The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India

Das, Ujjwal; Chaplot, Barkha; Azamathulla, Hazi Mohammad

doi:10.3390/geographies1010004

Cited by 15 publications

(12 citation statements)

References 24 publications

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“…Similar results were found by the researcher in Burkina Faso [54]. This study shows the importance of primary care because it helps to reduce the infant mortality rate and improve the health of children around the world [55,56]. Mothers with at least one ANC visit decreased the chance of infant death compared to mothers with no ANC visits in for the case of both Bangladesh and the 23 other developing countries.…”

Section: Discussionsupporting

confidence: 83%

Exploring the influencing factors for infant mortality: a mixed-method study of 24 developing countries based on demographic and health survey data

ISLAM¹,

TABASSUM²,

MONI³

2022

fmpcr

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Background. Infant mortality is a salient indicator for appraising the quality of the healthcare infrastructures of a country. To achieve the sustainable development goal, the infant mortality rate should be reduced to the indicated level. On account of this, it is requisite to point out the associated factors of infant mortality and provide action plans for monitoring them.Objectives. This study aimed to discover the prevalence of infant mortality and assess how different factors influence infant mortality in 24 developing countries by utilising the latest Demographic and Health Survey (DHS) data. Material and methods. This study used a mixed-method design to assemble cross-sectional studies to integrate data from 24 other countries due to the widening perspective of infant mortality. Descriptive analysis, binary logistic regression model, random-effect meta-analysis and forest plot have been used for the analyses. Results. The binary logistic regression model for Bangladesh revealed that a higher education level of fathers (OR: 0.344, 95% CI: 0.147; 0.807), being 2 nd born or above order infant (OR: 0.362, 95% CI: 0.248; 0.527), undergoing antenatal care (ANC) (OR: 0.271, 95% CI: 0.192; 0.382 for 1-4 visits) and undergoing postnatal care (PNC) (OR: 0.303, 95% CI: 0.216; 0.425) were statistically significant determinants of lowering infant death. While carrying multiple foetuses (OR: 6.634, 95% CI: 3.247; 13.555) was shown to be a risk factor of infant mortality. The most significant factors influencing infant mortality for developing countries were the number of foetuses (OR: 0.193, 95% CI: 0.176; 0.213), undergoing ANC (OR: 0.356, 95% CI: 0.311; 0.407), undergoing PNC (OR: 0.302, 95% CI: 0.243; 0.375) and the size of the children (OR: 0.653, 95% CI: 0.588; 0.726). Conclusions. In this study, the number of the foetuses, undergoing ANC and PNC, mother's education, fathers' education and size of the children were the most significant factors affecting infant mortality in developing countries. Thusly, anticipation and control projects need to be taken considering the outcome of this study to reduce the infant mortality.

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Section: Discussionsupporting

confidence: 83%

Exploring the influencing factors for infant mortality: a mixed-method study of 24 developing countries based on demographic and health survey data

ISLAM¹,

TABASSUM²,

MONI³

2022

fmpcr

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“…The highest risk for neonatal mortality is found in babies that were born outside a healthcare facility without the help of a medical professional (Chaka et al, 2020;Das et al, 2021). Although 22.6% of the subjects in this study are outpatients, almost 99% of all subjects in this study were born with the help of a medical professional.…”

Section: Intrapartum Profilementioning

confidence: 74%

Early Neonatal Mortality Profile in Dr. Soetomo General Hospital

Iskandar¹,

Sampurna²,

ADITIAWARMAN³

et al. 2022

IJRP

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Background: As part of the United Nations, Indonesia also aims to achieve Sustainable Development Goals (SDGs). Some of these targets are to lower the neonatal mortality rate (NMR) to 12/1000 live births and to eliminate all preventable underfive deaths. In 2019, Indonesia is on track to meeting the SDGs with an NMR of 12.4/1000 live births. Also in 2019, 50% of all under-five deaths occurred in the neonatal period and 80% of all neonatal deaths occurred during the early neonatal period (first 7 days of life). This study aims to present the profile of early neonatal mortality cases to better understand the causes and factors surrounding it. Methods:This retrospective descriptive study used data from the medical record of Dr. Soetomo General Hospital from 2019 to 2020. This study used total sampling and got a total of 296 subjects. Results:The main causes of early neonatal mortality are sepsis (27%), congenital anomaly (19%), hyaline membrane disease (19%), and perinatal asphyxia (15%). Most subjects were found male (57%), domicile in East Java outside Surabaya (49%), born < 28 weeks (29%) with low birth weight, singleton (87%), inpatient (77%), and born with c-section (57%).Most mothers were found aged 20-40 years old (85%), graduated high school (32%), and were on their first pregnancy (31%). Conclusion:The findings in this study are similar to previous studies, except for the age of death. Further studies are needed to better understand the correlation between factors presented in this study and early neonatal mortality.

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“…The disagreement between these studies could be attributed to different factors such as GA at amniotic fluid rupture, delivery, maternal age, and maternal comorbidities during pregnancy, and place of delivery. Previous studies indicated that place of delivery (health center vs. home) and maternal age determined perinatal mortality ( 25 , 61 ).…”

Section: Discussionmentioning

confidence: 99%

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

Abebe

Nima

Mariye

et al. 2022

Front. Reprod. Health

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BackgroundOne of the most critical functions of the fetal membranes is to remain intact until the onset of labor to maintain the protective intrauterine fluid environment. In most pregnancies, spontaneous rupture usually occurs near the end of the first stage of labor. Preterm premature membrane rupture (PROM) occurs when the fetal membrane ruptures before 37 weeks of pregnancy, and it contributes to adverse maternal, fetal, and neonatal outcomes. Therefore, this study aimed to determine the association of determinant factors with adverse perinatal outcomes.MethodsA prospective cohort study was conducted on pregnant women with preterm premature membrane rupture (n = 160) attending the teaching hospitals at Addis Ababa University. Socio-demographic and obstetric risk factors with adverse perinatal outcomes include the 5th minute Apgar score, neonatal intensive care unit (NICU) admission, early-onset neonatal sepsis (EONS), respiratory distress syndrome (RDS), perinatal mortality, Chorioamnionitis, and placental abruption were assessed. SPSS version 24, t-test, χ2 test, and logistic regression analysis were used. P-values <0.25 in the bivariate and p < 0.05 in the multiple logistic regression were considered statistically significant.ResultsThe preterm (PROM) rate was 2.2% with perinatal mortality rate of 206/1,000. Gestational age (GA) at delivery was the determinate for low Apgar score at the 5th minute (AOR: 7.23; 95% CI, 1.10, 47.6; p = 0.04). Unable to use steroid (AOR: 8.23; 95% CI, 1.83, 37.0; p = 0.000), GA at membrane rupture (AOR: 4.61; 95% CI, 1.98, 31.8; p = 0.000) and delivery (AOR: 4.32; 95% CI, 1.99, 30.9; p = 0.000) were determinates for NICU admission. EONS was significantly affected by GA at membrane rupture (AOR: 5.9; 95% CI, 1.01, 37.0; p = 0.04). Placental abruption was significantly affected by GA at delivery (AOR: 7.52; 95% CI, 1.15, 48.96; p = 0.04).ConclusionGA at membrane rupture and delivery was the most critical predictors of adverse perinatal outcomes. Local guidelines on the approach and preterm PROM outcome management need to be prepared.

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The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India

Cited by 15 publications

References 24 publications

Exploring the influencing factors for infant mortality: a mixed-method study of 24 developing countries based on demographic and health survey data

Exploring the influencing factors for infant mortality: a mixed-method study of 24 developing countries based on demographic and health survey data

Early Neonatal Mortality Profile in Dr. Soetomo General Hospital

Determinants for perinatal adverse outcomes among pregnant women with preterm premature rupture of membrane: A prospective cohort study

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