FACTORS ASSOCIATED WITH EARLY NEONATAL DEATH IN NORTH OKKLAPA TOWNSHIP HOSPITAL YANGON DIVISION MYANMAR

Abstract

With all progress in reducing neonatal mortality in last decade, in the low income country still yet to achieve the MDGs. Estimated 450 newborns die in every hour around the world but almost 99% of them came from the low and middle income countries. It is the important health indicator in measuring the country health profile. The purpose of this paper is to identify the factors associated with the neonatal mortality from the delivery cases from North OkklaPa Hospital. A cross-sectional study was conducted in North OkkalPa Hospital, Myanmar. 2000 mothers who delivered at NOGH on Jan- 2014 to Dec-2014 were selected from the hospital records. Information concerning both mothers and children were reviewed by using secondary data from the patient information recorded in the neonatal and obstetric wards. Chi-square analysis was used to establish the associated factors. For the complex sample design, the data were analyzed using multiple logistic regressions. During the study period, out of 2000 mothers 30 neonatal deaths were identified. In the multiple regression models, odds of having neonatal deaths was higher in the grand multiparous mothers (OR= 4.08; 95% CI: 1.17, 6.06), mother with less than 4 ANC visits (8.8; 95% CI: 1.7, 43), newborns with normal birth weight had lower risks (OR=0.002, 95% CI: 0.00, 0.021), baby with term delivery (OR=0.09; 95% CI: 0.010, 0.960) compare to the preterm baby. Public health intervention aiming at the lowering neonatal mortality should addressed the extending of the maternal health care program where most of the factors can be prevented such as birth spacing, promoting micro and macro nutrition and monitoring the health of the mothers, which will significantly influence the interventions to reduce the neonatal mortality.