IMPACT OF MORITONING PREGNANCY ON NEONATAL MORBIDITY
J. SEMLANI
National Reference Center in Neonatology and Nutrition, Children's Hospital, University Hospital, Rabat, Morocco and Equipe de Recherche en Santé et Nutrition du Couple Mère Enfant, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Morocco
DILYARA MAMUTOVA
National Reference Center in Neonatology and Nutrition, Children's Hospital, University Hospital, Rabat, Morocco
M. MRABET
Département se Santé Publique Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Morocco
A. KHARBACH
National Reference Center in Neonatology and Nutrition, Children's Hospital, University Hospital, Rabat, Morocco
A. BOUZIANE
Laboratory for Biostatistics and Clinical and Epidemiological Research, Faculty of Medicine and Pharmacy, Rabat, Morocco
H. AGUENAOU
Unité Mixte de Recherche en Nutrition et Alimentation URAC 39, Université Ibn Tofail-CNESTEN; RDC-Nutrition AFRA/AIEA, Morocco
A. BARKAT *
National Reference Center in Neonatology and Nutrition, Children's Hospital, University Hospital, Rabat, Morocco and Equipe de Recherche en Santé et Nutrition du Couple Mère Enfant, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V de Rabat, Morocco
*Author to whom correspondence should be addressed.
Abstract
Introduction: Quality monitoring of pregnancy is defined by several clinical, biological and radiological parameters that can influence neonatal outcome.
Materials and Methods: A population of 1,000 women were studied in pregnancy using labor monitoring indicators and the status of their newborns at birth was noted. Statistical analysis was used to establish the elements influencing neonatal morbidity.
Results: The average age of women in labor was 28.25 years. Pregnancy was followed in 45.4%. It was provided by the dispensary in 58.6%. 80.4% of newborns were appropriate of age and full term in 83.7%. 12.3% of newborns have been hospitalized in the immediate postnatal life due to major risk of infection in 53%. Of these 47% of hospital admissions were in neonatology unit. The average hospitalization duration was 15 days. Using simple and multiple regression, improper monitoring of pregnancy was associated with hospitalization of neonates.
Conclusion: Improving the quality of monitoring of pregnancy is one factor among others that can reduce neonatal morbidity.
Keywords: Monitoring of pregnancy, hospitalization, neonatal morbidity