Neonatal death audits at Kgapane Hospital, Limpopo province

South African Family Practice

Field Value
Title Neonatal death audits at Kgapane Hospital, Limpopo province
Creator Marincowitz, Gert J.O. Marincowitz, Clara
Subject Family medicine; rural medicine; primary health care neonatal death; perinatal; audit; rural health; district hospital.
Description Background: Neonatal deaths (NNDs) are a global public health challenge, predominantly affecting low- and middle-income countries. The causes of most NNDs are preventable. Therefore, this study reviewed perinatal clinical audit data at Kgapane Hospital over a 4-year period with a special focus on the factors associated with NNDs.Methods: File audits were performed for all NNDs occurring at Kgapane Hospital and its catchment area from 2018 to 2021. The data from these audits were analysed to identify factors associated with NNDs.Results: The NND rate for the study period was 12.6/1000 live births. In this study (n = 236), 90% of the deaths could be associated with four factors, namely prematurity (44%); intrapartum complications (19%) including asphyxia, meconium aspiration and breech deliveries; neonatal infections (16%) of which human immunodeficiency virus (HIV) positivity was the most prevalent; and foetal congenital abnormalities (11%). The modifiable factors included inadequate intrapartum foetal monitoring; delays in management interventions; instances where no attempts were made to refer patients for specialised care, or where no beds were available at the next level of care; patient-related factors; and inadequate adherence to management protocols, such as for the management of prematurity and HIV.Conclusion: Understanding factors associated with NNDs can guide health worker training and improvement strategies to reduce this heart-breaking complication of pregnancy.Contribution: Family physicians working in rural hospitals are also responsible for newborn care. Understanding the factors associated with NNDs will guide them to focus training and develop improvement strategies to reduce these preventable deaths.
Publisher AOSIS
Date 2023-12-22
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — quantitative, observational study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v65i1.5815
Source South African Family Practice; Vol 65, No 1 (2023): Part 4; 5 pages 2078-6204 2078-6190
Language eng
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Coverage South Africa Limpopo Province 2018-2021 Neonates
Rights Copyright (c) 2023 Gert J.O. Marincowitz, Clara Marincowitz