Determinants of Late Preterm Hospitalisation During the Neonatal Period at Kakamega County Teaching and Referral Hospital, Kakamega County

Duncan Omuchilo Moyia, Dr. Sarah Bett, Dr. Grace Githemo — Fri, 15 Aug 2025 00:00:00 +0000

Purpose: Late preterm infants frequently face specific difficulties stemming from their physiological underdevelopment, which heightens their risk for health issues and the need for later hospitalization. Nevertheless, the factors influencing late preterm hospitalization following discharge from delivery have not been thoroughly investigated within the healthcare system in Kenya. In particular, the study determined the relationship between neonatal characteristics, maternal characteristics, neonatal care practices, and hospitalization outcome.

Methods: Analytical cross-sectional quantitative research was conducted using a sample of 74 infant-mother dyad pairs selected through purposive sampling. Late preterm infants hospitalized in the KCTRH pediatric emergency unit within 28 days after birth discharge were recruited. A structured questionnaire was used to collect data. A bivariate test using chi-square was conducted to assess the associations between maternal, late preterm, and neonatal care practices and late preterm hospitalization outcomes. Subsequently, multivariate logistic regression was performed on the variables found to be significant in the bivariate analysis to further evaluate their independent effects on hospitalization outcomes. P-values were set at <.05

Results: Late preterm infants who were hospitalized for more than 48 h had worse outcomes (AOR = 0.08, p = 0.006), as did infants who were appropriately breastfed (AOR = 0.13, p = 0.022). Symptomatic danger signs before hospitalization were linked to the worst outcomes (AOR = 44.50, p =. 040). Maternal education post-basic/tertiary (AOR = 66.72, p =. 014), antenatal care utilization (AOR = 0.02, p =. 031), and the lack of previous pregnancy complications (AOR = 21.27, p =.031). 017) were also associated with favorable outcomes. Some of the neonatal practices done during the first few days of life, which included breastfeeding after birth (AOR |= 1.44, p = .001) and receiving teaching from nurses on dangerous signs (AOR = 2.32, p = .007), appeared to be beneficial.

Implication: The findings emphasize the importance of effective maternal and neonatal care in the outcomes for hospitalization late in the preterm period. It is important to develop specific neonatal care strategies that are based on maternal education and early intervention measures in order to improve late preterm infant health and limit hospital stays.

Determinants of Maternal Death in Nakuru County, Kenya: A Cross-Sectional Study

Mon, 04 Aug 2025 00:00:00 +0000

Purpose: Maternal mortality remains a significant public health concern in Kenya, with Nakuru County among the regions experiencing high rates. Understanding the determinants of maternal deaths is crucial for targeted interventions and improved maternal health outcomes. This study aimed to identify the factors contributing to maternal deaths in Nakuru County using the Three Delays Model as an analytical framework.

Methods: A cross-sectional design was employed, analyzing 200 maternal death cases reported between 2018 and 2022 from five major health facilities in Nakuru County. Data were obtained through maternal death review forms, facility records, and verbal autopsies. Quantitative data were analyzed using SPSS version 27, with descriptive statistics, chi-square tests, and logistic regression applied to determine significant associations.

Results: Hemorrhage (30%), hypertensive disorders (25%), and sepsis (15%) emerged as the leading direct causes of maternal death. Indirect causes included anemia and HIV-related complications. The study found that 65% of maternal deaths were associated with the third delay (receiving adequate care at a health facility), while 20% and 15% were linked to the second (reaching the facility) and first delays (seeking care), respectively. Multivariate logistic regression analysis indicated that lack of skilled birth attendance (OR = 2.8; 95% CI: 1.6–4.7; p < 0.01) and absence of emergency obstetric care at facilities (OR = 3.2; 95% CI: 1.9–5.3; p < 0.001) were significant predictors of maternal mortality.

Conclusion: Maternal deaths in Nakuru County are primarily driven by preventable factors, especially delays in receiving adequate care and lack of skilled birth attendance. Strengthening emergency obstetric services, ensuring the availability of skilled personnel, and enhancing community awareness are critical to reducing maternal mortality.

Journal of Medicine, Nursing and Public health

Determinants of Late Preterm Hospitalisation During the Neonatal Period at Kakamega County Teaching and Referral Hospital, Kakamega County

Determinants of Maternal Death in Nakuru County, Kenya: A Cross-Sectional Study