The Influences Related with the Frequency of Neonatal Suffocation in Babies at the Maliana Hospital Timor-Leste (2025)

Research Article

Abstract

Introduction: Perinatal suffocation is considered one of the major causes of brand-new deaths and neurological sequelae in babies, resulting from maternal-fetal conditions or complications during childbearing.  The description by the Maliana Hospital showed that 201 babies died after birth and that 151 died at the age of 0-6 days and 8 died aged 7 to 28 days.  

Research Objective: To analyze the issues related with the frequency of neonatal suffocation at the Maliana Hospital, Municipality of Bobonaro Timor-Leste.

Research Methodology: Reconducted a descriptive and analytical study of quantitative approach, collecting a sample of 100 records of babies of mothers with risk issues and used the Network of Reflection on Register of the midwife and the medical doctor.  

Research Results: As motherly risk influences, 61% of mothers have parity higher than four broods, and maternal pathologies in the sample include Hypertension 37%, Preeclampsia/Eclampsia 25%, Anemia 25% and Diabetes 13%. Regarding the Hypertension, with mild degree 63%, and severe 38%; Preeclampsia/severe eclampsia 60% and mild 40%; in the degree of Mild Anemia (7 to 9 g/dl) 88%, and severe (<7g/dl) 12%; Type I Diabetes is 54% and Gestational Diabetes 46%; finally, premature membrane rupture is found in 51% of the sample.  As for fetal risk issues for neonatal suffocation, polyhidrosis 30%, Man Condon 13%, Infection 31%, Weight <1500 grams 13%, Inadequate weight for gestational age 28%.  In the risk influences on associated with delivery, we verified Forceps Delivery 13%, Prolapse of the cord 9% and Short Umbilical Cord 8%.  In the evaluation of APGAR indices at the 1 minute verified or severe in 48 babies 62% and mild 39%; at 5^a minute, the APGAR Index was grave at 59% and 41%, lastly, it was found that in the APGAR index at 10 minutes, then Gave classification decreased 4%, and leave or moderate 7%. At 10 minutes 89% of the sample.   

Conclusion: Hospitals, health centers and Integrated Family in SISCa, should promote the four minimum visits for pregnant women, in order to create a program of activities, such as home visits to define the rich influences of mothers. Pregnant women need to deliver with midwives and mothers in a controlled and safe environment to reduce the brand-new and post-neonatal mortality rate according to government by Ministry of Health program (Tilman CB., et al, 2025).