Disease Burden of Neonatal Care Unit at Al-Bayda Medical Center Al-Bayda Libya


  • Kamala O. Younis Pediatric department, Faculty of medicine, Omar Al-Mukhtar University, Al-Bayda, Libya
  • Wafa J. Saed Pediatric department, Faculty of medicine, Omar Al-Mukhtar University, Al-Bayda, Libya




Neonatal Admission, Outcome, Al-Bayda, Libya


This research was conducted to determine the number, disease pattern, and outcome of the patients admitted at the Neonatal Care Unit (NCU) at Al-Bayda  medical center (AMC) in Libya. A retrospective cross-sectional descriptive study was carried out on all neonates admitted to the NCU between January 2008 and December 2008. The collected data include age, gender, mode and site of delivery, number of gestations, maturity, duration of stay, cause of admission, and outcome. Total infants delivered were 10075, 620 (6.1%) of them were admitted to NCU with a (6.15%) admission rate, 56.5% were male and 43.5% were female, of whom 613 (98.9%) were inborn and 519 (83.7%) were term neonates; 523 (84.4%) of total born were by normal vaginal delivery (NVD). 48.7% of total admissions occurred during the first 24 hours of life. The average length of hospital stay for term births was 5.6 days (SD 5.4) and for preterm 8.7 days (SD 8.55). The common causes of admission were neonatal jaundice (29.3%), followed by neonatal infections (17.6%) were prematurity accounts for (16.3%), and respiratory distress (11.1%). The majority of the admitted neonates improved and were discharged 517 (83.4%), 37(6%) left against medical advice (LAMA) and nineteen (3%) were referred to other specialized hospitals for further management. The neonatal mortality rate was 0.4%, and the overall hospital neonatal mortality rate was 7.6%. According to the cause-specific death rate analysis, prematurity was the most common cause of death (29.8%), followed by sepsis (17%) and birth asphyxia (12.8%). In conclusion, neonatal jaundice, infection, and prematurity complications were the leading causes of morbidity in neonates. The case-fatality rate was high for prematurity, sepsis, and birth asphyxia. Most of these etiologies are preventable to some extent by regular prenatal visits, healthy delivery practices, and timely referral to hospitals which can reduce NCU burden and improve outcomes


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Aijaz, N., Huda, N., & Kausar, S. (2012). Disease burden of NICU, at a tertiary care hospital, Karachi. Journal of the Dow University of Health Sciences (JDUHS), 6(1), 32-35.

Al-Momani, M. M. (2020). Admission patterns and risk factors linked with neonatal mortality: A hospital-based retrospective study. Pakistan Journal of Medical Sciences, 36(6), 1371. DOI: https://doi.org/10.12669/pjms.36.6.2281

Ali, S. R., Ahmed, S., & Lohana, H. (2013). Disease patterns and outcomes of neonatal admissions at a secondary care hospital in Pakistan. Sultan Qaboos University Medical Journal, 13(3), 424. DOI: https://doi.org/10.12816/0003265

Ashour, B. M., Gassier, A., Shami, Y., Bilal, J. A., & Adam, I. (2014). Neonatal outcome in Misurata central hospital, Libya. J Sci, 4(2), 87-89.

Chapagain, R., Basaula, Y., Kayatha, M., Adhikari, K., & Shrestha, S. (2017). Disease profile and hospital outcome of newborn admitted to neonatal intermediate care unit at tertiary care center in Nepal. Kathmandu Univ Med J, 58(2), 126-129.

Demisse, A. G., Alemu, F., Gizaw, M. A., & Tigabu, Z. (2017). Patterns of admission and factors associated with neonatal mortality among neonates admitted to the neonatal intensive care unit of University of Gondar Hospital, Northwest Ethiopia. Pediatric health, medicine and therapeutics, 8, 57. DOI: https://doi.org/10.2147/PHMT.S130309

Hinkes, M. T., & Cloherty, J. P. (1998). Neonatal hyperbilirubinemia. Manual of Neonatal Care. Cloherty JP (ed.). Lippincott Raven, Philadelphia.

Hoque, M., Alam, S., & Ahmed, A. (2013). Pattern of neonatal admissions and outcome in an intensive care unit (ICU) of a tertiary care paediatric hospital in Bangladesh a one-year analysis. Journal of Bangladesh College of Physicians and Surgeons, 31(3), 134-139. DOI: https://doi.org/10.3329/jbcps.v31i3.20979

Hug, L., Alexander, M., You, D., & Alkema, L. (2019). UN Inter-agency Group for Child Mortality Estimation. National, regional, and global levels and trends in neonatal mortality between 1990 and 2017, with scenario-based projections to 2030: a systematic analysis. Lancet Glob Health, 7(6), e710-720. DOI: https://doi.org/10.1016/S2214-109X(19)30163-9

Nahar, J., Zabeen, B., Akhter, S., Azad, K., & Nahar, N. (2007). Neonatal morbidity and mortality pattern in the special care baby unit of BIRDEM. Ibrahim Medical College Journal, 1(2), 1-4. DOI: https://doi.org/10.3329/imcj.v1i2.2896

Ndombo, P. K., Ekei, Q. M., Tochie, J. N., Temgoua, M. N., Angong, F. T. E., Ntock, F. N., & Mbuagbaw, L. (2017). A cohort analysis of neonatal hospital mortality rate and predictors of neonatal mortality in a sub-urban hospital of Cameroon. Italian journal of pediatrics, 43(1), 1-8. DOI: https://doi.org/10.1186/s13052-017-0369-5

Platt, M. W., & Hey, E. (1992). The Physiology of the Newborn. In Care of the Critically Ill Patient (pp. 175-186). Springer. DOI: https://doi.org/10.1007/978-1-4471-3400-8_14

Shakya, A., Shrestha, D., Shakya, H., Shah, S. C., & Dhakal, A. K. (2014). Clinical profile and outcome of neonates admitted to the Neonatal Care Unit at a teaching hospital in Lalitpur, Nepal. Journal of Kathmandu Medical College, 3(4), 144-148. DOI: https://doi.org/10.3126/jkmc.v3i4.13370

Tajkia, G., Amin, S. K., Rahman, M. E., Setu, M., Roy, K., Halder, S., & Rahman, M. M. (2019). Pattern of Admission and Outcome in a Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Dhaka, Bangladesh. Anwer Khan Modern Medical College Journal, 10(2), 150-158. DOI: https://doi.org/10.3329/akmmcj.v10i2.44128

Thammanna, P., Sridhar, P., & Sandeep, M. (2015). Morbidity pattern and hospital outcome of neonates admitted in a tertiary care teaching hospital, Mandya. International Journal of Scientific Study, 3(6), 126-129.

Toma, B. O., Ige, O. O., Abok, I. I., Onwuanaku, C., Abah, R. O., & Donli, A. (2013). Pattern of neonatal admissions and outcome in a tertiary institution in north central Nigeria. DOI: https://doi.org/10.4103/2276-7096.123590

Watters, D. (1992). Organization and management. Care of the critically ill patient in the tropics and sub-tropics. London: Macmillan, 294-311.




How to Cite

Younis , K. O. ., & Saed, W. J. . (2021). Disease Burden of Neonatal Care Unit at Al-Bayda Medical Center Al-Bayda Libya. Al-Mukhtar Journal of Sciences, 36(4), 273–279. https://doi.org/10.54172/mjsc.v36i4.589



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