Determinants and risk factors of neonatal mortality in the Gaza Strip, occupied Palestinian territory: a case-control study

Awour, Imad El; Abed, Yacine; Ashour, Majdi

doi:10.1016/s0140-6736(13)60206-8

Cited by 9 publications

(5 citation statements)

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“…The study also revealed that the chance of neonatal death is increased among multiple births in comparison with single births. This finding was in line with a study done in developing countries [29] [30]. The higher neonatal death among multiple births might be due to biological factors such as low birth weight and complications during delivery.…”

Section: Discussionsupporting

confidence: 92%

Determinants of Neonatal Mortality in Ethiopia: A Case Control Study, 2013

Hibstu¹,

Ayele²,

Mengesha³

2014

OALib

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Introduction: Neonatal mortality is an obstacle to the continued step down of under-five mortality and the attainment of the Millennium Development Goal four. In Ethiopia, the neonatal mortality rate is decreased from 49 in 2000 to 39 deaths per 1000 live births in 2005, remaining stable at 37 deaths per 1000 live births in 2011 accounting for about 42% of under-five mortality. The aim of the study was to identify determinants of neonatal mortality in Ethiopia. Methods: Unmatched case-control study design was used to identify determinants of neonatal mortality in Ethiopia from February to June 2013 using the 2011 EDHS data. Cases were all died neonates and controls were all survived live births born within the last five years prior to 2011 EDHS. The total sample size was 11,195 with 2239 cases and 8956 controls. Logistic regression was used to identify determinants of neonatal mortality. Odds ratios with 95% CI and p-value was computed to measure the associations between the outcome variable and the independent variables. A p-value of less than 0.05 was considered as a significant result. Result: A total of 2239 (20%) cases and 8956 (80%) controls were included in this study. Mothers with no education (

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Section: Discussionsupporting

confidence: 92%

Determinants of Neonatal Mortality in Ethiopia: A Case Control Study, 2013

Hibstu¹,

Ayele²,

Mengesha³

2014

OALib

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“…Women who came between 17 and 28 weeks of gestation for the rst visit were 1.67 times more likely to lose their child as compared to those who started the initial antenatal care visit before 16 weeks of pregnancy. This nding is similar to studies conducted in Tigray regional state [29], Felege Hiwot referral hospital [30], and Gaza-Strip [31]. This result infers that the earlier the start of prenatal care visits, the more the mothers will have time to complete four follow-ups.…”

Section: Discussionsupporting

confidence: 88%

Incidence and determinants of newborn mortality in the first three days of delivery in Northwestern Ethiopia: a prospective cohort study

Worke

Tadele

Limenih

2020

Preprint

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Background: Addressing, the target of sustainable development goals of reducing perinatal mortality, was still a global challenge, and the magnitude of newborn death in the first three days of life takes a significant role in Ethiopia. Therefore, this study planned to determine the incidence and determinants of neonatal mortality in the first three days among babies delivered in referral hospitals of Amhara Regional State, North-Western Ethiopia. Method: A hospital-based prospective cohort study design was conducted among 810 early neonates in the first three days of delivery between March 1 and August 30, 2018. The neonates were followed, starting from the time of admission to 72 hours. An interviewer-administered questionnaire and medical record review were conducted for data collection. Data were entered into Epi-data manager version 4.4 and analyzed using STATA™ version 16.0 for the analysis. Cox-Proportional hazard model was used to determine the survival time of the newborns. Results: The overall incidence of newborn mortality in this study was 151/1,000 births. Neonatal mortality was significantly high among newborns whose mothers came between 17 and 28 weeks of gestation for the first visit [AHR=1.67;95% CI: 1.02, 2.73], among those whose mothers labor was not monitored with a partograph [AHR=2.66; 95% CI: 1.70, 4.15], mothers experience postpartum hemorrhage [AHR 2.88; 95% CI: 1.69, 4.89], develop fistula in the first 24 hours [AHR=3.75; 95% CI: 1.23, 11.43], and experience obstructed labor [AHR=2.14; 95% CI: 1.35, 3.38]. However, it was 39% less risky among newborns whose mothers were directly admitted, and whose mothers had visited health facilities in less than 1-hour, both [AHR=0.61; 95% CI: 0.38, 0.97]. Conclusion: This study revealed that about 1 in 7 newborns died in the early three days of life. The timing of the first antenatal visit, quality of labor monitoring, maternal complications, and delay in seeking the care were found to be the determinants. Thus, scaling-up of evidence-based interventions, and harmonized efforts aimed to improve the quality of antenatal care, promote institutional deliveries, provide optimal essential and emergency obstetric care, and ensure immediate postnatal care may improve neonatal survival.

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“…Women who came between 17 and 28 weeks of gestation for the rst visit were 1.67 times more likely to lose their child than those who started the initial antenatal care visit before 16 weeks of pregnancy. This nding is similar to studies conducted in Tigray regional state [42], Felege Hiwot referral hospital [43], and Gaza-Strip [44]. This result infers that the earlier the start of prenatal care visits, the more the mothers will have time to complete four follow-ups, which will help us a new method of obstetric problems, which suggests the recent WHO recommendation of positive pregnancy experiences [45].…”

Section: Discussionsupporting

confidence: 86%

Incidence and Determinants of Newborn Mortality in the First Three Days of Delivery in Northwestern Ethiopia: A Prospective Cohort Study

Worke

Tadele

Limeneh

2021

Preprint

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Background: Addressing the target of sustainable development goals of reducing perinatal mortality was still a global challenge, and it is a concern in Ethiopia. Therefore, this study planned to determine the incidence and determinants of neonatal mortality in the first three days among babies delivered in Amhara Regional State’s referral hospitals. Methods: A hospital-based prospective cohort study design was conducted among 810 neonates in the first three days of delivery between March 1 and August 30, 2018. The neonates were followed, starting from the time of admission to 72 hours. An interviewer-administered questionnaire and medical record review were conducted for data collection. Data were entered into Epi-data manager version 4.4 and analyzed using STATA™ version 16.0 for the analysis. Cox-Proportional hazard model was used to determine the survival time of the newborns. Results: The overall incidence of newborn mortality in this study was 151/1,000 births. Neonatal mortality was significantly high among newborns whose mothers came between 17 and 28 weeks of gestation for the first visit; among those whose mothers labour was not monitored with a partograph, mothers experience postpartum haemorrhage, develop fistula in the first 24 hours, and experience obstructed labour. However, 39% were less risky among newborns whose mothers were directly admitted and whose mothers had visited health facilities in less than 1-hour, both. Conclusions: This study revealed that about 1 in 7 newborns died in the early three days of life. Timing of the first antenatal visit, quality of labour monitoring, maternal complications, and delay in seeking the care were the determinants. Thus, scaling-up of evidence-based interventions and harmonized efforts to improve antenatal care quality, promote institutional deliveries, provide optimal essential and emergency obstetric care, and ensure immediate postnatal care may improve neonatal survival.

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Determinants and risk factors of neonatal mortality in the Gaza Strip, occupied Palestinian territory: a case-control study

Cited by 9 publications

References 0 publications

Determinants of Neonatal Mortality in Ethiopia: A Case Control Study, 2013

Determinants of Neonatal Mortality in Ethiopia: A Case Control Study, 2013

Incidence and determinants of newborn mortality in the first three days of delivery in Northwestern Ethiopia: a prospective cohort study

Incidence and Determinants of Newborn Mortality in the First Three Days of Delivery in Northwestern Ethiopia: A Prospective Cohort Study

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