Open Journal of Pediatrics, 2018, 8, 117-125
http://www.scirp.org/journal/ojped
ISSN Online: 2160-8776
ISSN Print: 2160-8741
DOI: 10.4236/ojped.2018.82014 Apr. 30 2018 117 Open Journal of Pediatrics
Risk Factors and Outcome of Preterm
Admissions in a Special Care Baby Unit of a
Tertiary Hospital in North Central Nigeria
Martha O. Ochoga
1*
, Aondoaseer Michael
1
, Rose O. Abah
1
, Othniel Dabit
1
, Iyornenge Ikuren
1
,
Augustine Ebonyi
2
1
Department of Paediatric, Benue State University Teaching Hospital, Makurdi, Nigeria
2
Department of Paediatric, Jos University Teaching Hospital, Jos, Nigeria
Abstract
The main objective of this study was to determine the prevalence of preterm
births, risk factors and the outcome in a Tertiary Hospital in North Central
Nigeria. Setting and Methods: The study was based on the data of records of
all preterm admissions over a three-year period at Benue State University
Teaching Hospital (BSUTH), Makurdi, Benue State. Results: During this pe-
riod, a total of 778 neonates were admitted out of which 95 (12.0%) were pre-
term with gestational ages ranging from 21 - 36 weeks with an average mean
gestational age 31.27 weeks (±3.2) and birth weights from 500 - 2490 g with a
mean of 1440 g (±0.45). There were 48 males and 47 females (M: F 1.02). 76
(80.0%) were delivered by spontaneous vaginal delivery while 19 (20.0%) were
delivered by caesarean section. 37 (39.0%) were delivered in BSUTH while 58
(61.0%) were delivered elsewhere and referred or brought into Special Care
Baby Unit (SCBU). The duration of hospital stay ranged from 1 - 90 days,
with a mean duration of 17 days (±15.2 days). The commonest risk factor for
prematurity was premature rupture of membrane followed by multiple preg-
nancy and lack of Ante natal care (ANC). The commonest morbidity in the
patients in the present study was sepsis followed by respiratory problems and
jaundice. Of the 95 preterm, 60 (63.2%) were discharged, 27 (28.4%) died,
while 8 (8.4%) were discharged against medical advice (DAMA). Conclusion:
Prematurity remains a major cause of morbidity and mortality in our SCBU.
There is urgent need for the establishment of a neonatal intensive care unit
with adequate manpower and appropriate equipment so as to improve the
survival rates of this vulnerable group of patients.
Keywords
Preterm, Outcome, Gestational Age, Risk Factors, Morbidity
How to cite this paper: Ochoga, M.O.,
Michael, A., Abah, R.O., Dabit, O., Ikuren,
I. and Ebonyi, A. (2018) Risk Factors and
Outcome of Preterm Admissions in a Spe-
cial Care Baby Unit of a Tertiary Hospital
in North Central Nigeria. Open Journal of
Pediatrics, 8, 117-125.
https://doi.org/10.4236/ojped.2018.82014
Received: March 30, 2018
Accepted: April 27, 2018
Published: April 30, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access