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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
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BMC Pediatrics

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