Short-term Evaluation of Survival Newborns Having Spent a Day in Neonatology at the University Clinics of Kinshasa During Severe Preeclampsia: Prospective Cohort Survey

摘要

Background and aims: neonatal mortality in pregnant women with pre-eclampsia remains a concern in our environment and several factors, including those related to complications of pre-eclampsia, contribute to it in our settings where the care is inadequate. The aims of our study is to determine the frequency of transfer to describe the survival of babies born to preeclampsia mothers admitted to the Pediatric Neonatology Department of University Clinics of Kinshasa over a consecutive period of approximately 30 days. Methods: This is a prospective cohort study carried out over a period from January 1, 2006 to December 31, 2015 targeting all babies born to preeclampsia mothers followed in the neonatal service of the University Clinics of Kinshasa. Maternal, perpartal, neonatal and evolutionary characteristics (cure or death) were studied. Survival was described by the Kaplan Meier method at the 5% significance level. Results: the recorded death rate was 26.5%. Gestational age between 28-36 weeks of amenorrhea conferred a risk of death in children 3 times, compared with APGAR 7 at the 1st, 5th and 10th which conferred a risk of 2, 3 and 3 times respectively. The overweight-obese mothers had a risk doubled of causing the death of newborns. Conclusion: The toll of neonatal mortality during preeclampsia is heavy in developing countries where newborns continue to die from often preventable causes. The reduction in neonatal morbidity and mortality requires an improvement in the system of care for newborns in our environment.