):193-9.
[20]Shirvani F, Khosroshahi N. A survey of frequency and causes of perinatal mortality in Tehran, 1995. Tehran Univ Med J. 1998;56(1):69-73.
[21]Sareshtedari M, Shahamat H, Sadeghi T. Causes and related factors of neonatal mortality in Qazvin NICU, 2010. Hakim Health Sys Res. 2012;14(4):227-32. [Persian]
[22] Alijani Ranani H, Madhoshi S, Tour M, Moghimzadeh F. Evaluation of the cause and predisposing factors in neonatal mortality based on international coding disease version10 in Aboozar Hospital of Ahvaz. Yafteh. 2017;19(1):124-33. [Persian]