TITLE:
Factors of Neonatal Morbidity at the Provincial Hospital Center of Missour
AUTHORS:
Loubna Doukkali, Nada Bennani Mechita, Laila Lahlou, Fatima Zahra laamiri, Mouna Habibi, Amina Barkat
KEYWORDS:
Precariousness, Perinatal Risk, Regionalization, Community Actions
JOURNAL NAME:
Journal of Biosciences and Medicines,
Vol.4 No.5,
May
19,
2016
ABSTRACT: Background: Although
neonatal mortality decreases in different regions of the world, it is still a major
problem in developing countries and particularly in Morocco. Purpose: The aims of
this study are to examine the characteristics of pregnant women in the hospital
center in the urban commune of Missour as well as the morphological data of the
newborn and identify the risk factors implicated in neonatal morbidity. Materials
and Methods: A retrospective study of collected data from records of women who gave
birth in the Maternity of Missour during 2012. As well as a prospective study conducted
at the maternity in 2013. Results: A total of 1108 women were included in this retrospective
survey, of which 45% come from areas located far from the hospital center of the
province and sometimes the access is tough in winter. Only 55.1% of pregnancy was followed. Among 1121 births, 49 babies (4.3%)
showed a problematic birth situation: 31 (2.7%) newborns were hospitalized in pediatrics, of which 14 are premature. Neonatal
mortality rate is 0.6% that is to say 7 early deaths. The risk factors
associated to neonatal morbidity are gestational age and weight birth (in 50% of
the cases, 85.7% of deaths are premature infants less than 1500 g). 14 (1.2%) were referred and 11 (0.9%) malformed
were noticed. The prospective study states that among the 194 women analyzed, 89.7% are housewives. 89.1% have no medical coverage
and 25.4% are illiterate. Only 29.2% benefit from a blood sample during pregnancy
and 50% benefit from regular ultrasound follow-up. Conclusion: Mortality and neonatal
morbidity constitute a public health priority in Morocco. Our work insists on the
interest of an organized support of the newborn from the community to the different
levels of the health pyramid.