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Abstract

Objective: To identify the pattern of etiologies responsible for the early neonatal mortality in neonatesadmitted in the neonatal intensive care unit.Study Design: Comparative cross-sectional study.Place and Duration of Study: This study was conducted in Neonatal Intensive Care, Lady Reading Hospital,Medical Teaching Institute Peshawar, Pakistan from September 2023 to January 2024.Methods: Data was collected for both groups according to sample size and parents were interviewed throughSemi semi-structured questionnaire at the time of expiry. Through SPPS 27, data analysis was performed forquantitative and qualitative variables. Chi-square test was performed and then Binary logistic regression wasperformed taking outcome as the dependent variable.Results: The estimated neonatal mortality for our study was 25.5%. The mean age at the time of admission was2.69 days±1.75. Overall females were 19.2% and male neonates were 80.8%. Neonatal mortality was significantly associated with the age of the mother, mode of delivery, sepsis, preceding birth interval in months,antenatal clinic visits in pregnancy, mother's education, father's education, and wealth index. The age of themother had a significant relation with neonatal mortality age <16 years caused 9.9 times higher mortality whencompared with the reference category. Considering the antenatal visits during pregnancy, no antenatal visit is4.5 times more associated with mortality. Similarly, maternal illiteracy had a significant impact on mortalitywith an odds ratio of 3.6. The short preceding birth interval was significantly associated with neonatal mortalitywith an odds ratio of 2.8 on multivariate analysis.Conclusion: The findings of this research depict an association between early neonatal mortality and variousfactors including the mother's age, preceding birth interval, antenatal clinic visits during pregnancy, mother'sand father's education, and wealth index of the family.
How to cite this: Muhammad L, Parvaiz H, Khan A, Beland B, Ullah I. Pattern of Etiologies of Early Neonatal Mortality in Tertiary Care Hospital, Peshawar. Life and Science. 2024; 5(4): 565-572. doi: http://doi.org/10.37185/LnS.1.1.699