Analysis of Infant Mortality Causes in Ordu Province from 2019 to 2023
Yıl 2025,
Cilt: 12 Sayı: 2, 24 - 33, 31.08.2025
Omer Yusuf Erdurmus
,
Eser Uyanik
,
Volkan Karabacak
,
Emrah Celenk
Gulseda Boz
,
Aslihan Gozutok
,
Dursun Tuzun
Öz
Infant mortality is influenced by numerous factors, the identification and assessment of which are crucial for the development of preventive strategies. Multiple factors and incidents can directly or indirectly affect infant mortality. This study aims to identify the causes of infant deaths and factors affecting infant mortality in Ordu province and to assist in developing preventive strategies. This descriptive study was conducted to examine infant mortality rates in Ordu province from 2019 to 2023. The sample consists of 242 infants who died in Ordu province between 2019 and 2023. In Ordu province, there were 8,304 live births with 54 infant deaths in 2019, 7,691 live births with 38 infant deaths in 2020, 7,099 live births with 45 infant deaths in 2021, 7,066 live births with 69 infant deaths in 2022, and 6,762 live births with 36 infant deaths in 2023. 80.5% of cases in the study were born via cesarean section (C/S). Infant deaths were caused by lung-related diseases (31.4%), prematurity (17.3%), heart-related diseases (17%), sepsis (18.2%), congenital anomalies (5%), and sudden infant death syndrome (1.6%). Considering the five-year data of Ordu province, the most common causes of infant death were lung pathologies, prematurity, cardiac pathologies, and sepsis. Providing prenatal and postnatal education, information, and high-quality healthcare to expectant mothers is undoubtedly the most crucial parameter to minimize these causes. Special interventions and strategies are needed to reduce infant mortality rates, along with more comprehensive research across the province.
Etik Beyan
All of the authors declare that they have all participated in the design, execution, and analysis of the paper, and that they have approved the final version. Additionally, there are no conflicts of interest in connection with this paper, and the material described is not under publication or consideration for publication elsewhere. There is no financial support to declare. Volunteers have given a written consent for the publication of article. The authors did not use generative artificial intelligence (AI) and AI-supported technologies in the writing process.
Destekleyen Kurum
This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.
Teşekkür
We would like to thank our authors who contributed to the preparation of the concept of our article, the design of the study and data collection, the determination of the methods, the evaluation of the findings and the writing of the article. We are also grateful to all the healthcare professionals who participated in our study for their contributions.
Kaynakça
-
Alvarez G, Harlow SD, Denman C, Hofmeister MJ. Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico. Rev Panam Salud Publica Pan Am J Public Health. 2009 Feb;25(2):120–7.
-
Infant mortality rate (between birth and 11 months per 1000 live births) [Internet]. [cited 2024 Nov 17]. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/1
-
Yüzügüllü D. Bebek ölümleri ve bebek ölümlerinin nedenleri 2018, Adana, Türkiye. Türk Pediatri Arş [Internet]. 2020 [cited 2024 Nov 17]; Available from: https://turkarchpediatr.org/en/infant-mortality-and-causes-of-infant-deaths-in-2018-in-adana-turkey-131193
-
Okobi OE, Ibanga IU, Egbujo UC, Egbuchua TO, Oranu KP, Oranika US. Trends and Factors Associated With Mortality Rates of Leading Causes of Infant Death: A CDC Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) Database Analysis. Cureus. 2023 Sep;15(9):e45652.
-
CDC. Maternal Infant Health. 2024 [cited 2024 Nov 17]. Infant Mortality. Available from: https://www.cdc.gov/maternal-infant-health/infant-mortality/index.html
-
Newborn mortality [Internet]. [cited 2024 Nov 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/newborn-mortality
-
Products - Vital Statistics Rapid Release - Infant Mortality Quarterly Provisional Estimates [Internet]. 2024 [cited 2024 Nov 17]. Available from: https://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm
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TÜİK Kurumsal [Internet]. [cited 2024 Nov 17]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2023-53709
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Çelik C, Ata U, Saka NE. Evaluation of Mortality Statistics in Turkey from 2017 to 2022: An Analysis of the Impact of COVID-19. Iran J Public Health. 2024 Sep 30;53(10):2318–27.
-
Influence of maternal age on birth and infant outcomes at 6 months: a cohort study with quantitative bias analysis | International Journal of Epidemiology | Oxford Academic [Internet]. [cited 2024 Nov 17]. Available from: https://academic.oup.com/ije/article/52/2/414/6972819
-
Balaj M, York HW, Sripada K, Besnier E, Vonen HD, Aravkin A, et al. Parental education and inequalities in child mortality: a global systematic review and meta-analysis. Lancet Lond Engl. 2021 Aug 14;398(10300):608.
-
Çam HH, Karasu F. Infant mortality rates and causes of infant deaths in Kilis province between 2012 and 2018. Turk J Public Health. 2021 Apr 23;19(1):20–30.
-
Damtew BS, Hailu AM, Fente BM, Workneh TW, Abdi HB. Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study. BMC Pregnancy Childbirth. 2024 Dec 30;24(1):881.
-
Angolile CM, Max BL, Mushemba J, Mashauri HL. Global increased cesarean section rates and public health implications: A call to action. Health Sci Rep. 2023 May;6(5):e1274.
-
Ciulpan A, Lacatușu A, Pop LL, Paul C, Lungeanu D, Iacob D, et al. Incidence and Antenatal Detection of Congenital Heart Malformations-Data from a Tertiary Obstetric Romanian Center. Diagn Basel Switz. 2024 Aug 1;14(15):1659.
-
Çaylan N, Yalçin SS, Tezel B, Üner O, Aydin Ş, Kara F. Investigation of infant deaths associated with critical congenital heart diseases; 2018-2021, Türkiye. BMC Public Health. 2024 Feb 12;24(1):441.
-
Turhan EE, Gürsoy T, Ovalı F. Factors which affect mortality in neonatal sepsis. Turk Arch Pediatr Pediatri Arş. 2015 Sep 1;50(3):170.
-
Dagher RK, Linares DE. A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality. Child Basel Switz. 2022 Mar 10;9(3):394.
Ordu İli 2019-2023 Yılları Arası Bebek Ölümleri Nedenlerinin İncelenmesi
Yıl 2025,
Cilt: 12 Sayı: 2, 24 - 33, 31.08.2025
Omer Yusuf Erdurmus
,
Eser Uyanik
,
Volkan Karabacak
,
Emrah Celenk
Gulseda Boz
,
Aslihan Gozutok
,
Dursun Tuzun
Öz
Bebek ölüm oranı, önleyici stratejilerin geliştirilmesi için tanımlanması ve değerlendirilmesi çok önemli olan çok sayıda faktörden etkilenir. Birçok faktör ve olay bebek ölüm oranını doğrudan veya dolaylı olarak etkileyebilir. Bu çalışma, Ordu ilinde bebek ölümlerinin nedenlerini ve bebek ölüm oranını etkileyen faktörleri belirlemeyi ve önleyici stratejilerin geliştirilmesine yardımcı olmayı amaçlamaktadır. Bu tanımlayıcı çalışma, Ordu ilinde 2019-2023 yılları arasında bebek ölüm oranlarını incelemek amacıyla yürütülmüştür. Örneklem, 2019-2023 yılları arasında Ordu ilinde ölen 242 bebekten oluşmaktadır. Ordu ilinde 2019 yılında 54 bebek ölümüyle 8.304 canlı doğum, 2020 yılında 38 bebek ölümüyle 7.691 canlı doğum, 2021 yılında 45 bebek ölümüyle 7.099 canlı doğum, 2022 yılında 69 bebek ölümüyle 7.066 canlı doğum ve 2023 yılında 36 bebek ölümüyle 6.762 canlı doğum gerçekleşmiştir. Çalışmaya dahil edilen olguların %80,5'inin sezaryenle (C/S) doğduğu belirlenmiştir. Bebek ölümlerinin nedenleri incelendiğinde %31,4'ünün akciğerle ilgili hastalıklardan, %17,3'ünün prematürelikten, %17'sinin kalple ilgili hastalıklardan, %18,2'sinin sepsisten, %5'inin konjenital anomalilerden ve %1,6'sının ani bebek ölümü sendromundan kaynaklandığı bulunmuştur. Ordu ilinin beş yıllık verileri göz önüne alındığında bebek ölümlerinin en sık görülen nedenleri akciğer patolojileri, prematürelik, kalp patolojileri ve sepsis olmuştur. Bu nedenleri en aza indirmek için şüphesiz ki anne adaylarına doğum öncesi ve sonrası eğitim, bilgi ve yüksek kalitede sağlık hizmeti sunmak en önemli parametredir. Bebek ölüm oranlarını düşürmeyi amaçlayan özel müdahalelere ve stratejilere ihtiyaç vardır ve bu konuda il genelinde daha kapsamlı araştırmalara ihtiyaç vardır.
Destekleyen Kurum
This research did not receive any specific grants from funding agencies in the public, commercial, or not-for-profit sectors.
Kaynakça
-
Alvarez G, Harlow SD, Denman C, Hofmeister MJ. Quality of cause-of-death statements and its impact on infant mortality statistics in Hermosillo, Mexico. Rev Panam Salud Publica Pan Am J Public Health. 2009 Feb;25(2):120–7.
-
Infant mortality rate (between birth and 11 months per 1000 live births) [Internet]. [cited 2024 Nov 17]. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/1
-
Yüzügüllü D. Bebek ölümleri ve bebek ölümlerinin nedenleri 2018, Adana, Türkiye. Türk Pediatri Arş [Internet]. 2020 [cited 2024 Nov 17]; Available from: https://turkarchpediatr.org/en/infant-mortality-and-causes-of-infant-deaths-in-2018-in-adana-turkey-131193
-
Okobi OE, Ibanga IU, Egbujo UC, Egbuchua TO, Oranu KP, Oranika US. Trends and Factors Associated With Mortality Rates of Leading Causes of Infant Death: A CDC Wide-Ranging Online Data for Epidemiologic Research (CDC WONDER) Database Analysis. Cureus. 2023 Sep;15(9):e45652.
-
CDC. Maternal Infant Health. 2024 [cited 2024 Nov 17]. Infant Mortality. Available from: https://www.cdc.gov/maternal-infant-health/infant-mortality/index.html
-
Newborn mortality [Internet]. [cited 2024 Nov 17]. Available from: https://www.who.int/news-room/fact-sheets/detail/newborn-mortality
-
Products - Vital Statistics Rapid Release - Infant Mortality Quarterly Provisional Estimates [Internet]. 2024 [cited 2024 Nov 17]. Available from: https://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm
-
TÜİK Kurumsal [Internet]. [cited 2024 Nov 17]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2023-53709
-
Çelik C, Ata U, Saka NE. Evaluation of Mortality Statistics in Turkey from 2017 to 2022: An Analysis of the Impact of COVID-19. Iran J Public Health. 2024 Sep 30;53(10):2318–27.
-
Influence of maternal age on birth and infant outcomes at 6 months: a cohort study with quantitative bias analysis | International Journal of Epidemiology | Oxford Academic [Internet]. [cited 2024 Nov 17]. Available from: https://academic.oup.com/ije/article/52/2/414/6972819
-
Balaj M, York HW, Sripada K, Besnier E, Vonen HD, Aravkin A, et al. Parental education and inequalities in child mortality: a global systematic review and meta-analysis. Lancet Lond Engl. 2021 Aug 14;398(10300):608.
-
Çam HH, Karasu F. Infant mortality rates and causes of infant deaths in Kilis province between 2012 and 2018. Turk J Public Health. 2021 Apr 23;19(1):20–30.
-
Damtew BS, Hailu AM, Fente BM, Workneh TW, Abdi HB. Determinant of adverse early neonatal outcomes following emergency cesarean section in North West, Ethiopia: institutional-based case-control study. BMC Pregnancy Childbirth. 2024 Dec 30;24(1):881.
-
Angolile CM, Max BL, Mushemba J, Mashauri HL. Global increased cesarean section rates and public health implications: A call to action. Health Sci Rep. 2023 May;6(5):e1274.
-
Ciulpan A, Lacatușu A, Pop LL, Paul C, Lungeanu D, Iacob D, et al. Incidence and Antenatal Detection of Congenital Heart Malformations-Data from a Tertiary Obstetric Romanian Center. Diagn Basel Switz. 2024 Aug 1;14(15):1659.
-
Çaylan N, Yalçin SS, Tezel B, Üner O, Aydin Ş, Kara F. Investigation of infant deaths associated with critical congenital heart diseases; 2018-2021, Türkiye. BMC Public Health. 2024 Feb 12;24(1):441.
-
Turhan EE, Gürsoy T, Ovalı F. Factors which affect mortality in neonatal sepsis. Turk Arch Pediatr Pediatri Arş. 2015 Sep 1;50(3):170.
-
Dagher RK, Linares DE. A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality. Child Basel Switz. 2022 Mar 10;9(3):394.