scholarly journals Effect of Parity on Neonatal Mortality in Indonesia

2021 ◽  
Vol 12 (3) ◽  
pp. 250-262
Author(s):  
Arianty Siahaan ◽  
Iwan Ariawan
Keyword(s):  
Neonatal Mortality ◽  
Neonatal Death ◽  
P Value ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Neonatal Deaths ◽  
Live Births ◽  
Number Of Children ◽  
Logistic Regressions ◽  
Cross Sectional Design

The neonatal mortality rate in Indonesia is still relatively high (15 per 1,000 live births). The number of children born to a woman (parity) is also still high. The Total Fertility Rate (TFR) is 2.4 per woman. This study aims to determine the effect of parity on neonatal deaths in Indonesia. We used 2017 IDHS data with a cross-sectional design includes 14,827 live births in the 2012-2017 period. Data were analyzed using the multiple logistic regressions method. The results showed that primipara had a statistically insignificant relationship (p-value > 0.05) compared with multipara. While parity≥4 had a risk of 1.90 times experienced on neonatal mortality compared with multipara (95% CI:1,00-3,63) after being controlled by the maternal age, birth attendant, and place of delivery and statistically significant (p-value≤0,05). Thus, parity ≥4 was significantly associated with neonatal mortality. The more children born to mothers, the higher the risk of neonatal death. While parity 1 did not have a significant relationship with neonatal mortality. It is recommended that family planning programs be increased to reduce parity to avoid the risk of neonatal death. The BKKBN program should be improved in reducing TFR.

scholarly journals Determinan Kematian Neonatal di RSUD Sultan Imanudin Pangkalan Bun

2018 ◽  
Vol 3 (2) ◽  
pp. 115-121
Author(s):  
Riyanti Riyanti ◽  
Legawati Legawati
Keyword(s):  
Neonatal Mortality ◽  
Neonatal Death ◽  
Healthcare Setting ◽  
Bivariate Analysis ◽  
Place Of Birth ◽  
Chi Square ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
The Status ◽  
Cross Sectional Design

Efforts to reduce neonatal mortality are done through various efforts in every healthcare setting. Neonatal deaths are caused by various factors, either directly or indirectly. This study aims to determine the cause of neonatal death. The approach used in this research is analytic observational and Cross-Sectional design. The population in this study is all neonatal deaths in RSUD Sultan Imanudin Pangkalan Bun. The sample of research is 103 people. Univariate analyzes were performed with frequency distribution, for bivariate analysis of factors Age of mother, education, occupation, parity, place of birth, the status of the referral, birth attendant and cause of death using chi-square (x2). The results showed that neonatal mortality occurred in the early neonate group 82 people (79.6%). Bivariate analysis showed that parity and cause factor (p = 0,001) showed significant influence on neonatal mortality. Conclusions of the study resulted in parity and direct or indirect causes of neonatal death.

HUBUNGAN TINGGI FUNDUS UTERI, KADAR GULA DARAH, DAN KADAR HEMOGLOBIN IBU DENGAN BERAT BADAN BAYI BARU LAHIR

2021 ◽  
Vol 7 (1) ◽  
pp. 51-58
Author(s):  
Ely Nur Fauziyah ◽  
Sri Dinengsih ◽  
Risza Choirunissa
Keyword(s):  
Birth Weight ◽  
Blood Sugar ◽  
Health Assessment ◽  
P Value ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Newborn Weight ◽  
Cross Sectional Design ◽  
Sugar Levels ◽  
Uterine Fundus

ABSTRACT UTERI FUNDUS HIGH RELATIONSHIP, BLOOD SUGAR AND CONDITIONSHEMOGLOBIN MOM WITH A NEW BORN WEIGHT  Background : Maternal and infant mortality rates are indicators commonly used to determine the degree of public health, assessment of the success of other health development programs. Low birth weight accounted for 51% of neonatal deaths throughout birth. The size of the birth weight depends on how the intrauterine fetus develops during pregnancy. This birth weight is one of the indicators of newborn health.Purpose: This research to find out the relationship between Uterine Fundus Height, Blood Sugar Levels, Hemoglobin Levels of mothers with weight and newborns at Puskesmas Sindang Jaya Year 2020.Method : This research is an Analytical Survey research with Cross Sectional design. The sample in this study of pregnant women who gave birth from june to August as many as 40 people.Results : In the results that there is a statistically significant relationship between high fundus uteri, blood sugar levels, and hemoglobin levels of mothers with baby weight born in the puskesmas sindang jaya with p value of 0.013 for high fudus ureteri, p value 0.042 for blood sugar levels, and p value of 0.069 for hemoglobin levels. Which means that all three variables have a p value of <0.05). With the variable that most affects the baby's weight is a high variable fundus erteri with a value (OR : 24).Conclusion : There is a link between high uterine fundus, blood sugar levels, and hemoglobin levels of mothers with newborn weight at Puskesmas Sindang Jaya Year 2020Suggestion  It is hoped that the next researcher can conduct further research because there are still many factors that can affect the weight of the newborn. Keywords : Baby Weight Born, Uterine Fundus Height, Blood Sugar Levels, Hemoglobin Levels. ABSTRAK Latar Belakang : Angka kematian ibu dan bayi adalah indikator yang lazim digunakan untuk menentukan derajat kesehatan masyarakat, penilaian terhadap keberhasilan pelayanan kesehatan program pembangunan kesehatan lainnya. Beratbayilahirrendahmenyumbang sebesar51%sebagaipenyebabkematianneonataldiseluruh kelahiran.Besar kecilnyaberatbadanlahirtergantungbagaimana pertumbuhan janinintrauterine selama kehamilan.Beratbadanlahirinilahyang menjadi salahsatuindikator kesehatanbayi baru lahir.Tujuan : Penelitian ini untuk mengetahui hubungan antara tinggi fundus uteri, kadar gula darah, dan kadar hemoglobin ibu dengan berat dan bayi baru lahir di Puskesmas Sindang Jaya Tahun 2020.Metode : Penelitian ini adalah penelitianSurvei AnalitikdenganrancanganCross Sectional. Sampel dalam penelitian ini ibu hamil yang melahirkan dari bulan juni-agustus sebanyak 40 orang.Hasil: Di dapatkan hasil bahwaterdapathubungan secarastatistiksignifikanantaratinggi fundus uteri, kadar gula darah, dan kadar hemoglobin ibu  dengan berat badan bayi lahir di puskesmas sindang jaya dengan p value 0.013 untuk tinggi fudus uteri, p value 0.042 untuk kadar gula darah, dan p value 0.069 untuk kadar hemoglobin. Yang artinya dari ketiga variabel memiliki nilai p value <0,05. Dengan variabel yang paling mempengaruhi berat badan bayi adalah variabel tinggi fundus uteri dengan nilai (OR : 24).Kesimpulan : Ada hubungan antara tinggi fundus uterus, kadar gula darah, dan kadar hemoglobin ibu dengan berat badan bayi baru lahir di Puskesmas Sindang Jaya Tahun 2020Saran: Diharapkan bagi peneliti selanjutnya dapat melakukan penelitian lebih lanjut dikarenakan masih banyak faktor yang dapat mempengaruhi berat badan bayi baru lahir.Kata Kunci : Berat Bayi Lahir, Tinggi Fundus Uteri, Kadar Gula Darah, Kadar Hemoglobin. 

scholarly journals Comparing regional neonatal mortality rates: the influence of registration of births as live born for birth weight <500 g in Taiwan

2019 ◽  
Vol 3 (1) ◽  
pp. e000526
Author(s):  
Liang-Yi Wang ◽  
Yu-Shan Chang ◽  
Fu-Wen Liang ◽  
Yung-Chieh Lin ◽  
Yuh-Jyh Lin ◽  
...  
Keyword(s):  
Birth Weight ◽  
Neonatal Mortality ◽  
Ecological Study ◽  
Population Based ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Live Births ◽  
Taipei City ◽  
The Impact ◽  
The City

ObjectiveTo investigate regional variation in the registration of births (still+live) as live born for birth weight <500 g and the impact on the city/county ranking of neonatal mortality rate (NMR) in Taiwan.DesignPopulation-based cross-sectional ecological study.Setting20 cities/counties in Taiwan.ParticipantsRegistered births for birth weight <500 g and neonatal deaths in 2015–2016.Main outcome measuresCity/county percentage of births <500 g registered as live born and ranking of city/county NMR (deaths per 1000 live births) including and excluding live births <500 g.ResultsThe percentage of births <500 g registered as live born ranged from 0% in Keelung City (0/26) and Penghu County (0/4) to 20% in Taipei City (112/558), 24% in Hsinchu County (5/21) and 28% in Hualien County (9/32). The change in city/county ranking of NMR from including to excluding live births <500 g was most prominent in Taipei City (from the 15th to the 1st) followed by Kaohsiung City (from the 18th to the 14th).ConclusionsThe city/county NMR in Taiwan is influenced by variation in the registration of live born for births with uncertain viability. We recommend presenting city/county NMR using both criteria (with or without minimum threshold of gestation period or birth weight) for better interpretation of the findings of comparisons of city/county NMR.

scholarly journals KARAKTERISTIK IBU BERHUBUNGAN DENGAN PERSEPSI IBU TERHADAP BUKU KESEHATAN IBU DAN ANAK (KIA)

2021 ◽  
Vol 7 (4) ◽  
pp. 704-710
Author(s):  
Vianty Mutya Sari ◽  
Nurhasanah Nurhasanah
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Care Delivery ◽  
Primary Data ◽  
Future Research ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Live Births ◽  
Birth Attendance ◽  
Cross Sectional Design

Background: In Indonesia, breast cancer is the second leading cause of death for women after cervical cancer. Based on data from the Cirebon City Health Office in 2015, the number of maternal deaths was 4/5400 live births, the number of infant deaths was 25/5455 live births, the number of under-five deaths was 8/5378 live births. The aspects of maternal and child health can be seen from several indicators of achievement, one of which is Infant Immunization, in 2015 out of 22 urban villages in the city of Cirebon there was only one sub-district that had not reached the target, namely in the Argasunya sub-district. While the coverage of health care delivery in Argasunya was 52.64% (from data on the coverage of health care workers, 108.37%, only 55.73% gave birth at the health facility) and the highest birth attendance by traditional birth attendants in Cirebon was in the Argasunya village of 4.63%.The purpose of this study was to determine the relationship between characteristics and perceptions of pregnant women on the MCH HandbookMethods: This study used a cross sectional design. The population of all pregnant women in Benda Kerep Village, Argasunya Village, Cirebon City. Sampling using total sampling. The data taken is primary data obtained through a questionnaire given to 23 pregnant women. Correlation test used is Chi-Square.Research Results The majority of pregnant women had a poor perception of the MCH handbook (69.56%). The majority of pregnant women have an age of 20-35 (87%). The majority of education for pregnant women (completing SD) (78%). The majority of gestational age is included in the second trimester, namely 14-27 weeks (48%). The majority of pregnant women had a planned place of delivery at home (73.92%). Conclusion Based on occupation, all pregnant women are not working (100%). There is no relationship between the age of pregnant women and the mother's perception of the MCH handbook. There is no relationship between the education of pregnant women and the mother's perception of the MCH handbook. There is no relationship between the occupation of pregnant women and the mother's perception of the MCH handbook. There is no relationship between the planning of the place of delivery of pregnant women and the perceptions of mothers towards the MCH handbook.Suggestions Future research is expected to be able to examine it more deeply by adding other components currently contained in the latest edition of the MCH book using the appropriate method.  Keywords: Characteristics, Perception, MCH Handbook ABSTRAK Latar Belakang : Di Indonesia, Kanker payudara menduduki peringkat kedua penyebab kematian wanita setelah kanker leher rahm. Berdasarkan data Dinas Kesehatan Kota Cirebon Tahun 2015, jumlah kematian Ibu 4/5400 kelahiran hidup, jumlah kematian bayi 25/5455 kelahiran hidup, jumlah kematian balita 8/5378 kelahiran hidup. Aspek kesehatan ibu dan anak dapat di lihat dari beberapa indikator pencapaian salahsatunya Imunisasi Bayi, pada tahun 2015 dari 22 kelurahan di kota Cirebon hanya ada satu kelurahan yang belum mencapai target yaitu di kelurahan Argasunya. Sedangkan cakupan persalinan naskes di Argasunya sebesar 52,64% (dari data cakupan persalinan nakes 108,37% hanya 55,73% yang bersalin di Faskes) dan pertolongan persalinan oleh dukun tertinggi di kota cirebon adalah di kelurahan argasunya sebesar 4,63%.Tujuan dari penelitian ini adalah untuk mengetahui hubungan Karakteristik dengan persepsi Ibu hamil terhadap Buku KIAMetode : Penelitian ini menggunakan desain cross sectional. Populasi seluruh ibu hamil di Desa Benda Kerep Kelurahan Argasunya Kota Cirebon. Pengambilan sampel dengan menggunakan Total sampling. Data yang diambil merupakan data primer yang didapat melalui wawancara kepada  23 ibu hamil dengan menggunakan kuesioner. Uji Korelasi yang digunakan adalah Chi-Square.Hasil :Mayoritas ibu hamil memiliki persepsi yang kurang baik terhadap buku KIA (69,56 %). Mayoritas Ibu hamil memiliki usia 20-35 (87%). Mayoritas pendidikan ibu hamil (Tamat SD)  (78%). Mayoritas Usia kehamilan adalah termasuk trimester II yaitu 14-27 minggu (48%). Mayoritas ibu hamil memiliki rencana tempat persalinan adalah di rumah (73,92%).Kesimpulan Berdasarkan pekerjaan seluruh ibu hamil tidak bekerja (100%).  Tidak ada hubungan antara usia ibu hamil dengan persepsi ibu terhdapa buku KIA. Tidak ada hubungan antara pendidikan ibu hamil dengan persepsi ibu terhdapa buku KIA. Tidak ada hubungan antara pekerjaan ibu hamil dengan persepsi ibu terhdapa buku KIA. Tidak ada hubungan antara rencana tempat bersalin ibu hamil dengan persepsi ibu terhadap buku KIA.Saran Penelitian selanjutnya diharapkan dapat mengkaji lebih dalam dengan menambahkan komponen-komponen lain yang saat ini terdapat pada buku KIA edisi terbaru menggunakan metode yang sesuai.  Kata Kunci         : Karakteristik, Persepsi, Buku KIA

Low Birth Weight and Neonatal Mortality: Meta Analysis

2020 ◽  
Author(s):  
Silvalia Rahma Pratiwi ◽  
◽  
Hanung Prasetya ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Public Health ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Meta Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Neonatal Deaths ◽  
Central Java

ABSTRACT Background: Low birth weight (LBW) has been used as an important public health indicator. LBW is one of the key drivers and indirect causes of neonatal death. It contributes to 60% to 80% of all neonatal deaths, annually. This study aimed to examine association between LBW and neonatal mortality using meta analysis. Subjects and Methods: This was meta-analysis and systematic review. Published articles in 2010-2020 were collected from Google Scholar, PubMed, Springer Link, Hindawi, Clinical Key, ProQuest databases. Keywords used “low birth weight” AND “mortality” OR “birth weight mortality” OR “neonatal death” AND “cross sectional” AND “adjusted odd ratio”. The inclusion criteria were full text, using cross-sectional study design, and reporting adjusted ratio. The data were analyzed by PRISMA flow chart and Revman 5.3. Results: 6 studies were met criteria. This study showed that low birth weight increased the risk of neonatal mortality (aOR= 2.23; 95% CI= 1.12 to 4.44; p= 0.02). Conclusion: Low birth weight increases the risk of neonatal mortality. Keywords: low birth weight, mortality, neonatal death Correspondence: Silvalia Rahma Pratiwi. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082324820288. DOI: https://doi.org/10.26911/the7thicph.03.113

scholarly journals A Study of Early Neonatal Deaths at Kathmandu Medical College Teaching Hospital

1970 ◽  
Vol 27 (2) ◽  
pp. 79-82
Author(s):  
M Shrestha ◽  
BL Bajracharya ◽  
DS Manandhar
Keyword(s):  
Birth Weight ◽  
Neonatal Mortality ◽  
Death Rate ◽  
Neonatal Death ◽  
Birth Asphyxia ◽  
Early Neonatal Death ◽  
Extreme Prematurity ◽  
Neonatal Deaths ◽  
Live Births ◽  
Early Neonatal Deaths

Over 9 million deaths occur each year in the perinatal and neonatal periods globally. 98% of these deaths take place in the developing world. Nepal has a high neonatal mortality rate (NMR) of 38.6 per 1000 live births (2001). Two thirds of the newborn deaths usually occur in the first week of life (early neonatal death). Newborn survival has become an important issue to improve the overall health status and for achieving the millennium developmental goals of a developing country like Nepal. Aims and Objectives: This study was carried out to determine the causes of early neonatal deaths (ENND) at KMCTH in the two-year period from November 2003 to October2005 (Kartik 2060 B.S. to Ashoj 2062). Methodology: This is a prospective study of all the early neonatal deaths in KMCTH during the two-year study period. Details of each early neonatal death were filled in the standard perinatal death audit forms of the Department. Results: Out of the 1517 total births in the two-year period, there were 10 early neonatal deaths (ENND). Early neonatal death rate during the study period was 6.7 per 1000 live births and early neonatal death rate (excluding less than 1 kg) was 6.1 per 1000 live births The important causes of early neonatal deaths were extreme prematurity, birth asphyxia, congenital anomalies and septicaemia. During the study period, there was no survival of babies with a birth weight of less than 1 kg. Among the maternal characteristics, 80% of the mothers of early neonatal deaths were aged between 20-35 years. 50% of the mothers were primigravida. 50% of the mothers of ENNDs had delivered their babies by caesarean section.Discussion: Most of the early neonatal deaths were due to extreme prematurity. Birth asphyxia was the second most important cause of early neonatal deaths. 70% of ENNDs were among LBW babies. Prevention of premature delivery, proper management of very low birth weight babies and early detection and appropriate management of perinatal hypoxia have become important interventional strategies in reducing early neonatal deaths in KMCTH.Conclusion: Early neonatal mortality at KMCTH is fairly low. Good care during pregnancy, labour and after the birth of the baby has helped to achieve these results. Low cost locally made equipments were used to manage the sick newborns. Reduction of early neonatal deaths require more intensive care including use of ventilators, surfactant and parenteral nutrition and prevention of preterm births Key words: Early neonatal death (ENND), neonatal mortality   doi:10.3126/jnps.v27i2.1584 J. Nepal Paediatr. Soc. Vol 27(2), p.79-82

scholarly journals A study of early neonatal mortality in a tertiary hospital of Maharashtra, India

2018 ◽  
Vol 5 (5) ◽  
pp. 1869
Author(s):  
Nitin Mehkarkar ◽  
Vijay Baburao Sonawane
Keyword(s):  
Neonatal Mortality ◽  
Neonatal Death ◽  
Birth Asphyxia ◽  
Tertiary Hospital ◽  
Premature Delivery ◽  
Early Neonatal Death ◽  
Neonatal Deaths ◽  
Live Births ◽  
Early Neonatal Mortality ◽  
Early Neonatal Deaths

Background: India has a high Neonatal Mortality Rate (NMR) of 31 per 1000 live births and rural being 34 whereas urban being 17 (2011). Two thirds of the newborn deaths usually occur in the first week of life. Newborn survival has become an important issue to improve the overall health care goals. This study is carried out to identify primary causes of early neonatal deaths and to ascertain the factors affecting early neonatal mortality.Methods: This is a prospective study of all the early neonatal deaths in tertiary hospital of Maharashtra over two years. Details of each early neonatal death were filled in the standard perinatal death proforma.Results: Out of the 2073 total births, there were 75 early neonatal deaths (END) which is nearly 36.18 per 1000 live births. The important causes of END were severe birth asphyxia, respiratory distress syndrome and septicemia. About 50% of deaths were observed in mothers with age < 20 years, 25% deaths observed in mothers of age group 20-29 years, and similar percentage is with age >30 years. Most of the early neonatal deaths were due to Birth asphyxia and RDS was the second most important cause of early neonatal deaths. 70% of ENDs were among LBW babies. Prevention of premature delivery, proper management of very low birth weight babies and early detection and appropriate management of perinatal hypoxia have become important interventional strategies in reducing early neonatal deaths.Conclusions: Early Neonatal Mortality (ENM) at Tertiary Hospital is fairly high. In present study, early neonatal death rate of 36.18 per 1000 live births is observed which significantly higher than reported in literature.

scholarly journals Hubungan Dukungan Suami dengan Keikutsertaan Ibu Akseptor KB IUD Di Puskesmas Mandiangin Kec. MKS Di Kota Bukittinggi Tahun 2019

2020 ◽  
Vol 5 (2) ◽  
pp. 130
Author(s):  
Media Fitri ◽  
Cindy Amalia Putri
Keyword(s):  
Family Planning ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Number Of Children ◽  
Work Area ◽  
The Family ◽  
Unwanted Pregnancies ◽  
Cross Sectional Design ◽  
Husband And Wife

Family planning (KB) is an action that helps husband and wife to avoid unwanted pregnancies, get a very desirable birth, adjust the pregnancy interval, and control the time of birth in relation to the age of the husband and wife and find the number of children in the family. Pregnancy control in the family planning program is carried out using contraceptives so that the husband's support is needed. The purpose of this study is to see the relationship between husband's support and the participation of IUD family planning acceptors at Puskesmas Mandiangin, MKS Bukittinggi District, 2019. This research was conducted in July 2019. Research methodology analytic survey with Cross Sectional design. The population was family planning acceptors by taking samples of 69 IUD family planning acceptors. Data processing and analysis were performed by computerization using the Chi Square statistical test at a significance limit of 0.05. The results showed that ρ = .0.013. From this value, it is known that the value of ρ <0.05, which indicates that there is a relationship between husband's support and participation in IUD family planning. This relationship is also supported by the value of the OODs ratio = 0.769, which means that a wife who can get support from the mother will have a chance of 0.769 times to become an IUD KB acceptor. It can be concluded that there is a relationship between husband's support and participation in KB IUD in the Work area of the Mandiangin Puskesmas, MKS District, Bukittinggi City, 2019 with a p-value (0.013 <0.05). It can be suggested that the husband should provide support to his wife in using contraception, both emotional support and in the form of appreciation support, in order to create a happy family.

scholarly journals Pelayanan Kesehatan Ibu dan Kematian Neonatal

2013 ◽  
Vol 7 (8) ◽  
pp. 373
Author(s):  
Desy Fitri Yani ◽  
Artha Budi Susila Duarsa
Keyword(s):  
Antenatal Care ◽  
Neonatal Mortality ◽  
Neonatal Death ◽  
Maternal Health Services ◽  
P Value ◽  
Neonatal Deaths ◽  
Pregnancy History ◽  
Perinatal Audit ◽  
Development Goals ◽  
Relationship Of

Indonesia bersama seluruh negara berkembang berupaya mencapai kesepakatan Millenium Development Goals (MDGs) dengan salah satu sasaran menurunkan angka kematian neonatal dari 20 per 1.000 kelahiran hidup menjadi 15 per 1.000 kelahiran hidup. Penelitian ini bertujuan mengetahui hubungan pelayanan kesehatan ibu dengan kematian neonatal di Kabupaten Lampung Timur tahun 2011. Penelitian dengan desain studi kasus kontrol ini mengamati kasus ibu yang mengalami kematian neonatal dan kontrol ibu yang tidak mengalami kematian neonatal. Analisis multivariat menemukan pelayanan antenatal dan pertolongan persalinan berhubungan secara signifikan dengan kematian neonatal, setelah mengendalikan variabel umur ibu dan riwayat kehamilan (OR = 16,32; nilai p = 0,000); dan (OR = 18,36; nilai p = 0,31). Bayi yang dilahirkan dari Ibu dengan pelayanan antenatal tidak lengkap berisiko mengalami kematian neonatal 16,32 dan 18,36 kali lebih besar daripada bayi yang dilahirkan. Ibu dengan pelayanan antenatal lengkap dan penolong persalinan profesional. Tidak ada hubungan penolong persalinan dengan kematian neonatal, setelah mengontrol variabel pelayanan antenatal, umur ibu, riwayat kehamilan, riwayat penyakit, dan riwayat persalinan. Disarankan meningkatkan kualitas pelayanan antenatal dengan memerhatikan faktor umur ibu dan riwayat persalinan, mengembangkan kegiatan audit maternal perinatal serta meningkatkan keterampilan petugas penolong persalinan.All developing countries including Indonesia seek to reach agreement the Millennium Development Goals (MDG’s). It is objectives include reducing neonatal mortality by 25 percent from 20 per 1,000 live birth to 15 per 1,000 live births. This study aimed to determine the relationship of maternal health services with neonatal mortality in East Lampung District in 2011. This study used case control design to compare between the groups of mother whom have neonatal deaths (cases) and neonatal life (control) in East Lampung District in 2011. The result on antenatal care variables found that antenatal care and birth attendant had significant correlation with neonatal death, after controlling age and pregnancy history variable (p value = 0.000, OR = 16.32; p value = 0.31, OR = 18.36). The babies from mothers who did not get completed prenatal care risk of 16.32 times have neonatal death than babies born from mothers who received completed maternal care. There was no association between neonatal mortality and birth attendant, after controling variables of antenatal care, maternal age, pregnancy history, medical history and chilbirth history. Based on this study, it is suggested to increase activity of maternal perinatal audit, improve the quality of antenatal care, maternal delivery, and develop other support activities to prevent neonatal mortality in East Lampung District.

scholarly journals The current pattern of facility-based perinatal and neonatal mortality in Sagamu, Nigeria

1970 ◽  
Vol 19 (4) ◽  
pp. 3045-3054
Author(s):  
Tinuade A Ogunlesi ◽  
Victor A Ayeni ◽  
Olusoga B Ogunfowora ◽  
Edward O Jagun
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Perinatal Mortality ◽  
Neonatal Death ◽  
Stillbirth Rate ◽  
Current Pattern ◽  
Neonatal Deaths ◽  
Live Births ◽  
Obstructed Labour

Background: Perinatal and neonatal mortality rates have been described as sensitive indices of the quality of health care services. Regular audits of perinatal and neonatal mortalities are desirable to evaluate the various global interventions.Objective: To describe the current pattern of perinatal and neonatal mortality in a Nigerian tertiary health facility.Methods: Using a prospective audit method, the socio-demographic parameters of all perinatal and neonatal deaths recorded in a Nigerian tertiary facility between February 2017 and January 2018 were studied.Results: There were 1,019 deliveries with stillbirth rate of 27.5/1000 total births and early neonatal death (END) rate among in-born babies of 27.2/1000 live births. The overall perinatal mortality rate for in-facility deliveries was 53.9/1000 total births and neonatal mortality (till the end of 28 days) rate of 27.2/1000 live births. Severe perinatal asphyxia and prematurity were the leading causes of neonatal deaths while obstructed labour and intra-partum eclampsia were the two leading maternal conditions related to stillbirths (25.0% and 21.4% respectively).Gestational age < 32 weeks, age < 24 hours and inborn status were significantly associated with END (p = 0.002, p <0.001 and p = 0.002 respectively).Conclusion: The in-facility perinatal mortality rate was high though stillbirth rate was relatively low. There is a need to improve the quality of emergency obstetric and neonatal services prior to referral to tertiary facilities.Keywords: Asphyxia, neonatal death, obstructed labour, perinatal death, stillbirth.

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