Early neonatal deaths with perinatal asphyxia in very low birth weight Brazilian infants

Almeida, Maria Fernanda Branco de; Moreira, Lícia Maria Oliveira; Santos, Rosa Maria Vaz dos; Kawakami, Mandira Daripa; Anchieta, Lêni Márcia; Guinsburg, Ruth

doi:10.1038/jp.2015.114

Cited by 12 publications

(12 citation statements)

References 17 publications

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“…This observation represented the neonatal death among facility-based deliveries and did not include the number of neonatal deaths in the community, this might explain the reasonable lower number of neonatal deaths in the 20 health care facilities. Worldwide the major causes of neonatal mortality are low birth weight and birth asphyxia [33,34] and we observed similar results during our evaluation. The number of institutional deliveries almost doubled from baseline to evaluation and according to BDHS 2017-2018, facility delivery has increased from 15% to 50% in Bangladesh in the last 10 years [32].…”

Section: Discussionsupporting

confidence: 88%

Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Das

Farzana

Sultana

et al. 2020

Preprint

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Background: Access to perinatal health care is improving in Bangladesh, but maternal and neonatal mortality is still a public health concern. SIMESON (simulation for essential skills for obstetrical and neonatal care) training was focused on expanding maternal-newborn health services for safe delivery by improving infrastructure, perinatal knowledge, and skills of health care providers working in health care facilities in northern Bangladesh. Our objective was to explore the current knowledge and skills of health care providers already trained by SIMESON, in reviewing perinatal health situation including the current status of health care facilities, cost estimation and most importantly delivering perinatal health services.Methods: It was an observational study involving 88 health care providers working in 20 health care facilities. Cost estimation following both quantitative and qualitative approaches was also attempted. Result: Knowledge and skills of health care providers regarding the provision of normal delivery and immediate postpartum care, management of postpartum hemorrhage (PPH), and retained placenta; and use of the bag and mask ventilation to help a baby breathe were found to be considerably strengthened following SIMESON training. During the 6 months after training, there were 477 PPH cases managed successfully with only 1 death; neonatal deaths observed were 6.6 per 1000 live births; twice the number of facility deliveries; and 80% use rate of Ambu bag for helping baby breathe. The estimated cost per trainee was 395.68 USD, and 5.85 USD per beneficiary.Conclusion: SIMESON training improved maternal and child health by facilitating the health care professionals’ improved knowledge and skills, enhancing access to health care facilities, and increasing facility delivery. Such a training program should be promoted within health system in hard-to-reach areas of the country that are burdened with other commitments.

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Section: Discussionsupporting

confidence: 88%

Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Das

Farzana

Sultana

et al. 2020

Preprint

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“…These having been found to be poor prognostic factors in asphyxia 6. Previous studies in Brasil and Southern Nepal have also noted high mortality among asphyxiated LBWs 21,22. This is also given more credence by the fact that on multivariate analysis, the LBWs were 2 times and about 5 time less likely to survive birth asphyxia compared with the normal BWs and macrosomias respectively.…”

Section: Discussionmentioning

confidence: 87%

Short term outcome and predictors of survival among birth asphyxiated babies at a tertiary academic hospital in Enugu, South East, Nigeria

2019

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Background Birth asphyxia (BA) is a preventable cause of cerebral insults in newborns. It is associated with high morbidity and mortality. Of the 120 million babies born in third world countries annually, it is estimated that about 3.6 million will develop BA. Objectives We aimed to determine the short term outcome and predictors of survival among birth asphyxiated babies using Apgar score. Methods This study was carried out in the Newborn Unit of Enugu State University Teaching Hospital. In-hospital deliveries (Inborn) and those from other centers (Out-born) with one minute Apgar score ≤ 6 were included. Interviewer administered questionnaire was used to collect data from caregivers. Information sought included gestational age (GA), birth weight (BW), Apgar score, place of delivery and outcome. Data was analyzed using SPSS. Bivariate and multivariate logistic regressions were done. Results Of the 150 neonates, 61.3% survived. Majority of the dead were out-born. The difference was statistically significant (p < 0.001). The inborn were about 1.2 times (AOR = 1.22; 95% CI: 1.06–1.78) more likely to survive BA. Among low birth weights (LBWs), 73.9% died, 23.7% of normal weights and 14.3% of macrosomics died. The difference was statistically significant (p < 0.001). The normal weights were about 2 (AOR = 2.23, 95% CI: 1.76–6.25) and the macrosomics about 5 times more likely to survive BA than LBWs. Regarding GA, 78.8%, 17.2% and 18.2% of the pre-terms, term and post-dates died respectively. The difference was statistically significant (p < 0.001). The term babies were about 11 (AOR = 11.27; 95% CI: 4.02–31-56) and post-dates about 9 (AOR = 8.79; 95% CI: 1.43–54.04) times more likely to survive BA than preterms. Other significant factors were degree of asphyxia (p = 0.003), and parental education (p < 0.001). Conclusion BW, GA, degree of asphyxia, place of delivery and parental education all predicts survival among birth asphyxiated newborns.

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“…The strengthening of the perinatal care network, with continuous care, from prenatal until neonatal, is a strategy that is being constantly reorganized in the country [30][31][32] .…”

Section: Discussionmentioning

confidence: 99%

Principais causas da mortalidade na infância no Brasil, em 1990 e 2015: estimativas do estudo de Carga Global de Doença

França

Lansky

Rego

et al. 2017

Rev. bras. epidemiol.

200

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ABSTRACT:Objective: To analyze under-5 mortality rates and leading causes in Brazil and states in 1990 and 2015, using the Global Burden of Disease Study (GBD) 2015 estimates. Methods: The main sources of data for all-causes under-5 mortality and live births estimates were the mortality information system, surveys, and censuses. Proportions and rates per 1,000 live births (LB) were calculated for total deaths and leading causes. Results: Estimates of under-5 deaths in Brazil were 191,505 in 1990, and 51,226 in 2015, 90% of which were infant deaths. The rates per 1,000 LB showed a reduction of 67.6% from 1990 to 2015, achieving the proposed target established by the Millennium Development Goals (MDGs). The reduction generally was more than 60% in states, with a faster reduction in the poorest Northeast region. The ratio of the highest and lowest rates in the states decreased from 4.9 in 1990 to 2.3 in 2015, indicating a reduction in socioeconomic regional disparities. Although prematurity showed a 72% reduction, it still remains as the leading cause of death (COD), followed by diarrheal diseases in 1990, and congenital anomalies, birth asphyxia and septicemia neonatal in 2015. Conclusion: Under-5 mortality has decreased over the past 25 years, with reduction of regional disparities. However, pregnancy and childbirth-related causes remain as major causes of death, together with congenital anomalies. Intersectoral and specific public health policies must be continued to improve living conditions and health care in order to achieve further reduction of under-5 mortality rates in Brazil.

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Early neonatal deaths with perinatal asphyxia in very low birth weight Brazilian infants

Abstract: Reduction of birth asphyxia in very low birth weight infants is essential to reducing neonatal mortality in Brazil.

Cited by 12 publications

References 17 publications

Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Evaluation of SIMESON, A Training Program to Improve Access to Quality Health Care for Pregnant Women and Newborn in Different Health Care Facilities of Northern Bangladesh

Short term outcome and predictors of survival among birth asphyxiated babies at a tertiary academic hospital in Enugu, South East, Nigeria

Principais causas da mortalidade na infância no Brasil, em 1990 e 2015: estimativas do estudo de Carga Global de Doença

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