Full-term newborns with normal birthweight requiring special care in a resource-constrained setting

The level of clinical care and facilities to support the often more viable full-term newborns with normal birth weight compared with preterm/low birth weight newborns that require special care at birth are likely to be attainable in many resource-poor settings. However, the nature of the required care is not evident in current literature. This study therefore set out to determine maternal and perinatal profile of surviving full-term newborns with normal birth weight in a poorly-resourced setting.A retrospective cohort study of newborns with gestational age ≥37 weeks and birth weight ≥2500g recruited in an inner-city maternity hospital in Lagos, Nigeria. Primary factors/outcomes were determined by multivariate logistic regression analyses and population attributable risk (PAR).Of the 2687 full-term newborns with normal birth weight studied, 242 (9.0%) were admitted into special care baby unit (SCBU) representing 53.6% of all SCBU admissions. Fetal distress, low 5-minute Apgar scores, neonatal sepsis and hyperbilirubinemia as well as maternal factors such as primiparity, type of employment, lack of antenatal care and emergency cesarean delivery were predictive of SCBU admission. The leading contributors to SCBU admission were neonatal sepsis (PAR=96.8%), and hyperbilirubinemia (PAR=58.7%).A significant proportion of newborns requiring special care are full-term with normal birth weight and are associated with modifiable risk factors that can be effectively addressed at appropriately equipped secondary-level hospitals. Prenatal maternal education on avoidable risk factors is warranted.

section_content: 2.

section_content: 4.
section_name: 3.

section_content: ( 5. 81%) (5. 71%) 5.
section_name: Nigeria

section_content: Tunis ia

8.
section_name: 6.

section_content: ( 2. 84%) (2. 74%) 9.
section_name: Ethiopia

section_content: ( 2. 84%) (2. 75%) 10. 

11. 

12. 

13.
section_name: Cameroon

section_content: Ghana

15. 

Congo -Kins has a

16. 

Algeria 886

( 1. 59%)
section_name: 14.

section_content: (1. 56%) 17. 

Kenya 882

( 1. 59%)
section_name: 806

section_content: (1. 55%)

18.
section_name: 800

section_content: ( 1. 52%)
section_name: S outh Africa 846

section_content: (1. 50%)

19. 

20.
section_name: 774

section_content: ( 1. 39%)
section_name: S enegal 774

section_content: (1. 33%)
section_name: 686

section_content: Us ers New Us ers
section_name: Country

section_content: Tanzania 602

( 1. 08%)
section_name: 21.

section_content: (1. 07%) 22.
section_name: 556

section_content: 24.
section_name: 23.

section_name: PAMJ Advertising opportunities

section_content: All advertising is subject to PAMJ approval. PAMJ reserves the right to remove any ad it deems is or may be inaccurate, misleading, defamatory or otherwise contrary to the rights of PAMJ or third parties.
section_name: Technical speci cations REQUIREMENTS FOR ACCEPTANCE OF ADVERTISING

section_content: Payment should be made before the ad is posted online; longer terms can be agreed upon for ads duration of more than 3 months. All payments are in US Dollars. The number of payment options available for our clients include: wire transfer, check and credit card. Cancellation of the ads must be in writing.
section_name: TERMS OF PAYMENT

section_name: OTHER SPONSORSHIP OPPORTUNITIES WITH PAMJ