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, chisquare 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 .
Thi-Qar Medical Journal (TQMJ): Vol.(14), No.(2), 2017
Email:utjmed@utq.edu.iq Web Site: https://jmed.utq.edu.iq
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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