Infant mortality by congenital malformations

Abstract

The infant mortality by congenital malformation is considered as one of the most important causes of death, it has many complications on both the infant and the mother. The main objectives of this study are: (I) to identify the demographic and maternal-infant factors which influencing the congenital malformation (II) to compare the factors which affected congenital malformation in the two groups (Benghazi, its suburbs, and Eastern area). To achieve these objectives, a simple random sample of size 449 of infant mortality for the period (2000-2005) , 299 of them from Benghazi pediatric hospital )new born baby section) of Benghazi, and its suburbs, and the other (150 ( from El-Marj central hospital of Eastern area. Multiple logistic regression, comparison of proportions are used to achieve the above objectives. The results of the multiple logistic regression analysis for the type of malformation revealed that the mortality by congenital malformation increases as age of infant increases, and death by congenital malformation increase in the case of big size baby, deaths by congenital malformation increased in the case of identification of the blood groups of mother and the child, and increased in Eastern area, also type of delivery has negative effect on heart, and brain malformation. That is it increases in normal delivery, and the probability of death by congenital malformation increases as the weight of the child increases, also mother frequently delivery increase the chance of heart and brain malformation occurrence. The results of comparison of the two group's proportions, the congenital malformation seems to be associated with the residence factors, also it associated type of delivery, and frequently in normal delivery, parent's kinship is correlated with infant mortality by congenital malformation; also the age of mother is correlated with infant mortality.