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Implementation of a "real world" neonatal care unit in a developing country: Ten years of experience.
Neonatal mortality remains a global health challenge. A neonatal care unit (NCU) has been set up in Kenya in a low-resource setting. The aim of this study was to describe the results of a prospective, retrospective and cross-sectional survey conducted over a period of 10 years (1 January 2004-1 January 2014) to analyse the effectiveness of the NCU in the care of neonates and their families. A total of 10,922 neonates were admitted to the NCU, and 64.2% of them died. Respiratory distress syndrome (RDS) (75.4%) and sepsis (42.2%) were the main causes of death. Over half of the infants were born between 24 weeks and 2 days and 28 weeks of gestation, and 63.6% of the births were at home. More than 90% of mothers had no education and only 7.5% had access to antenatal care. Transfer to the NCU was the most common predictor of death (OR=31.68, 95% CI: 26.84-37.41). Surviving infants were discharged from the NCU with a median length of stay of 54.5 days (range: 12-472 days). Infants with low birthweight had a higher mortality (21.7%) than those with normal birthweight (8.4%). The NCU supported 109 families in total. More than 85% of the families received some form of support and 81.7% of them were confident about the quality of care given at the NCU. Our results show that a NCU can provide services to families of neonates, who are socioeconomically disadvantaged. However, it remains to be seen whether such services are sufficient to address the high rates of neonatal mortality in the country.Q:
Disable user input until saved and validated on Webform
I've made a form with a few dropdown menus and text fields which are validated after submit. How can I disable user input until saved and validated?
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if (isset 3125841983
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