S Abusrewil, A Mgadmi, F Osman, B Abuzgia
Tripoli Medical Centre, Tripoli, Libya
JMJ Vol. 2, No. 2 (September 2002): 44-48
620 Newborn babies out of 12939 born in Tripoli Medical Centre were admitted to the neonatal unit from July 1st 1999 to June 30th 2000. In addition, 148 babies were referred from other hospitals during the same period. Out of the total number of admissions, 417 were males and 351 were females. 420 babies (55% of the total admissions) were term babies. Theses were admitted mainly because of major congenital anomalies, birth asphyxia, sepsis, meconium aspiration syndrome and haemolytic disease. 81% of those who were admitted from outside the hospital were term babies. 333 babies (43% of the total admission),were preterm babies; most of them were admitted because of respiratory problems. 238 babies (31% of the admitted babies) got infected while being in the neonatal unit. The total number of deaths was 285 babies (37% of total admissions). 143 babies (50% of the dead babies) had got infection, 177 babies (62% of deaths) were preterm, 40 babies (14% of deaths) have had birth asphyxia and 43 babies (15% of deaths) have had major anomalies. The high rate of deaths was mainly due to infections, complications of prematurity and asphyxia. These major factors can be improved to a great extent. The high rate of fatal congenital anomalies needs further studies and surgical intervention.
Keywords: Newborn babies, Congenital anomalies, Birth asphyxia, Meconium aspiration syndrome.