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Death rate and causes of death in the neonatal intensive care unit in the Children Welfare Teaching Hospital (2018-2021)
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Background: The first month of life is the most vulnerable period and mortality during this period is an important component of under-5 mortalities. Causes of death in this period are preventable like sepsis, RDS, and asphyxia, while others are not like multiple congenital abnormalities.

Objectives: To study the death rate and main causes of death in the neonatal intensive care unit (NICU) of the Children Welfare Teaching Hospital (CWTH) through the period (2018-2021).

Patients and methods: The death per year for the four years of the study and causes of death were collected retrospectively and analyzed for total death rate and rate for each year, sex distribution, male-to-female ratio, early and late death rate, and main causes of death.

Results: it was found that the total death rate is 17.3%, male: female ratio 1.6: 1. The early neonatal death was 54.3% and the late neonatal death was 45.6%. The main causes are congenital anomalies (39%), sepsis (17.4%), prematurity (16.9%), RDS (10.8%), postoperative complications (7.5%), and birth asphyxia (1.9%).

Conclusions: The death rate in the NICU / CWTH is still high despite improvement in respiratory care and the use of invasive and noninvasive respiratory support. The death rate because of congenital abnormalities was the main cause of death.

Received: Dec,, 2022

Accepted: July, 2023

Published: Oct.2023

 

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Publication Date
Mon Oct 01 2012
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Descriptive Study of Neonatal Death in Neonatal Care Unit of Baghdad Teaching Hospital / Medical city / Baghdad (2007-2009)
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Background: In developing countries, neonatal death account for 99% of neonatal deaths in the world. In Iraq, the neonatal death rates are still unknown.
Objectives: To assess the death rate and the major causes of neonatal death in the neonatal care unit (NCU) in Baghdad Teaching Hospital-Medical City/ Baghdad.
Patients &Methods: A descriptive study of 564 neonatal deaths in the neonatal care unit (NCU) from 1st of January 2007 to 31st of December 2009 in Baghdad Teaching Hospital-Medical City/ Baghdad was carried out, and the causes of death as registered in the neonatal medical records and death certificates were studied.
Results: Neonatal death rate relative to admission was (18.5%). The Neonatal death rates were lower i

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Publication Date
Sun Apr 05 2015
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Transient Tachypnea of Newborn in Neonatal Care Unit of Children Welfare Hospital Medical City /Baghdad
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Background: Transient tachypnea (TTN) is a common disorder of the newborn. It is characterized by the                                                                  
early onset of tachypnea sometimes with retractions or expiratory grunting and occasionally cyanosis that is
relieved by minimal oxygen supplementation (<40%).
Objectives: To identify the risk factors and describe the clinical characteristics, treatment and outcome of
infants with TTN.
Patients and methods: This study was carried out on 100 newborn babies with birth weight of 2500 to 4000 &nbs

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Publication Date
Wed Aug 07 2019
Journal Name
Iraqi National Journal Of Nursing Specialties
Evaluation of Nursing Performance Concerning Nasogastric Tube in Neonatal Intensive Care Unit at al-Batool Teaching Hospital in Baqubah City
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Objectives: The study aim to evaluate nursing performance during nasogastric tube feeding in neonatal intensive care unit. Methodology: A descriptive study was carried out in Neonatal Intensive Care Unit at al–Batool Teaching Hospital, for the purpose of evaluate of quality of nursing performance for premature baby during nasogastric tube feeding in neonatal intensive care unit. The study consumed the period from 4th of December 2017 to the 24nd of April 2018, Non-probability purposive sample of (25) nurses working in the neonatal intensive care unit. The data were collected through the use of Observational instrument which consist of socio-demographic characteristics, quality of nursing care. Results: The study shows that the majority

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Publication Date
Thu Jan 02 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Neonatal Polycythemia in Children Welfare Teaching Hospital, Medical city complex, Baghdad
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Backgroun1d: Polycythemia is defined as a central Hematocrit of at least 65%. Its` incidence is increased in babies who have intrauterine growth restriction (IUGR), are small for gestational age (SGA), and are born post term.  Many infants with polycythemia are asymptomatic. However, it may be associated with feeding problems and lethargy.   

Objectives: This work aimed to study the polycythemic neonates admitted to neonatal care unit in children welfare teaching hospital, medical city complex, Baghdad, including demographic features, risk factors, management and early outcome.

Patients and Methods: A descriptive study was carried out over

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Publication Date
Sat Dec 07 2019
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Retinoblastoma in Iraqi Children, the Experience of Children Welfare Teaching Hospital
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Background: Retinoblastoma is the most common intraocular tumor affecting young children.


Patients and Methods
: A review of 32 children with retinoblastoma, diagnosed and treated at the Oncology Unit, Children Welfare Teaching Hospital, Medical City, Baghdad from 1999 to 2006.

Objectives: To review the clinical presentation and treatment outcome of retinoblastoma in children treated at the Children Welfare Teaching Hospital, Baghdad.

Results: Among 32 patients, 56.25% were males and 43.75% were females with a median age of 34.5 months. Unilateral disease was observed in 19 patients. Leukocoria was the most common presenting feature. Advanced s

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Publication Date
Sat Nov 07 2020
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Practices in performing lumbar puncture procedure in the Children Welfare Teaching Hospital / Baghdad
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Background: Lumbar puncture is a procedure that is frequently performed in the pediatric practice.
Objective: To review some (patient, provider and technique- related) characteristics of lumbar puncture performed at the Children Welfare Teaching Hospital, Baghdad / Iraq.
Methods: A descriptive cross-sectional study was conducted in the period from April to September, 2017. A self-prepared questionnaire was used to collect the data. It included 32 items, which were divided into three sections: Residents doctors' information (3 items), patient's information (2 items) and procedure’s information (27 items).
Results: The total number of performed procedures was 103, of which 51 (49.5%) were performed in the oncology ward. About ha

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Publication Date
Sun Sep 27 2020
Journal Name
Iraqi National Journal Of Nursing Specialties
Effectiveness of an Education Program on Nursing Staffs' Knowledge about Infection Control Measures at Intensive Care Unit in Al-Diwaniya Teaching Hospital
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Objectives: To determine the effectiveness of the educational program on nursing staff knowledge about infection control measures at the Intensive Care Unit in Al-Diwaniya Teaching Hospital.

Methodology: A pre-experimental design (one group design: pre-test and post-test) was used. This study was conducted in Al-Diwaniya Teaching Hospital for the period from ( 20th February to 5th March, 2020) on a non-probability (purposive) sample consisting of (25 nurses) working in ICU. A questionnaire was built as a data collection tool and consisted of two parts:

First part: The demographic characteristics of the nursing staff (age, gender, level of education, years of experien

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Publication Date
Sun Jul 04 2010
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Death rates and causes among admitted neonates in Children Welfare Teaching Hospital – Medical city –Baghdad (2000- 2004)
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Background: The neonatal deaths account for two-third of all deaths in the first year of life, and 40% of under-five mortality. Extreme prematurity, respiratory distress syndrome , neonatal infections , and congenital malformations are among the common causes of neonatal deaths.
Methods: We retrospectively studied 668 neonates who died over 5 years period from first of Jan. 2000 to the end of Dec. 2004 in neonatal care unit of children Welfare Teaching Hospital-medical city, by obtaining data from reviewing their medical records and death certificates.
Results: The death rate in neonates admitted to SCBU (special Care baby Unit) during the period of study was (10.7%), male constituted 432 (64.7%) and female

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Publication Date
Mon Jul 29 2019
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Etiological factors of cholestasis ininfancy andearly childhood in Children Welfare Teaching Hospital
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A

Background: Neonatal cholestasis is defined as prolonged elevation of the serum level of conjugated
bilirubin beyond the first 14 days of life. There are many causes of neonatal cholestasis which must be  identified because early intervention may result in a better outcome , such as surgical intervention in biliary atresia within two months from birth , or effective dietary management in metabolic disorders like  galactosemia.
Objective:To determine the causes of early childhood cholestasis in children attending the Children Welfare
Teaching Hospital in Baghdad and to stu

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Publication Date
Thu Jan 06 2022
Journal Name
Iraqi National Journal Of Nursing Specialties
Effectiveness of an Educational Program on Mothers’ Attitudes toward Readiness for Discharge Care at Home for a Premature Baby in Intensive Care Unit at Teaching Hospitals in Medical City Complex
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Objectives:
To evaluate mothers’ attitudes toward readiness for discharge care at home for a premature baby in Intensive Care Unit at teaching hospitals in Medical City Complex and to find out the relationship between mothers’ attitudes and their socio-demographic characteristics.
Methodology: A quasi-experimental study design was carried out through the period of 6th January 2020 to 2021 to 11th March 2021, to evaluate mother’s attitude toward discharge care plan for premature babies. The study carried out in Welfare Teaching Hospital, Nursing Home Hospital and Baghdad Teaching Hospital at Medical City Complex in Baghdad City on 30 mother of premature babies in neonatal intensive care units using the nonprobability sampling

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