scholarly journals Effect of antenatal care and social well-being on early neonatal mortality in Bangladesh

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Sanjit Roy ◽  
Md. Aminul Haque
2012 ◽  
Vol 6 (6) ◽  
pp. 283
Author(s):  
Andi Zulkifli Abdullah ◽  
M. Furqaan Naiem ◽  
Nurul Ulmy Mahmud

Angka kematian bayi di Indonesia masih tergolong tinggi, kematian neona- tal 50% terjadi pada bayi berat lahir rendah (BBLR) dan lebih dari 50% ke- matian bayi adalah kematian neonatal dini. Penelitian ini bertujuan untuk mengetahui faktor-faktor antenatal care (ANC), status imunisasi Tetanus Toxoid (TT) ibu hamil, anemia pada saat hamil, berat lahir, status paritas, dan status hipotermia terhadap kematian neonatal dini. Penelitian meng- gunakan desain penelitian case control di Rumah Sakit Bersalin Kota Makassar dengan sampel 40 kasus dan 120 kontrol. Data diperoleh melalui wawancara langsung dengan responden. Hasil penelitian menunjukkan bahwa faktor risiko kejadian kematian neonatal dini meliputi ANC (nilai p = 0,000; odds ratio, OR = 7,333; CI 95% = 2,966 - 18,129), status imunisasi TT (nilai p = 0,000; OR = 19,205; CI 95% = 7,902 - 46,678), anemia ibu hamil (nilai p = 0,000; OR = 32,818; CI 95% = 7,549 - 142,674), berat lahir (nilai p = 0,000; OR = 122,212; CI 95% = 32,324 - 462,068), status paritas (nilai p = 0,000; OR = 5,537; CI 95% = 2,029 - 15,111), status asfiksia (ni- lai p = 0,000; OR = 8,197; CI 95% = 0,452 - 2,745). Status hipotermia bukan merupakan faktor risiko kematian neonatal dini (nilai p = 0,815; OR = 1,114; CI 95% = 3,646 mukan bahwa berat lahir bayi merupakan faktor yang paling berisiko ter- hadap kematian neonatal dini (nilai p = 0,000). Kata kunci: Faktor risiko kematian, neonatal dini, angka kematian bayi, bayi berat lahir rendahAbstractInfant mortality rate in Indonesia is still high. Fifty percent of the neonatal mortality occurred among low birth weight infants (LBWI) and neonatal mortality within 7 days of life accounted for 50% of total infant mortalities. This study was aimed to examine the extent of early neonatal mortality risk by antenatal care (ANC), Tetanus Toxoid (TT) immunization status of pregnant women, anemia during pregnancy, birth weight of neonatal, parity status, and hypothermia status.This study was a case control study with direct interview to respondents, conducted in the Maternity Hospital of Makassar with 40 cases and 120 controls. Samples were selected by purposive sam- pling. Study results indicated that risk factor of early neonatal mortality were ANC (p value = 0,000; odds ratio, OR = 7,33; CI 95% = 2,966 - 18,129), TT immunization status (p value = 0,000; OR = 19,205; CI 95% = 7,902 - 46,678), pregnancy anemia (p value = 0,000; OR = 32,818; CI 95% = 7,549 - 142,674), birth weight (p value = 0,000; OR = 122,212; CI 95% = 32,324 - 462,068), parity status (p value = 0,000; OR = 5,537; CI 95% = 2,029 - 15,111), asphyxia status (p value = 0,000; OR = 8,197; CI 95% = 0,452 - 2,745), whereas hypothermia status (p value = 0,815; OR = 1,114; 0,452 - 2,745) was not a risk factor. Results of logistic regression multivariate analysis indicated that infant’s birth weight was the most risk factor of early neonatal mortality (p value = 0,000). Specific surveillance program for high risk neonatal needed to be arranged in all health centers.Key words: Mortality risk factor, early neonatal, infant mortality rate, low birth weight infants


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E S Oliveira ◽  
A F di Moura ◽  
T R F Viana ◽  
N R Oliveira ◽  
L P Barbosa ◽  
...  

Abstract The Universal Agenda 2030 was developed by representatives of all countries as an action plan covering the three dimensions of sustainable development: economic, social and environmental. 17 objectives were agreed upon, highlighting objective 03, which aims to ensure a healthy life and promote well-being for all at all ages, having as one of the established goals to end preventable deaths of newborns by 2030. Infections neonatal care reflects deficits in health care, covering the entire perinatal period, and it is necessary to understand its causes in order to promote quality preventive and health promotion actions. The question is: what are the causes that make up the indicator of early neonatal mortality, due to preventable causes in Brazil between 2007 to 2017? Retrospective study carried out between September and October 2019 using secondary data collection from Department of Informatics of the Unified Health System - SUS (DATASUS). The outcome variable was early neonatal mortality from preventable causes and the independent variable was the infections component of the newborn). Twelve preventable causes of death have been identified in this category: congenital rubella syndrome; congenital syphilis; neonatal tetanus; diphtheria; haemophilus and non-haemophilus meningitis; human immunodeficiency virus diseases; neonatal infections; pneumonia; acute infections of lower airways; bacterial diseases and intestinal infectious diseases. The main cause of preventable death was infections from the neonatal period, which include congenital viral diseases (cytomegalovirus and herpes simplex); newborn bacterial septicemia; congenital parasitic diseases; omphalitis of newborn with or without mild hemorrhage; intra-amniotic infection of the fetus, neonatal infection of the urinary tract and/or skin. There is a need for more effective public health actions to modify the neonatal mortality situation, as well as health surveillance actions. Key messages Warn about causes of perinatal mortality that can be avoided. Strengthen the fulfillment of objective 3 of the 2030 Agenda to ensure and promote health in the perinatal period.


PEDIATRICS ◽  
2009 ◽  
Vol 123 (6) ◽  
pp. e1064-e1071 ◽  
Author(s):  
R. De Luca ◽  
M. Boulvain ◽  
O. Irion ◽  
M. Berner ◽  
R. E. Pfister

2018 ◽  
Vol 71 (5) ◽  
pp. 2527-2534 ◽  
Author(s):  
Michelle Thais Migoto ◽  
Rafael Pallisser de Oliveira ◽  
Ana Maria Rigo Silva ◽  
Márcia Helena de Souza Freire

ABSTRACT Objective: to analyze the Early Neonatal Mortality risk factors according to the risk stratification criteria of the Guideline of the Rede Mãe Paranaense Program. Method: a case-control epidemiological study with secondary data from the Mortality and Live Birth Information System in 2014. The crude analysis was performed by the Odds Ratio association measure, followed by the adjusted analysis, considering risk factors as independent variables, and early neonatal death as dependent variable. Results: were considered as maternal risk factors: absence of partner and miscarriages; neonatal: male, low birth weight, prematurity, Apgar less than seven in the fifth minute, presence of congenital anomaly; and care: up to six prenatal appointments. Conclusion: an innovative study of risk factors for early neonatal death from the Guideline's perspective, a technological management tool for maternal and child health, in search of its qualification and greater sensitivity.


2021 ◽  
Vol 15 (4) ◽  
pp. e0009282
Author(s):  
Bhavneet Walia ◽  
Brittany L. Kmush ◽  
Sandra D. Lane ◽  
Timothy Endy ◽  
Antonio Montresor ◽  
...  

Background Soil transmitted helminths (STH) are a common infection among pregnant women in areas with poor access to sanitation. Deworming medications are cheap and safe; however, the health benefit of deworming during pregnancy is not clear. Methods / Principal findings We created a retrospective cohort of more than 800,000 births from 95 Demographic and Health Survey datasets to estimate the impact of deworming medicine during routine antenatal care (ANC) on neonatal mortality and low birthweight. We first matched births on the probability of receiving deworming during ANC. We then modeled the birth outcomes with the matched group as a random intercept to estimate the effect of deworming during antenatal care after accounting for various risk factors. We also tested for effect modification of soil transmitted helminth prevalence on the impact of deworming during ANC. Receipt of deworming medication during ANC was associated with a 14% reduction in the risk of neonatal mortality (95% confidence interval = 10–17%, n = 797,772 births), with no difference between high and low transmission countries. In low transmission countries, we found an 11% reduction in the odds of low birth weight (95% confidence interval = 8–13%) for women receiving deworming medicine, and in high transmission countries, we found a 2% reduction in the odds of low birthweight (95% confidence interval = 0–5%). Conclusions / Significance These results suggest a substantial health benefit for deworming during ANC that may be even greater in countries with low STH transmission.


2000 ◽  
Vol 76 (3) ◽  
pp. 200-6 ◽  
Author(s):  
Breno F. Araújo ◽  
Mary C. Bozzetti ◽  
Ana C. A. Tanaka

1998 ◽  
Vol 28 (2) ◽  
pp. 88-92 ◽  
Author(s):  
J Aleman ◽  
I Brännström ◽  
J Liljestrand ◽  
R Peña ◽  
L A Persson ◽  
...  

A process of change was initiated in a Nicaraguan regional hospital in order to achieve a sustainable reduction of early neonatal mortality. A series of organizational, educational and hygienic measures was introduced, involving all staff in antenatal care, delivery care and neonatal care. Neonatal mortality decreased from 56/1000 live births in 1985 to 11/1000 in 1993. A commission of maternal and child health, a weekly perinatal audit, the active involvement of all staff and dedicated work of key individuals, as well as national policy decisions, are considered important determinants of the process. Keeping neonatal mortality in focus through continuous analysis of care routines, and through external exchange of ideas is important in order to sustain improvements and to decrease further the mortality.


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