Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon

Georges Pius Kamsu Moyo; Donleine Sobguemezing; Hélène Tetinou Adjifack

doi:doi:10.11648/j.ajp.20200602.13

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Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon

Georges Pius Kamsu Moyo, Donleine Sobguemezing, Hélène Tetinou Adjifack

Published in American Journal of Pediatrics (Volume 6, Issue 2)

Received: 9 February 2020 Accepted: 19 February 2020 Published: 6 March 2020

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Abstract

Background: A neonatal emergency may be defined as a potentially life-threatening disorder or anomaly which occurs within the first 28 days after birth. From an epidemiological stand point, some disorders may be specific to this period and so their knowledge may improve the management and be life-saving. Objective: To determine the various neonatal emergencies. Methodology: We carried out a cross-sectional study with prospective and exhaustive recruitment of full-term neonates presenting emergencies at the Mother and Child Centre of the Chantal Biya Foundation. The study lasted for 4 months and was conducted from September to December 2018 in Yaoundé, Cameroon. Results: The survey covered 235 neonatal emergencies, 28 (11.9%) were surgical emergencies, 207 (88%) were medical emergencies and 12 (5.1%) neonates had mixed emergencies. Most cases 137 (58.2%) occurred within the first week of life, the leading causes were sepsis 147 (62.5%), birth asphyxia 25 (10.6%) and jaundice 18 (7.6%). The death rate was 3.4% (08) mainly due to congenital malformations 50% (04) while 213 (90.6%) cases recovered. Conclusion: The leading causes of neonatal emergencies found in this study were not very different from those described in the literature and so prompt diagnosis and management may further improve the outcome of neonatal emergencies, with most neonates recovering.

Published in	American Journal of Pediatrics (Volume 6, Issue 2)
DOI	10.11648/j.ajp.20200602.13
Page(s)	87-90
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Neonate, Emergency, Cameroon

References

[1]	Barousseau T, Sharieff GQ. Newborn emergencies: the first 30 days of life. Pediatr Clin North Am. 2006; 53 (1): 69–84.
[2]	Neonatal EmergenciesMedscape Emergency Medicine. Available from: http://www.medscape.org/viewarticle/557824. [Last accessed 2014 August 08].
[3]	Abiodun MT, Oluwafemi RO. Spectrum and outcome of neonatal emergencies seen in a free health-care program in South-Western Nigeria. Niger J Clin Pract 2017; 20: 283-9.
[4]	Lawn JE, Kinney MV, Black RE, Pitt C, Cousens S, Kerber K, et al. Newborn survival: A multi-country analysis of a decade of change. Health Policy Plan 2012; 27: 6-28.
[5]	Mukhtar-Yola M, Iliyasu Z. A review of neonatal morbidity and mortality in Aminu Kano Teaching Hospital, northern Nigeria. Trop Doct 2007; 37: 130-2.
[6]	Abdulkadir I, Hassan L, Abdullahi FL, Purdue S, Adebiyi NM, Abubakar Y, Adeoye G, Ogala WN. Common Neonatal Emergencies in Zaria. Sub-Saharan Afr J Med 2017; 4: 26-30.
[7]	Lawn JE, Cousens S, Zupan J. 4 million neonatal deaths: when? where? why? Lancet 2005; 365: 891–900.
[8]	Lawn JE, Lee AC, Kinney M, Sibley L, Carlo WA, Paul VK, et al. Two million intrapartum-related stillbirths and neonatal deaths: Where, why, and what can be done? Int J Gynaecol Obstet 2009; 107 (Suppl 1): S5-19.3.
[9]	World Health Organization. Neonatal and Perinatal Mortality: Country, Regional, and Global estimates. Geneva, Switzerland: World Health Organization; 2004. Available from: http://www. whqlibdoc.who.int/publications/2007/9789241596145.pdf. [Searched on 2015 Nov 26].
[10]	CDC: Infant Mortality. Available from: http://www.cdc.gov/ reproductivehealth/MaternalInfantHealth/InfantMortality.htm. [Last accessed on 2015 Jul 20].
[11]	Segrè S, Coffey P, Metzler M, Villadiego S, Brandes N, Hodgins S, et al. Chlorhexidine for umbilical cord care. A case study prepared for the UN Commission on life-saving commodities for women and children. February, 2012. Available from: http://www.pdf.usaid.gov/pdf_docs/pnady705.pdf [Last accessed 2016 Jan 12].
[12]	Zimba E, Kinney MV, Kachale F, Waltensperger KZ, Blencowe H, Colbourn T, et al. Newborn survival in Malawi: A decade of change and future implications. Health Policy Plan 2012; 27: Suppl 3iii88-103.
[13]	Ogundipe OL. Experiences of women participating in a safe motherhood (Abiye) project in Ondo State of Nigeria. Int J Cur Microbiol App Sci 2013; 2: 148-61.
[14]	FMOH and Saving Newborn Lives Program Nigeria State Data Profiles: An Accountability Tool for Maternal, Newborn and Child Health in Nigeria. Available from: http://www.healthynewbornnetwork.org/resource/nigeria-state-data-profiles. [Last accessed on 2015 Nov 26].
[15]	Lawn J, Kerber K, Enweronu-Laryea C, Massee Bateman O. Newborn survival in low resource settings—are we delivering? BJOG 2009; 116 (Suppl. 1): 49–59.
[16]	Millar KR, Gloor JE, Wellington N, Joubert GI. Early neonatal presentations to the pediatric emergency department. Pediatric emergency care. 2000; 16 (3): 145–50.
[17]	Sacchetti AD, Gerardi M, Sawchuk P, Bihl I. Boomerang babies: emergency department utilization by early discharge neonates. Pediatric emergency care. 1997; 13 (6): 365–8.
[18]	Ilori I, Ituen A, Eyo C. Factors associated with mortality in neonatal surgical emergencies in a developing tertiary hospital in Nigeria. Open J Pediatr. 2013; 3 (3): 231-235.
[19]	Dicko-Traoré F, Diall H, Koné I, Samaké B, Coulibaly O, Amadou I, et al. Neonatal Surgical Emergencies in Gabriel Touré Teaching Hospital in Bamako: Epidemiological and Clinical Aspects. Pediatr Neonat biol 2019, 4 (1): 000133.
[20]	Taguchi T, Nagata K, Kinoshita Y, Esumi G. Progress in and outcomes of neonatal surgery over the past 50 years. Nihon Geka Gakkai Zasshi 2014; 115 (6): 306-311.
[21]	Ekenze SO, Ajuzieogu OV, Nwomeh BC. Challenges of management and outcome of neonatal surgery in Africa: a systematic review. Pediatr Surg Int. 2016; 32 (3): 291-299.
[22]	Owa JA, Osinaike AI. Neonatal morbidity and mortality in Nigeria. Indian J Pediatr 1998; 65: 441-9.
[23]	Ekanem EE. Causes of neonatal and postneonatal mortality in Nigerian children. Early Child Dev Care 1990; 57: 9-13.
[24]	Lee HC, Bardach NS, Maselli JH, Gonzales R. Emergency department visits in the neonatal period in the United States. 2014; 30 (5): 315-8.

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APA Style

Georges Pius Kamsu Moyo, Donleine Sobguemezing, Hélène Tetinou Adjifack. (2020). Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon. American Journal of Pediatrics, 6(2), 87-90. https://doi.org/10.11648/j.ajp.20200602.13

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ACS Style

Georges Pius Kamsu Moyo; Donleine Sobguemezing; Hélène Tetinou Adjifack. Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon. Am. J. Pediatr. 2020, 6(2), 87-90. doi: 10.11648/j.ajp.20200602.13

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AMA Style

Georges Pius Kamsu Moyo, Donleine Sobguemezing, Hélène Tetinou Adjifack. Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon. Am J Pediatr. 2020;6(2):87-90. doi: 10.11648/j.ajp.20200602.13

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@article{10.11648/j.ajp.20200602.13,
  author = {Georges Pius Kamsu Moyo and Donleine Sobguemezing and Hélène Tetinou Adjifack},
  title = {Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon},
  journal = {American Journal of Pediatrics},
  volume = {6},
  number = {2},
  pages = {87-90},
  doi = {10.11648/j.ajp.20200602.13},
  url = {https://doi.org/10.11648/j.ajp.20200602.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200602.13},
  abstract = {Background: A neonatal emergency may be defined as a potentially life-threatening disorder or anomaly which occurs within the first 28 days after birth. From an epidemiological stand point, some disorders may be specific to this period and so their knowledge may improve the management and be life-saving. Objective: To determine the various neonatal emergencies. Methodology: We carried out a cross-sectional study with prospective and exhaustive recruitment of full-term neonates presenting emergencies at the Mother and Child Centre of the Chantal Biya Foundation. The study lasted for 4 months and was conducted from September to December 2018 in Yaoundé, Cameroon. Results: The survey covered 235 neonatal emergencies, 28 (11.9%) were surgical emergencies, 207 (88%) were medical emergencies and 12 (5.1%) neonates had mixed emergencies. Most cases 137 (58.2%) occurred within the first week of life, the leading causes were sepsis 147 (62.5%), birth asphyxia 25 (10.6%) and jaundice 18 (7.6%). The death rate was 3.4% (08) mainly due to congenital malformations 50% (04) while 213 (90.6%) cases recovered. Conclusion: The leading causes of neonatal emergencies found in this study were not very different from those described in the literature and so prompt diagnosis and management may further improve the outcome of neonatal emergencies, with most neonates recovering.},
 year = {2020}
}

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TY  - JOUR
T1  - Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon
AU  - Georges Pius Kamsu Moyo
AU  - Donleine Sobguemezing
AU  - Hélène Tetinou Adjifack
Y1  - 2020/03/06
PY  - 2020
N1  - https://doi.org/10.11648/j.ajp.20200602.13
DO  - 10.11648/j.ajp.20200602.13
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 87
EP  - 90
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20200602.13
AB  - Background: A neonatal emergency may be defined as a potentially life-threatening disorder or anomaly which occurs within the first 28 days after birth. From an epidemiological stand point, some disorders may be specific to this period and so their knowledge may improve the management and be life-saving. Objective: To determine the various neonatal emergencies. Methodology: We carried out a cross-sectional study with prospective and exhaustive recruitment of full-term neonates presenting emergencies at the Mother and Child Centre of the Chantal Biya Foundation. The study lasted for 4 months and was conducted from September to December 2018 in Yaoundé, Cameroon. Results: The survey covered 235 neonatal emergencies, 28 (11.9%) were surgical emergencies, 207 (88%) were medical emergencies and 12 (5.1%) neonates had mixed emergencies. Most cases 137 (58.2%) occurred within the first week of life, the leading causes were sepsis 147 (62.5%), birth asphyxia 25 (10.6%) and jaundice 18 (7.6%). The death rate was 3.4% (08) mainly due to congenital malformations 50% (04) while 213 (90.6%) cases recovered. Conclusion: The leading causes of neonatal emergencies found in this study were not very different from those described in the literature and so prompt diagnosis and management may further improve the outcome of neonatal emergencies, with most neonates recovering.
VL  - 6
IS  - 2
ER  -

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Author Information

Georges Pius Kamsu Moyo

Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoudé, Cameroo
Donleine Sobguemezing

Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoudé, Cameroo
Hélène Tetinou Adjifack

Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoudé, Cameroo

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APA Style

Georges Pius Kamsu Moyo, Donleine Sobguemezing, Hélène Tetinou Adjifack. (2020). Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon. American Journal of Pediatrics, 6(2), 87-90. https://doi.org/10.11648/j.ajp.20200602.13

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ACS Style

Georges Pius Kamsu Moyo; Donleine Sobguemezing; Hélène Tetinou Adjifack. Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon. Am. J. Pediatr. 2020, 6(2), 87-90. doi: 10.11648/j.ajp.20200602.13

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AMA Style

Georges Pius Kamsu Moyo, Donleine Sobguemezing, Hélène Tetinou Adjifack. Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon. Am J Pediatr. 2020;6(2):87-90. doi: 10.11648/j.ajp.20200602.13

Copy | Download

@article{10.11648/j.ajp.20200602.13,
  author = {Georges Pius Kamsu Moyo and Donleine Sobguemezing and Hélène Tetinou Adjifack},
  title = {Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon},
  journal = {American Journal of Pediatrics},
  volume = {6},
  number = {2},
  pages = {87-90},
  doi = {10.11648/j.ajp.20200602.13},
  url = {https://doi.org/10.11648/j.ajp.20200602.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200602.13},
  abstract = {Background: A neonatal emergency may be defined as a potentially life-threatening disorder or anomaly which occurs within the first 28 days after birth. From an epidemiological stand point, some disorders may be specific to this period and so their knowledge may improve the management and be life-saving. Objective: To determine the various neonatal emergencies. Methodology: We carried out a cross-sectional study with prospective and exhaustive recruitment of full-term neonates presenting emergencies at the Mother and Child Centre of the Chantal Biya Foundation. The study lasted for 4 months and was conducted from September to December 2018 in Yaoundé, Cameroon. Results: The survey covered 235 neonatal emergencies, 28 (11.9%) were surgical emergencies, 207 (88%) were medical emergencies and 12 (5.1%) neonates had mixed emergencies. Most cases 137 (58.2%) occurred within the first week of life, the leading causes were sepsis 147 (62.5%), birth asphyxia 25 (10.6%) and jaundice 18 (7.6%). The death rate was 3.4% (08) mainly due to congenital malformations 50% (04) while 213 (90.6%) cases recovered. Conclusion: The leading causes of neonatal emergencies found in this study were not very different from those described in the literature and so prompt diagnosis and management may further improve the outcome of neonatal emergencies, with most neonates recovering.},
 year = {2020}
}

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TY  - JOUR
T1  - Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Paediatric Referral Hospital of Yaoundé, Cameroon
AU  - Georges Pius Kamsu Moyo
AU  - Donleine Sobguemezing
AU  - Hélène Tetinou Adjifack
Y1  - 2020/03/06
PY  - 2020
N1  - https://doi.org/10.11648/j.ajp.20200602.13
DO  - 10.11648/j.ajp.20200602.13
T2  - American Journal of Pediatrics
JF  - American Journal of Pediatrics
JO  - American Journal of Pediatrics
SP  - 87
EP  - 90
PB  - Science Publishing Group
SN  - 2472-0909
UR  - https://doi.org/10.11648/j.ajp.20200602.13
AB  - Background: A neonatal emergency may be defined as a potentially life-threatening disorder or anomaly which occurs within the first 28 days after birth. From an epidemiological stand point, some disorders may be specific to this period and so their knowledge may improve the management and be life-saving. Objective: To determine the various neonatal emergencies. Methodology: We carried out a cross-sectional study with prospective and exhaustive recruitment of full-term neonates presenting emergencies at the Mother and Child Centre of the Chantal Biya Foundation. The study lasted for 4 months and was conducted from September to December 2018 in Yaoundé, Cameroon. Results: The survey covered 235 neonatal emergencies, 28 (11.9%) were surgical emergencies, 207 (88%) were medical emergencies and 12 (5.1%) neonates had mixed emergencies. Most cases 137 (58.2%) occurred within the first week of life, the leading causes were sepsis 147 (62.5%), birth asphyxia 25 (10.6%) and jaundice 18 (7.6%). The death rate was 3.4% (08) mainly due to congenital malformations 50% (04) while 213 (90.6%) cases recovered. Conclusion: The leading causes of neonatal emergencies found in this study were not very different from those described in the literature and so prompt diagnosis and management may further improve the outcome of neonatal emergencies, with most neonates recovering.
VL  - 6
IS  - 2
ER  -

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