Pediatrics World Conference 2026
Speakers - PWC2026
Mohamud Eyow Ali
Mohamud Eyow Ali
- Designation: Department of Pediatrics and Child Health, Mogadishu University, Somalia
- Country: Somalia
- Title: Neonatal Mortality and Associated Factors at a Tertiary Level Neonatal Intensive Care Unit in Mogadishu, Somalia A Retrospective Study
Abstract
Background:
Neonatal mortality is a significant global health challenge, particularly in sub-Saharan Africa. In Somalia, there is a notable absence of comprehensive reports or data on neonatal mortality rates within tertiary level neonatal intensive care units NICU. This study aims to identify key factors associated with neonatal mortality in Mogadishu, Somalia.
Materials and Methods:
A retrospective review of medical records was conducted for neonates admitted to the Neonatal Intensive Care Unit NICU of Mogadishu Somali Turkish Training and Research Hospital from August 2017 to September 2019. Logistic regression analysis was employed using SPSS version 25 to compute adjusted odds ratios aORs along with 95% confidence intervals CIs.
Results:
Of 1043 neonates, 63.8% n=665 were male, with a mean age of 1.48 days. Most neonates were full-term 55.3%, n=577, while 25.8% n=269 were preterm <32 weeks, and 11.9% n=124 were late preterm 33–37 week. In total, 25.5% n=266 had very low birth weight <1500 grams. The average length of stay in the NICU was 7.38 days, and the overall mortality rate was 18.7% n=195. Indications for NICU admissions were prematurity 27.0% n=282, followed by birth asphyxia 18.0%, n=188, neonatal sepsis 14.6%, n=152, and acute respiratory distress syndrome 12.2%, n=127. Preterm neonates had significantly higher mortality rates OR=2.14, 95% CI 1.32–3.47, p=0.002, and those with a birth weight of <1500 grams had an even higher risk of mortality OR=3.85, 95% CI 2.50–5.92, p<0.001. Lack of ANC visits was associated with increased mortality risk OR=1.67, 95% CI 1.09–2.54, p=0.019, while cesarean delivery was also linked to higher mortality risk OR=1.92, 95% CI 1.29–2.85, p=0.002.
Conclusion:
The study identified a Neonatal Mortality Rate that is acceptable compared to the mortality rates in other studies in Somalia and the sub Saharan African region. These findings inform care strategies and resource allocation in prenatal and neonatal health services.
Pediatrics World Conference (PWC 2026)
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