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Table 1 Demographics of newborns admitted to the neonatal care facility before and after the transition

From: Improved referral and survival of newborns after scaling up of intensive care in Suriname

  Period 1
(July 2014–March 2015)
Period 2
(April 2015–December 2015)
N % (95% CI) N % (95% CI)
Live births Total at AHP 2353   1972  
Admissions to facility Total 331   295  
Included 320 96.7 281 95.3
 Inborn 284 88.7 (84.8–91.8) 217 77.2 (72.0–81.7)
 Outbornb 36 11.3 (8.2–15.2) 64 22.8 (18.3–28.0)
Maternal age
(Years)
<20 54 16.9 (13.2–21.4) 36 12.8 (9.4–17.2)
20–34 168 52.5 (47.0–57.9) 140 49.8 (44.0–55.6)
≥35 46 14.4 (11.0–18.6) 24 8.5 (5.8–12.4)
 Missing 52 16.3 81 28.8
Pregnancy HIV 6 1.9 (0.9–4.0) 2 0.7 (0.2–2.6)
Diabetes 18 5.6 (3.6–8.7) 20 7.1 (4.7–10.7)
PIH / Preeclampsia 60 18.8 (14.9–23.4) 62 22.1 (17.6–27.3)
Antenatal steroidsc 47 46.1 (36.7–55.7) 55 53.9 (44.3–63.3)
Infection riskd 47 14.7 (11.2–19.0) 38 13.5 (10.0–18.0)
Mode of delivery Vaginal 187 58.4 (53.0–63.7) 167 59.4 (53.6–65.0)
Caesarean section 105 32.8 (27.9–38.1) 94 33.5 (28.2–39.2)
 Missing 28 8.8 20 7.1
Sex Male 162 50.6 (45.2–56.1) 155 55.2 (49.3–60.9)
Female 158 49.4 (43.9–54.8) 126 44.8 (39.1–50.7)
Gestational age (Weeks) <28 16 5.0 (3.1–8.0) 13 4.6 (2.7–7.8)
28–32 48 15.0 (11.5–19.3) 47 16.7 (12.8–21.5)
33–36 114 35.6 (30.6–41.0) 100 35.6 (30.2–41.3)
≥37 132 41.3 (36.0–46.7) 110 39.1 (33.6–45.0)
 Missing 10 3.1 11 3.9
Birth weight (Grams) <1000 26 8.1 (5.6–11.6) 23 8.2 (5.5–12.0)
≥1000–1499 48 15.0 (11.5–19.3) 33 11.7 (8.5–16.0)
≥1500 242 75.6 (70.6–80.0) 221 78.6 (73.5–83.0)
 Missing 4 1.3 4 1.4
Apgar Score at 5’ <5 24 7.5 (5.1–10.9) 7 2.5 (1.2–5.1)
 Missing 45 14.1 47 16.7 (12.8–21.5)
Ethnicity Maroon 87 27.2 (22.6–32.3) 72 25.6 (20.9–31.0)
Creole 85 26.2 (22.0–31.7) 72 25.6 (20.9–31.0)
Hindo-Surinamese 59 18.4 (14.6–23.1) 55 19.6 (15.4–24.6)
Javanese 15 4.7 (2.9–7.6) 21 7.5 (4.9–11.2)
Amerindian 10 3.1 (1.7–5.7) 7 2.5 (1.2–5.1)
Chinese 2 0.6 (0.2–2.2) 2 0.7 (0.2–2.6)
Othere 31 9.7 (6.9–13.4) 32 11.4 (8.2–15.6)
 Missing 31 9.7 20 7.1
Initial reason for admissiona Prematurity 152 47.5 (42.1–53.0) 148 52.7 (46.8–58.4)
Respiratory distressf 119 37.2 (32.1–42.6) 122 43.4 (37.7–49.3)
Suspected infectiong 91 28.4 (23.8–33.6) 97 34.5 (29.2–40.3)
Perinatal asphyxiah 39 12.2 (9.0–16.2) 30 10.7 (7.6–14.8)
Congenital malformationsi 42 13.1 (9.9–17.3) 35 12.5 (9.1–16.8)
Otherj 71 22.2 (18.0–27.1) 49 17.4 (13.4–22.3)
  1. AHP Academic Hospital Paramaribo, NICU neonatal intensive care unit, HC high care, MC medium care, PIH pregnancy-induced hypertension, RDS respiratory distress syndrome
  2. a Newborns could have more than one reason for admission
  3. b Includes: delivery rooms of four other hospitals in Paramaribo and one other hospital in Nickerie, birth clinics in rural and interior parts of Suriname, and home births
  4. cAdministered in two doses of dexamethasone in the case of suspected premature birth before GA of 34 weeks (calculated for a total of N = 102 newborns in period 1 and N = 102 in period 2)
  5. dIncludes: premature rupture of membranes (PROM), intrapartum fever and/or antibiotics, positive maternal Group-B streptococcus culture
  6. eIncludes: Caucasian, Brazilian, or mixed
  7. fIncludes: neonatal respiratory distress syndrome, congenital pneumonia, pulmonary hemorrhage, pneumothorax, meconium aspiration syndrome, and transient neonatal tachypnea
  8. gIncludes: newborns defined with clinical symptoms of infection by admitting physician
  9. hIncludes: asphyxia defined by admitting physician (e.g., in the case of either need for resuscitation or Apgar <5 beyond 5 min; lactate acidosis with base excess <16; coma or seizures after birth; findings with cerebral ultrasound such as edema)
  10. iIncludes: diaphragmatic hernia, congenital heart defects, gastro-intestinal anomalies and neurological malformations
  11. jIncludes: hypoglycemia, dysmaturity, jaundice, and social indications