Current Status of Neonatal Death in a Second Level of Care Hospital in the State of Mexico

Specialist in Pediatrics and Neonatology, Former ExChief of Pediatrics and Neonatology (01-2022) at HGE José María Rodríguez, Ecatepec state of Mexico, Mexico

*Corresponding author: Dr. Martin Noé Rangel Calvillo, Specialist in Pediatrics and Neonatology, Former ExChief of Pediatrics and Neonatology (01-2022) at HGE José María Rodríguez, Ecatepec state of Mexico, Mexico, Tel: 5561140092; Email: [email protected].

Received Date: September 11, 2023

Published Date: November 07, 2023

Citation: Calvillo MNR. (2023). Current Status of Neonatal Death in a Second Level of Care Hospital in the State of Mexico. Mathews J Pediatr. 8(2):30.

Copyrights: Calvillo MNR. © (2023).

ABSTRACT

In a previous analysis, it was confirmed that by detecting these opportunities for improvement in the obstetric care process, new strategies will be found each time to avoid factors that seriously impact the health of Neonates. Objective: Monitor the current state of neonatal death taking into account a timeline in a previously monitored population, trying to detect preventive actions, to specifically protect the newborn, and having a favorable impact on maternal health. Method: Under informed consent of patients; Analysis of clinical records of 171 newborn deaths was carried out. The analysis was designed according to the recommendations of Dr. Brown, who assigned a percentage of responsibility basically in 4 areas; 1.- Women's health to whom I give a very high weight of 60% of responsibility. 2.- Maternal care with 10% responsibility. 3.- Neonatal Care 9% responsibility. 4.- Postnatal Care, 21%. In the research design we decided to include the color code recommended by Dr. Brown: #1 Brown, #2, Red, #3, Green, #4 Lilac, which are expressed in a table to contain data for each patient and with This will identify an area of responsibilities to convert it into an area of Opportunity. Once the number of Neonatal deaths from the period 2010-2015 was analyzed, the results were compared with previous periods, previously analyzed, to measure if there are new factors that require new approach strategies. Results: In period 203-206, basically three pathologies responsible for death: 61% Prematurity, 25% sepsis, 61.7% asphyxiation, and according to color code they entered the scope of responsibility of obstetric care In 2007-2008: an increase in Prematurity occurred to 66.6%; There was a decrease in sepsis to 14% and a decrease in babies under 1500g to 46.6%, after applying first analysis strategies. In the period 2010-2015, premature births decreased to 63%; Asphyxias decreased by 38% and sepsis remained at 14%. Babies weighing less than 1500g increased to 57.7%. Conclusions: We can observe that the risk factors for neonatal death remained present, but we noted a significant decrease compared to previous periods, according to the analysis of the Dr. Brown method, which translates into an area of opportunity for improvement with high weight for the area of obstetric care, we can also comment that the newborns within the Neonatal area of responsibility were registered once they were very seriously ill from birth and after neonatal intensive care, by age they entered that area of responsibility, also clarify that the patients, In 98% of cases the asphyxia was intrauterine. Permanent monitoring is urgently needed, and emphasis is placed on applying a 4x4 team formation strategy in the field of women's and pregnant women's health.

Keywords: Death, Neonatal, Current Analysis.