Ziem Maroun Soribang, Saaka Fidelis Adam, Vicar Ezekiel Kofi, Kuugbee Eugene Dogkotenge, Karikari Akosua Bonsu, Ninimiya Sebastian Yidana, Ziem Juventus Benogle, Walana Williams
Department of Community Medicine, School of Medicine University for Development Studies Tamale Ghana.
Department of Microbiology, School of Medicine University for Development Studies Tamale Ghana.
Health Sci Rep. 2023 Jan 18;6(1):e1070. doi: 10.1002/hsr2.1070. eCollection 2023 Jan.
Neonatal intensive care units (NICU) are specialized units that provide medical attention to neonates, and thus have become a vital aspect in the provision of critical care to infants who are faced with special challenges following birth.
To determine antepartum and intrapartum factors that predispose to NICU admissions in the Nandom Municipal of the Upper West Region of Ghana.
This was a cross-sectional retrospective study, spanning from January 1, 2021 to December 31, 2021. Records covering 1777 women who were delivered or had their babies referred to the St. Theresa's Hospital in the Nandom Municipality were involved in the study. Descriptive statistics and multinomial logistic regression analysis were used to compare variables, and statistical significance was determined where the p-value was less than 0.05.
From the study, the rate of NICU admission was 10.4%. There was a significant association between mothers who attended less than four antenatal sessions ( = 0.004) and admission to NICU. Nulliparous mothers ( = 0.027) and mothers who presented with multiple pregnancy ( < 0.001) were more likely to have their babies sent to NICU. Both preterm delivery ( < 0.001) and post-term delivery ( < 0.001) were prone to admission to NICU. Also, instrumental delivery ( < 0.001), cesarean section ( < 0.001), low birth weight ( < 0.001), and male infants ( = 0.003) had an increased risk of being admitted to NICU. Furthermore, severe ( < 0.001) and moderate ( < 0.001) birth asphyxia in the first minute following delivery were significantly associated with NICU admission whereas severely asphyxiated babies at 5 min ( < 0.001) were associated with NICU admission.
The study revealed a relatively high NICU admission rate in the study area, and the predictors are multifaceted. Tailored intervention programs aimed at curbing these predictors will be required to reduce the rate of NICU admissions in the Nandom Municipality of Ghana.
新生儿重症监护病房（NICU）是为新生儿提供医疗护理的专业病房，因此已成为为出生后面临特殊挑战的婴儿提供重症监护的重要环节。
确定加纳上西部地区南登市新生儿重症监护病房收治病例的产前和产时诱发因素。
这是一项横断面回顾性研究，时间跨度为2021年1月1日至2021年12月31日。该研究纳入了1777名在南登市圣特雷莎医院分娩或其婴儿被转诊至该医院的妇女的记录。采用描述性统计和多项逻辑回归分析来比较变量，当p值小于0.05时确定具有统计学意义。
该研究中，新生儿重症监护病房的收治率为10.4%。产前检查次数少于4次的母亲与新生儿重症监护病房收治情况之间存在显著关联（p = 0.004）。初产妇（p = 0.027）和多胎妊娠的母亲（p < 0.001）的婴儿更有可能被送入新生儿重症监护病房。早产（p < 0.001）和过期产（p < 0.001）都容易被收治入新生儿重症监护病房。此外，器械助产（p < 0.001）、剖宫产（p < 0.001）、低出生体重（p < 0.001）以及男婴（p = 0.003）被收治入新生儿重症监护病房的风险增加。此外，分娩后第一分钟的重度（p < 0.001）和中度（p < 0.001）出生窒息与新生儿重症监护病房收治情况显著相关，而出生后5分钟时重度窒息的婴儿（p < 0.001）也与新生儿重症监护病房收治情况相关。
该研究揭示了研究地区相对较高的新生儿重症监护病房收治率，且相关预测因素是多方面的。需要制定针对性的干预计划来控制这些预测因素，以降低加纳南登市新生儿重症监护病房的收治率。
