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    Neonatal Mortality Trend at the University Clinic of Gynecology and Obstetrics- SKOPJE in the period of 2011-2017
    (International Organization of Scientific Research (IOSR), 2020-05)
    ;
    Jasna Bushinoska
    Abstract: INTRODUCTION: Neonatal mortality is the percent of neonatal (infant) mortality of the live- born neonates per thousand live births, in the neonatal period from 0-28 days after delivery, or those born after 22 gestation weeks of pregnancy with birth weight more than 500 g. The neonatal mortality can be divided into early neonatal mortality, which covers the period of 0-7 days after delivery (168h), regardless of the stage of pregnancy, and late neonatal mortality that includes the mortality of live-born infants in 8 until before 28 days after delivery. RESEARCH PURPOSE: The purpose of this paper is to show the percentage of neonatal mortality among live- born neonates at the UCGO-Skopje from 0-28 days after delivery, and the trends of movement of the mortality in the period 2011-2017 year. MATERIAL AND METHODS: This retrospective analysis elaborates on neonatal mortality or mortality in live- born neonates in the period 0-28 days after delivery at the UCGO-Skopje, in the period of 7 years (from 2011 to 2017), in relation to the total number of births in that period. The data is collected from the Info Centre and the histories of the disease of women that gave birth and the newborns at UCGO-Skopje during this period. RESULTS: During this period of 7 years at UCGO-Skopje, there were 36,733 live- born newborns, out of which 912 newborns died in the neonatal period after delivery, from 0-28 days after delivery. The results show that the number of early neonatal deceased newborns, 0-7 days after birth, is higher and is especially significant in the first 24 hours after delivery. The number of late neonatal deaths from 8 until before 28 days after delivery is also high. The total neonatal mortality of UCGO- Skopje in this 7 year period is 24.82 ‰, or 24.8 neonatal deaths in the neonatal period after delivery (0-28 days) per thousand live births. The highest neonatal mortality rate of 33.81‰ was recorded in 2017, while the lowest rate was 17.19 ‰ , recorded in 2015. CONCLUSION: The neonatal mortality rate in Macedonia is quite high, higher than in the countries in our surroundings, the Balkan countries and the mid- developed countries of the world.
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    Neonatal mortality rate at Gynecology and Obstetrics Clinic in Skopje in the period of five years in newborns treated at Neonatal Intensive Care Unit
    ("Ss. Cyril and Methodius" University, Faculty of Medicine, Department of Anaesthesia and Reanimation, 2020-10)
    ;
    Bushinoska J
    ;
    Orovcanec N
    Introduction: Neonatal mortality is a number of neonatal deaths per 1,000 live births in a given year or period. Neonatal mortality is defned as a death in the frst 28 days of life or a neonatal period after delivery. It includes all life born neonates after 22 gestational week of pregnancy and with birth weight over 500 g. Neonatal mortality is divided into early neonatal mortality which count deaths in 0-7 days after delivery, and late neonatal mortality 8-28 days after delivery. AIM: The aim of the study is to present hospital neonatal mortality rate at the GOC-Skopje, among newborns treated at NICU in the neonatal period of 0-28 days after births, in the period of fve years 2013-2017 and to determinate the leading causes of neonatal deaths at NICU. Material and Methods: Retrospective study counts neonatal mortality rate in the early and late neonatal period, as well as the leading causes for neonatal deaths in neonatal period of 0-28 days after delivery at the GOC-Skopje, in the period of 5 years. The data is collected from the Data basis of NICU at GOC-Skopje. Results: Hospital neonatal mortality rate in the 5 years period was 25.6‰, or 25.6 neonatal deaths in the neonatal period. There were 688 neonatal deaths on 26,891 live-born neonates. Neonatal mortality rate in early neonatal period (0-7 days) is – 547 or 20.34‰ of all neonatal deaths in the fve years period. Late neonatal mortality (8-28 days) after delivery was in 141 casesor 5.24‰. The leading causes for neonatal death in newborns treated at NICU were com plications due to prematurity, respiratory distress syndrome and neonatal sepsis. Conclusion: The hospital neonatal mortality rate at GOC-Skopje in fve years period is high, and requires more prospective studies and strategies to reduce neonatal mortality in the future.