Document Detail


Neonatal death in low- to middle-income countries: a global network study.
MedLine Citation:
PMID:  22644832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine population-based neonatal mortality rates in low- and middle-income countries and to examine gestational age, birth weight, and timing of death to assess the potentially preventable neonatal deaths.
METHODS: A prospective observational study was conducted in communities in five low-income countries (Kenya, Zambia, Guatemala, India, and Pakistan) and one middle-income country (Argentina). Over a 2-year period, all pregnant women in the study communities were enrolled by trained study staff and their infants followed to 28 days of age.
RESULTS: Between October 2009 and March 2011, 153,728 babies were delivered and followed through day 28. Neonatal death rates ranged from 41 per 1000 births in Pakistan to 8 per 1000 in Argentina; 54% of the neonatal deaths were >37 weeks and 46% weighed 2500 g or more. Half the deaths occurred within 24 hours of delivery.
CONCLUSION: In our population-based low- and middle-income country registries, the majority of neonatal deaths occurred in babies >37 weeks' gestation and almost half weighed at least 2500 g. Most deaths occurred shortly after birth. With access to better medical care and hospitalization, especially in the intrapartum and early neonatal period, many of these neonatal deaths might be prevented.
Authors:
José M Belizán; Elizabeth M McClure; Shivaprasad S Goudar; Omrana Pasha; Fabian Esamai; Archana Patel; Elwyn Chomba; Ana Garces; Linda L Wright; Marion Koso-Thomas; Janet Moore; Fernando Althabe; Bhala S Kodkany; Neelofar Sami; Albert Manasyan; Richard J Derman; Edward A Liechty; Patricia Hibberd; Waldemar A Carlo; K Michael Hambidge; Pierre Buekens; Alan H Jobe; Robert L Goldenberg
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-05-29
Journal Detail:
Title:  American journal of perinatology     Volume:  29     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-10     Completed Date:  2013-01-08     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  649-56     Citation Subset:  IM    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Affiliation:
Institute for Clinical Effectiveness, Buenos Aires, Argentina.
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Developing Countries
Female
Gestational Age
Humans
Infant
Infant Mortality*
Male
Maternal Health Services
Maternal Mortality
Poverty*
Prospective Studies
World Health*
Grant Support
ID/Acronym/Agency:
U01 HD040477/HD/NICHD NIH HHS; U01 HD040607/HD/NICHD NIH HHS; U01 HD040636/HD/NICHD NIH HHS; U01 HD040657/HD/NICHD NIH HHS; U01 HD042372/HD/NICHD NIH HHS; U01 HD0434475/HD/NICHD NIH HHS; U01 HD043464/HD/NICHD NIH HHS; U01 HD058322/HD/NICHD NIH HHS; U01 HD058322/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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