[Epidemiologic surveillance of early neonatal mortality at the university hospital center in Dakar (Sénégal)].
Neonatal precocious mortality (PNM) is a major public health problem in developing countries: the PNM rate is 57 per 1,000 live births, as compared to 11 per 1,000 in industrialized countries. In Senegal the rate is 35 per 1,000. A continuous epidemiological survey was started in 1987 in the Obstetrics and Gynecology Clinic of the Dakar University Teaching Hospital (Neonatology and Prematurity Unit) (Senegal). The aim was to identify the main risk factors for PNM, and thereby define the actions required to reduce the incidence. In 1995, there were 177 cases of PNM, which was 12.19% of admissions to the Neonatology and Prematurity Unit, and 41 per thousand live births. The most frequent causes were premature birth (62.71%) acute fetal suffering (27.20%) and neonatal infection (6.22%). The rate of PNM could be reduced by: improved organization of prenatal advice to identify pregnancies at risk (of premature delivery and obstetric disease); improved quality of neonatal resuscitation; improved practice for prevention of infectious disease.
Cisse
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Clinique gynécologique et obstétricale, CHU A. Le Dantec, Dakar/RP, Sénégal.
Ngoma
S I
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Martin
S L
SL
Tall-Diaw
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C
Diadhiou
F
F
D001034:Apgar Score; D001424:Bacterial Infections / Q000453:epidemiology / Q000517:prevention & control; D001724:Birth Weight; D036861:Delivery, Obstetric / Q000706:statistics & numerical data; D005260:Female; D005316:Fetal Distress / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007226:Infant Mortality; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D011159:Population Surveillance; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D018566:Pregnancy, High-Risk; D011295:Prenatal Care / Q000706:statistics & numerical data; D012151:Resuscitation; D012307:Risk Factors; D012675:Senegal / Q000453:epidemiology; D012737:Sex Factors