Contemporary Profile of Neonatal Outcomes in a Newly Established Private Tertiary Healthcare Facility in Southwest Nigeria: An 18-Month Clinical Audit

Background: The neonatal period is defined as the duration from the time of birth to the end of the first 28days of life. Events preceding this period and the perinatal events can have a lasting impact on the outcome of the neonates. The study aimed to describe the indications for neonatal admission and the outcomes at a new tertiary healthcare facility.
Materials and Methods: Descriptive, retrospective study which reviewed the electronic medical records of all neonates admitted into the neonatology unit of the Redeemer’s Health Village, Ogun State, Nigeria between June 2024 and November 2025. Data extracted include age (in days), gender and the primary diagnosis at admission. The main outcome was either discharge or death.
Results: The total number of neonates admitted during the period reviewed was 41. There were 18 males which accounted for 43.9% of the admission. The male to female ratio was 1.0:1.3. Majority (61%) were inborn. Prematurity accounted for majority of the cases (39.0%), closely followed by neonatal jaundice (34.1%). The least cases that were admitted include infants of diabetic mother (4.9%) and tracheo-esophageal atresia (2.4%). The median duration of admission was 6 days (IQR 3,19 days). The survival rate was 82.9% while mortality accounted for 17.1% of the total admissions. Majority of the neonates that died were outborn and most deaths occurred within the first week of life.
Conclusion: Neonatal morbidity and mortality are distinct entities that deserve more attention in order to attain the third item of the sustainable development goal. Prematurity remains a leading cause of admission at neonatal units globally. Extreme prematurity (gestational age at birth < 28weeks) is very challenging to manage especially in resource-limited settings. Neonatal outcomes can be greatly improved upon with adequately supervised obstetric care as a specific intervention measure.

Contemporary, Neonatal, Gestational age, Prematurity, Jaundice

1. Nabwera HM, Wang D, Tongo OO, Andang PEA, Abdulkadir I, Ezeaka C V, et al. Burden of disease and risk factors for mortality amongst hospitalized newborns in Nigeria and Kenya. PLoS One [Internet]. 2021;16(1):1–21. Available from: http://dx.doi.org/10.1371/journal.pone.0244109 [Google Scholar] [Crossref]

2. Fajolu IB, Satrom KM, Ezenwa BN, Kein AC, Slusher TM, Ezeaka VC. Current Trends in Neonatal Morbidity and Mortality: Experiences from a Tertiary Center in Lagos, Nigeria. Am J Trop Med Hyg. 2022;107(3):617–23. [Google Scholar] [Crossref]

3. Ojima WZ, Olawade DB, Awe OO, Amusa AO. Factors Associated with Neonatal Mortality among Newborns Admitted in the Special Care Baby Unit of a Nigerian Hospital. J ofTropical Pediatr. 2021;(00):1–9. [Google Scholar] [Crossref]

4. Bitew ZW, Alemu A, Ayele EG, Jember DA, Haile MT, Worku T. Incidence Density Rate of Neonatal Mortality and Predictors in Sub-Saharan Africa : A Systematic Review and Meta-Analysis. nternational J Pediatr. 2020;2020:1–14. [Google Scholar] [Crossref]

5. Masaba BB, Mmusi-Phetoe RM. Neonatal Survival in Sub-Sahara : A Review of Kenya and South Africa. J Multidiscip Healthc [Internet]. 2020;2390(13):709–16. Available from: [Google Scholar] [Crossref]

6. www.tandfonline.com/journals/djmd20%0ANeonatal [Google Scholar] [Crossref]

7. Grady SC, Frake AN, Zhang Q, Bene M, Jordan DR, Dossantos TC, et al. Neonatal mortality in East Africa and West Africa : a geographic analysis of district-level demographic and health survey data. Geospat Health. 2017;12(501):137–50. [Google Scholar] [Crossref]

8. Ndombo PK, Ekei QM, Tochie JN, Temgoua MN, Angong FTE, Ntock FN, et al. A cohort analysis of neonatal hospital mortality rate and predictors of neonatal mortality in a sub-urban hospital of Cameroon. Ital J Paediatr. 2017;43(52):1–8. [Google Scholar] [Crossref]

9. 8. Egesa WI, Odong RJ, Kalubi P, Yamile EAO, Atwine D, Turyasiima M, et al. Preterm Neonatal Mortality and Its Determinants at a Tertiary Hospital in Western Uganda : A Prospective Cohort Study Preterm Neonatal Mortality and Its Determinants at a Tertiary Hospital in Western Uganda : A Prospective Cohort Study. Pediatr Heal Med Ther [Internet]. 2020;9927(11):409–20. Available from: www.tandfonline.com/journals/dphm20 [Google Scholar] [Crossref]

10. Kassa GM, Arowojolu AO, Odukogbe AA, Yalew AW. Adverse neonatal outcomes of adolescent pregnancy in Northwest Ethiopia. Plus One [Internet]. 2019;(June 2019):1–20. Available from: https://doi.org/10.1371/ journal.pone.0218259 [Google Scholar] [Crossref]

11. Tamirat KS, Sisay MM, Tesema GA, Tessema ZT. Determinants of adverse birth outcome in Sub-Saharan Africa : analysis of recent demographic and health surveys. BMC Public Health [Internet]. 2021;21(1092):1–10. Available from: https://doi.org/10.1186/s12889-021-11113-z [Google Scholar] [Crossref]

12. Abubakari A, Taabia FZ, Ali Z. Maternal determinants of low birth weight and neonatal asphyxia in the Upper West region of Ghana. Midwifery (Elsevier) [Internet]. 2019;73:1–7. Available from: www.elsevier.com/locate/midw [Google Scholar] [Crossref]

13. Okojie O, Ogboghodo E, Omoijuanfo E. Maternal and Neonatal Outcomes of Booked and Un-booked Pregnancies in Benin City , Southern Nigeria : A Comparative Study. J Community Med Prim Heal Care. 2022;34(2):109–27. [Google Scholar] [Crossref]

14. Idrisa A, Pius S, Bukar M. Maternal and neonatal outcomes in premature rupture of membranes at University of Maiduguri Teaching Hospital, Maiduguri, North-Eastern Nigeria. Trop J Obstet Gynaecol [Internet]. 2019;36(1):15–20. Available from: www.tjogonline.com [Google Scholar] [Crossref]

15. Ogunlesi TA, Ayeni VA, Ogunfowora OB, Jagun EO. The current pattern of facility-based perinatal and neonatal mortality in Sagamu , Nigeria. Afr Health Sci [Internet]. 2019;19(4):3045–54. Available from: https://dx.doi.org/10.4314/ahs.v19i4.26 [Google Scholar] [Crossref]

16. Oluwafemi RO, Adesina FP, Hassan AO. Outcomes and Disease Spectrum of LBW Neonates in a Secondary Health Facility. J Healthc Eng [Internet]. 2022;2022:1–9. Available from: [Google Scholar] [Crossref]

17. https://doi.org/10.1155/2022/9974636 [Google Scholar] [Crossref]

18. Cao G, Liu J, Liu M. Global, Regional, and National Incidence and Mortality of Neonatal Preterm Birth, 1990-2019. JAMA Paediatr [Internet]. 2022;176(8):787–96. Available from: jamapaediatrics.com [Google Scholar] [Crossref]

19. Webbe JWH, Duffy JMN, Afonso E, Al-Muzaffar I, Brunton G, Greenough A, et al. Core outcomes in neonatology : development of a core outcome set for neonatal research. Arch Dis Child Fetal Neonatal Ed [Internet]. 2020;(105):425–31. Available from: http://fn.bmj.com/ [Google Scholar] [Crossref]

20. Course CW, Bush A, Kotecha S. Looking beyond bronchopulmonary dysplasia : prematurity- associated lung disease and its phenotypes. Lancet Respir Med [Internet]. 2025;2600(25):1–12. Available from: http://dx.doi.org/10.1016/S2213-2600(25)00372-8 [Google Scholar] [Crossref]

21. Onubogu CU, Ekwochi U, Obumneme-Anyim I, Nwokeji-Onwe LN, Eleje GU, Ojiegbe NO, et al. Prevalence , perinatal outcomes and factors associated with neonatal sepsis in Nigeria. An Int J Obstet Gynaecol. 2024;131(April):101–12. [Google Scholar] [Crossref]

22. Ogunkunle TO, Odiachi H, Chuma JR, Bello OS, Imam A. Postnatal Outcomes and Risk Factors for In-Hospital Mortality among Asphyxiated Newborns in a Low-Resource Hospital Setting : Experience from North-Central Nigeria. Ann Glob Heal [Internet]. 2020;86(1):1–9. Available from: https://doi.org/10.5334/aogh.2884 [Google Scholar] [Crossref]

23. Bello M, Pius S, Ibrahim BA. Characteristics and Predictors of Outcome of Care of Preterm Newborns in Resource Constraints Setting, Maiduguri, Northeastern Nigeria. J Clin Neonatol [Internet]. 2019;8(1):39–46. Available from: www.jcnonweb.com [Google Scholar] [Crossref]

24. Audu LI, Otuneye AT, Mairami AB, Mukhtar-Yola M, Mshelia LJ. Determination of neonatal case-specific fatality rates in a tertiary health institution in North Central Nigeria. BMC Pediatr. 2021;21(1):1–8. [Google Scholar] [Crossref]

25. Rhoda NR, Velaphi S, Gebhardt GS, Kauchali S, Barron P. Reducing neonatal deaths in South Africa : Progress and challenges. South African Med J. 2018;3(March):9–16. [Google Scholar] [Crossref]

26. Olusanya BO, Kaplan M, Hansen TWR. Neonatal hyperbilirubinaemia : a global perspective. Lancet Child Adolesc Heal [Internet]. 2018;2(8):610–20. Available from: http://dx.doi.org/10.1016/S2352-4642(18)30139-1 [Google Scholar] [Crossref]

27. Moshiro R, Mdoe P, Perlman JM. A Global View of Neonatal Asphyxia and Resuscitation. Front Pediatr. 2019;7(November):1–6. [Google Scholar] [Crossref]

28. Tewabe T, Mohammed S, Tilahun Y, Melaku B, Fenta M, Dagnaw T, et al. Clinical outcome and risk factors of neonatal sepsis among neonates in Felege Hiwot referral Hospital , Bahir Dar , Amhara Regional State , North West Ethiopia 2016 : a retrospective chart review. BMC Res Notes. 2017;10(265):1–7. [Google Scholar] [Crossref]

29. Bech CM, Stensgaard CN, Lund S, Holm-Hansen C, Brok JS, Nygaard U, et al. Risk factors for neonatal sepsis in Sub- ­ Saharan Africa : a systematic review with meta- ­ analysis. BMJ Open. 2022;12:1–15. [Google Scholar] [Crossref]

30. Fleischmann C, Reichert F, Cassini A, Horner R, Harder T, Markwart R, et al. Global incidence and mortality of neonatal sepsis : a systematic review and meta- ­ analysis. Br Med Bull. 2021;106:745–52. [Google Scholar] [Crossref]

31. Ogundare E, Akintayo A, Aladekomo T, Adeyemi L, Ogunlesi T, Oyelami O. Presentation and outcomes of early and late onset neonatal sepsis in a Nigerian Hospital. Afr Health Sci [Internet]. 2019;19(3):2390–9. Available from: [Google Scholar] [Crossref]

32. Ranjeva SL, Warf BC, Schiff SJ. Economic burden of neonatal sepsis in sub-Saharan Africa. BMJ Glob Heal. 2018;3(e000347):1–8. [Google Scholar] [Crossref]

33. Wondemagegn AT, Alebel A, Tesema C, Abie W. The effect of antenatal care follow-up on neonatal health outcomes : a systematic review and meta-analysis. Public Health Rev [Internet]. 2018;39(33):1–11. Available from: https://doi.org/10.1186/s40985-018-0110-y [Google Scholar] [Crossref]

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