Neonatal and post-neonatal mortality in the Galle district.

The Ceylon medical journal

PubMedID: 7923456

Fonseka P, Wijewardene K, Harendra de Silva DG, Goonaratna C, Wijeyasiri WA. Neonatal and post-neonatal mortality in the Galle district. Ceylon Med J. 1994;39(2):82-5.
OBJECTIVE
To determine some factors associated with infant mortality.

DESIGN
Descriptive study.

SETTING
Galle district in Sri Lanka.

SUBJECTS
350 infant deaths of singleton births.

MEASUREMENTS
Association between variables.

RESULTS
Neonatal:post-neonatal death ratio was 3.2:1, and 62.3% (218) were early neonatal deaths. First day deaths comprised 28.6% (100); 67.8% (237) died at the Teaching Hospital. A high incidence (65.7%) of low birthweight (LBW) was noted. Mean birthweights of neonates and post-neonates were 1925 +/- 729 and 2520 +/- 620 gram respectively, and the difference between means was statistically significant (p < 0.001). LBW and related disorders were the major cause of death in 44% (154) of the total sample, and in 55.8% (149) of neonates. Infections were the commonest cause (55.8%) of death in post-neonates. Pediatric clinical assessment to differentiate small-for-dates (SFD) was not recorded in 90.3%. Statistically significant associations were found between the period of death (neonatal and post-neonatal) and the following variables: period of gestation (p < 0.001); birthweight (p < 0.001) and cause of death (p < 0.001).

CONCLUSIONS
There was a high incidence of neonatal deaths and a high proportion of early neonatal deaths. About one-third of deaths occurred on the first day of life. Incidence of LBW was high. The major cause of death was LBW and related disorders in the total sample and in neonates. Assessment of SFD was not carried out in the vast majority of infants.