Show simple item record

dc.contributor.authorMmbaga, Blandina T.en_US
dc.contributor.authorLie, Rolv Terjeen_US
dc.contributor.authorKibiki, Gibson S.en_US
dc.contributor.authorOlomi, Raimosen_US
dc.contributor.authorKvåle, Gunnaren_US
dc.contributor.authorDaltveit, Anne Kjerstien_US
dc.PublishedBMC Pregnancy and Childbirth 2011, 11:68en
dc.description.abstractBackground: Reduction in neonatal mortality has been slower than anticipated in many low income countries including Tanzania. Adequate neonatal care may contribute to reduced mortality. We studied factors associated with transfer of babies to a neonatal care unit (NCU) in data from a birth registry at Kilimanjaro Christian Medical Centre (KCMC) in Tanzania. Methods: A total of 21 206 singleton live births registered from 2000 to 2008 were included. Multivariable analysis was carried out to study neonatal transfer to NCU by socio-demographic factors, pregnancy complications and measures of the condition of the newborn. Results: A total of 3190 (15%) newborn singletons were transferred to the NCU. As expected, neonatal transfer was strongly associated with specific conditions of the baby including birth weight above 4000 g (relative risk (RR) = 7.2; 95% confidence interval (CI) 6.5-8.0) or below 1500 g (RR = 3.0; 95% CI: 2.3-4.0), five minutes Apgar score less than 7 (RR = 4.0; 95% CI: 3.4-4.6), and preterm birth before 34 weeks of gestation (RR = 1.8; 95% CI: 1.5-2.1). However, pregnancy- and delivery-related conditions like premature rupture of membrane (RR = 2.3; 95% CI: 1.9- 2.7), preeclampsia (RR = 1.3; 95% CI: 1.1-1.5), other vaginal delivery (RR = 2.2; 95% CI: 1.7-2.9) and caesarean section (RR = 1.9; 95% CI: 1.8-2.1) were also significantly associated with transfer. Birth to a first born child was associated with increased likelihood of transfer (relative risk (RR) 1.4; 95% CI: 1.2-1.5), while the likelihood was reduced (RR = 0.5; 95% CI: 0.3-0.9) when the father had no education. Conclusions: In addition to strong associations between neonatal transfer and classical neonatal risk factors for morbidity and mortality, some pregnancy-related and demographic factors were predictors of neonatal transfer. Overall, transfer was more likely for babies with signs of poor health status or a complicated pregnancy. Except for a possibly reduced use of transfer for babies of non-educated fathers and a high transfer rate for first born babies, there were no signs that transfer was based on non-medical indications.en_US
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="" target="blank">Pregnancy and perinatal health outcomes in Northern Tanzania: a registry based study</a>eng
dc.rightsAttribution CC BYeng
dc.titleTransfer of newborns to neonatal care unit: a registry based study in Northern Tanzaniaen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2011 Mmbaga et al; licensee BioMed Central Ltd.
dc.subject.nsiVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806eng

Files in this item


This item appears in the following Collection(s)

Show simple item record

Attribution CC BY
Except where otherwise noted, this item's license is described as Attribution CC BY