Fourteen infant deaths have been recorded from the 521 live births for the first four months of this year and this is a big cause for concern and healthcare providers are calling for more and stronger health awareness education and campaigns.
Dr Loren Reginald, the director for hospital services, has explained that for the first four months of this year (January to April) 14 infant deaths have been recorded from the 521 live births for the same period. During the same period last year only four deaths were recorded.
Infant mortality is the number of babies born alive who die before their first birthday per every thousand live births.
Dr Reginald said it is rare that the figures for infant deaths have exceeded 15 cases a year except for 2013 when a cumulative figure of 19.3 for each 1000 births was recorded and since then the Ministry of Health has invested a lot to raise the standard of service and health protocols in terms of antenatal, postnatal, maternal and child care to continue to reduce the risks of infant deaths.
Infant mortality is classified into neonatal; – early neonatal i.e. seven days or less, late neonatal more than seven days and up to 28 days and post-neonatal; all babies who die before one month old.
“But increasingly there are issues which are beyond the control of health professionals,” he said.
Dr Reginald attributed this to several reasons namely prematurity, congenital abnormalities, infections and babies who are brought to the hospital after they have died elsewhere and this year, up to now two such cases have been recorded.
He noted that so far prematurity is the main cause of death and this is when expectant mothers give birth to babies under 38 weeks weighing less than 800 grammes.
He added that risks of premature births and abnormalities are very high when the expectant mothers are too young (that is still in puberty) and when expectant mothers are too old (over 40 years).
Infections being another factor for premature births and infant deaths, Dr Reginald reiterated the importance for expectant mothers to report to their health centres for their first prenatal consultation well before their pregnancies reach 16 weeks.
“We always encourage expectant mothers to seek medical attention early in their pregnancy. Early consultations are crucial as they allow for early detection of any risk factors which may threaten the pregnancy which timely medical intervention and hospital admission for treatment if necessary could help prevent complications,” Dr Reginald said.
Dr Reginald said often expectant mothers who do not report for antenatal care and consultations or report late, do not follow treatment which they are administered or discharge themselves from hospital are the ones who give birth to premature babies.
“A mother passes on any infection she may have to her unborn baby,” Dr Reginald said.
Pneumonia, a lung infection, is also a cause of death in babies resulting from bacterial infections babies get from their mothers.
Another increasingly alarming factor resulting in premature births is substance abuse – drugs and alcohol consumption by expectant mothers.
“It is a real and big concern for us medical professionals as it is very difficult to educate people on the issue. And I believe this is a concern for society as a whole to give a helping hand to educate expectant mothers on the need to stop using drugs and alcohol when they are pregnant because of the dangerous effects on their unborn babies and also on the importance of seeking early medical intervention,” Dr Reginald stressed.
“Health professionals are there to save lives and to help expectant mothers have healthy full-term babies,” he pointed out, adding that mothers who are admitted should not discharge themselves but should listen and follow health professionals’ advice for their babies’ and their own sake.
“We are there to help, treat and give advice but we do not impose anything on any one and we do not force any one to do anything,” Dr Reginald said.
Dr Reginald stressed that it is important during the first few months that a baby is being formed that expectant mothers do not use certain types of medicine nor abuse substances which can severely affect the development of the baby causing malformation and other defects as well as premature births.
Unsuccessful illegal abortions also result in severe malformation of internal organs and can result in premature births and deaths.
“Increased awareness and education at community level is key to addressing these issues,” Dr Reginald stressed.
He reiterated that expectant mothers with health issues like diabetes, high blood pressure among others are closely monitored and appropriate decisions with regard to the births of their babies are decided.
Following reports that expectant mothers have not been properly monitored and advised by health professionals with regard to the decision on how their babies are to be delivered – either naturally or by caesarian section – Dr Reginald noted that it is always advisable for mothers to deliver naturally. But there are decisions that have to be taken at short notice based on the situation at hand but complications can happen.
“At all times our aim is to protect the lives of both mother and newborn,” Dr Reginald added.
He stressed that there is a team of dedicated professionals who devote their energy to ensure babies are born without complications but unfortunately there are circumstances beyond their control. But the community and society as a whole should also play a bigger role in awareness and education.
Source : Seychelles NATION