Time trends and determinants of infant mortality in Thi-Qar 2016-2017
Abstract
Rationale:
A large proportion of child deaths had been accounted from neonatal deaths. Mortality during neonatal period is considered a useful indicator of both maternal and newborn health and care.
Aim of the study:
This study aimed to know the magnitude of IM, assessment of its distribution and knowing of its main determinants
Subjects and method
A cross sectional observational study extending all over the past 2 years; from January 2106 till the end of august of 2017 in Bint Al-Huda maternity and pediatrics hospital-Thiqar-Iraq, through which 1188 deaths had been included, where age by days, sex,date of death, address, day by the week, word, time of inward admission, cause of death and lastly comorbid condition. Frequencies, percentages, figures, chi-square test, fisher exact test, Univariet and mulivarient analysis had been used in order to reach the proposed aims. P value of less than 0.05 consider as significant.
Results:
The study involve 1188 infant deaths, distributed according to their early, late and post neonatal life (69%, 10%,21%)respectively,IMR were higher among male than females. Winter and autumn at 2016 were the higher seasons of death, while Summer of 2017 register the highest death rate among infants,
There was no significant statistical association between the death number and percentages and the day of death regarding their ordinal distribution with in the week (p>0.05).According to the 20th months of the study; January, February and October of 2016 were the highest months of IM registration, while the July of 2017 was the highest month of death for the infants, there was no significant statistical association between sex distribution and place of residence of died infants, and also no sex difference regarding the days of weeks at which the infants died .
the respiratory causes (52.1%) constituting the highest rate fallowed by septicemia (18.1%), while the well-known infectious diseases and endocrine diseases representing the lesser cause specific fatality rate (0.08%). There was a highly significant statistical association between causes of death season of the year (P <0.0001) age (P <0.0001). Residence of died infant showing significant statistical association with the causes of death (p 0.011)
Conclusion: Early neonatal life representing the highest proportion of death risk than other infantile life period, Male having more mortality rate at age of less than 1 year of age, days of weeks had no significant difference in occurrence of death among infants, seasonal variation of death had been noticed. 5-respiratory causes and septicemia were the major killers. 6.age, place of residence and seasons had significant statistical association with cause of death
References
- Handbook of Vital Statistics Systems and Methods, Volume 1: Legal, Organisational and Technical Aspects, United Nations Studies in Methods, Glossary, Series F, No. 35, United Nations, New York 1991… Last updated on January 04, 2016.
- WHO Mortality Database: Estimated completeness of mortality data for latest year. (http://www.who.int/healthinfo/morttables)
- Perinatal and neonatal mortality. In preparation. Geneva. World Health Organization. 2005.
- The World Health Report 2005: make every mother and child count. Annex Table 8. Geneva, World Health Organization, 2005. (http://www.who.int/whr/2005/en/index.html) .
- Conley D, Springer KW. Welfare state and infant mortality. AJS. 2001;107:768–807.
- http://www.who.int/gho/child_health/mortality/mortality _under_five_text/en/
- World health report 2005: Make every mother and child count. Geneva: WHO; 2005.
- 8-Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: When? Where? Why? Lancet 2005; 365: 891-900 doi: 10.1016/S0140-6736(05)71048-5 pmid: 15752534.
- Neonatal and perinatal mortality: country, regional and global estimates. Geneva: WHO; 2006.
- Bhutta ZA. Maternal and child health in Pakistan: challenges and opportunities. Oxford University Press; 2004.
- Jalil F. Perinatal health in Pakistan: a review of the current situation. ActaPaediatr 2004; 93: 1273-9 doi: 10.1080/08035250410017022 pmid: 15499944.
- Lawn JE, Cousens SN, Wilczynska K. Estimating the causes of four million neonatal deaths in the year 2000: statistical annex. In: The world health report 2005. Geneva: WHO; 2005.
- Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, de Bernis L, et al., et al. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet 2005; 365: 977-88 doi: 10.1016/S0140-6736(05)71088-6 pmid: 15767001.
- Martines J, Paul V, Bhutta ZA, Koblinsky M, Saucat A, Walker N, et al., et al. Neonatal survival: a call for action. Lancet 2005; 365: 1189-97 doi: 10.1016/S0140-6736(05)71882-1 pmid: 15794974.
- www.indexmundi.com › Factbook › Countries › Iraq › Demographics.
- 16-Feng XL, Guo S, Hipgrave D, Zhu J, Zhang L, Song L, et al. China's facility-based birth strategy and neonatal mortality: a population-based epidemiological study. Lancet. 2011;378(9801):1493–500.View ArticlePubMedGoogle Scholar
- Guglielmo Maria Caporale &Luis A. Gil-Alana, Infant mortality rates: time trends and fractional integration, journal of applied statitics,2015 vol.42(3);589-602
- Qi-Jun Wu,1 Li-Li Li,2 Jing Li,3 Chen Zhou,4 and Yan-Hong Huang3, Time trends of neonatal mortality by causes of death in Shenyang, 1997–2014, Oncotarget. 2016 Mar 29; 7(13): 16610–16618)
- Zeitlin J, Saurel-Cubizolles MJ, De Mouzon J, Rivera L, Ancel PY, Blondel B, et al. Fetal sex and preterm birth: are males at greater risk? Hum Reprod. 2002;17(10):2762–8.View ArticlePubMedGoogle Scholar
- Stevenson DK, Verter J, Fanaroff AA, Oh W, Ehrenkranz RA, Shankaran S, et al. Sex differences in outcomes of very low birthweight infants: the newborn male disadvantage. Arch Dis Child Fetal Neonatal Ed. 2000;83(3):F182–5.View ArticlePubMedPubMedCentralGoogle Scholar.
- United Nations World Population Prospects: the 2015 Revision - an XLS file
- Miranda ML, Anthopolos R, Edwards SE. Seasonality of poor pregnancy outcomes in North Carolina. N C Med J. 2011;72(6):447–53.PubMedGoogle Scholar,
- "CIA – The World Factbook: Infant Mortality Rate". Retrieved 2017-07-01.
- http://www.who.int/gho/child_health/mortality/mortality_under_five_text/en/
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