Epidemiological, clinical and evolutionary aspects of hypotrophic newborns at term at the Mother and Child University Hospital of N'Djamena

Introduction: Hypotrophy is a public health problem in developing countries. Its etiology multifactorial and it may be associated with high morbidity mortality. The objective of this study was to describe the epidemiological, clinical evolutionary profile hypotrophic newborns at term. Methodology: prospective, descriptive analytical conducted neonatology department MCUH N'Djamena from 01/06/2018 31/05/2019. It involved 109 term hospitalized. Results: frequency hypotrophy 7.8%, risk factors were: housewife status (81.7%), low level education (67%), poor pregnancy follow-up (59.7%), malaria (40.4%), urogenital infections (22%) anemia during pregnancy. harmonious 58.7% cases, sex ratio 1.14 visible congenital malformations were observed 12.7% cases. main reasons for hospitalization neonatal (64.2%), perinatal asphyxia (14.7%) hypothermia (11.9%). Lethality 16.5% multiparity, follow-up, vaginal delivery, home pathological Apgar score, notion resuscitation, existence malformation, respiratory distress asphyxia. Conclusion: Better monitoring pregnancy, use family planning by couples, delivery an institutionalized setting, reinforcement technical platform will reduce mortality related hypotrophy.