Proportion And Factors Of Death Among Preterm Neonates Admitted In Aksum University Compressive Specialized Hospital Neonatal Intensive Care Unit Northern Ethiopia 2019.

Abstract Background Birth-related complications are the single most direct cause of national neonatal death, 35% of the world’s 3.1 million deaths a year and the second most common cause of under-five deaths associated with the cost of living worldwide. To achieve the goals of designing an effective strategy to manage the problem assessing proportion and factor of death among preterm neonates are important. Methods An Institution-based cognitive research study was conducted at Aksum Referral and General specialty hospital, Northern Ethiopia. All pre-natal isolates that were allowed to enter into a high-growth union during childbirth. The data collected will be cleared and entered into the Epi-info version 7 and exported to STATA version 12 for further analyses. bivariable and multivariable analysis performed to determine the relationship between baseline and explanatory variables. Variables with a p-value of less than 0.05 will be the cut-off point. Result overall mortality rate was 22.2%, with 95% CI (17.9-26.9), of which 18 (23.4%) died within the 1 st 48 hrs and 59(76.6%) died the 1 st 7 days of life. Place of delivery(AOR:5.13(3.46-10.04)), Birth weight (AOR: 4.69 (2.29-9.63)), kangaroo mother care (AOR: 2.71 (1.20 - 6.11), Hypoglycemia(AOR: 2.47 (1.30- 4.72)), Breastfeeding initiated (AOR: 6.35(4.62-11.98)), APGAR score(AOR: 8.63 (3.52 - 21.17)), Age (AOR: 4.19(2.86-12.46)) were predictor for the occurrence of preterm neonate death. Conclusion the proportion of preterm birth mortality was high. Provide quality care in maternity care, access the intensive care unit at maternity and professional health care institutions and take precautionary measures to prevent complications. And collaboration with the woreda health office improves breastfeeding and kangaroo mother care should be better.