Risk factors for perinatal death in two different levels of care: a case–control study

Moura, Paula Maria Silveira Soares; Maestá, Izildinha; Rugolo, Lígia Maria Suppo de Souza; Angulski, Luis Felipe Ramos Berbel; Caldeira, Antônio Prates; Peraçoli, José Carlos; Rudge, Marilza Vieira Cunha

doi:10.1186/1742-4755-11-11

Cited by 17 publications

(13 citation statements)

References 26 publications

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“…Male neonates had higher odds of death compared to female neonates, which agree with previous findings from both developed and developing countries [ 8 , 11 , 18 – 20 , 36 , 37 ]. This could be due to the fact that neonatal period is the time at which innate biological differences between males and females are prominent.…”

Section: Discussionsupporting

confidence: 91%

“…Bivariate and multivariate analyses were done using binary logistic regression model to examine determinants of neonatal mortality. Bivariate analysis was done first and then followed by multivariate analysis, as in previous studies [ 19 , 20 ]. The bivariate analysis was done to examine the odds of exposure difference between cases and controls, and unadjusted odds ratios with 95% confidence interval were calculated for all variables included in the bivariate model.…”

Section: Methodsmentioning

confidence: 99%

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Determinants of Neonatal Mortality in North Shoa Zone, Amhara Regional State, Ethiopia

et al. 2016

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In Ethiopia, neonatal mortality has been declined since the declaration of Millennium Developmental Goals, but the rate was slower since 2006. Thus, this study was designed to assess the determinants of neonatal mortality (NM) in North Shoa Zone. A community based case-control study was conducted on 84 cases and 252 controls. Cases were deceased new-borns within 28 days of birth while controls were infants survived beyond the first 28 days. Data were collected from mothers of the cases and controls using interviewer administered questionnaires. Multivariate analysis was done to examine determinants of NM. Variables significantly associated with NM in bivariate analysis were selected for multivariate analysis. Neonates whose mothers not attended antenatal care (AOR: 3.47; 95%CI: 1.44–8.32), delivered at home (AOR: 2.86; 95%CI: 1.56–5.26), and not received postnatal care services (AOR: 3.09; 95%CI: 1.73–5.51) were more likely to die. The odds of neonatal death was higher among neonates not breastfed within the first hour of delivery than those who breastfed within the first hour of delivery (AOR: 23.48; 95%CI: 8.43–65.37). Likewise, no-colostrum intake was positively associated with neonatal death. Neonates born to mothers who not received or received a single dose of tetanus toxoid injection (TTI) were more likely to experience death than those neonates born to mothers who received two or more doses of TTI (AOR: 2.05; 95%CI: 1.14–3.70). Furthermore, being small in size at birth (AOR: 2.66; 95%CI: 1.33–5.33) and male in sex (AOR: 1.85; 95% CI: 1.06–3.26) were risk factors for NM. In conclusion, neonatal mortality was significantly associated with factors that are modifiable through addressing the continuum-of-care approach in healthcare services in North Shoa. This implies that ensuring a continuity of health care services for maternal and new-borns from antenatal to postnatal care will improve neonatal survival.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Determinants of Neonatal Mortality in North Shoa Zone, Amhara Regional State, Ethiopia

et al. 2016

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“…Another research in Bali, Indonesia, using the case control method on 47 women as the cases and 47 women as the controls found that the presence of Asphyxia neonatorum in infants posed a risk of 2,270 timesgreater to the perinatal mortality than in infants without asphyxia neonatorum [4]. Another research that is in line with this research is asphyxia had a risk of 5.3 times to perinatal death [5].…”

Section: The Risk Of Asphyxia To Perinatal Deathsupporting

confidence: 54%

Asphyxia and the Occurrences of Perinatal Death in Anutapura General Hospital of Palu in 2018

Nur¹,

Patui²,

Radhiah³

et al. 2019

CAJPH

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Background and objective: Perinatal death is fetal death at 28 weeks of gestation or more and infant mortality in the first 7 days of life. WHO data in 2015 showed that 4.5 million babies died in the first year of life. This study aimed to find out the risk factors for perinatal death at Anutapura General Hospital (RSU) of Palu in 2018. Methods: The method used was observational research with a case control approach. The case subject was mothers who had perinatal death and the control group was mothers of infants who did not experience perinatal death. There were 22 case samples and 88 controls with baby age matching. Sampling was done by simple random sampling technique. Results: Data analysis used odds ratio test with α = 5%. The results showed that Asphyxia (OR = 3.988 and CI = 1.097-14.501), Low Birth Weight (LBW) (OR = 2.100 and CI = 0.800-5.510) and Congenital Abnormalities . Conclusions: Asphyxia, LBW, and Congenital Abnormalities are risk factors causing perinatal death. Recommendations: The mothers are expected to get early familiarization regarding the signs in pregnancy, increase ANC visits to control maternal and fetal health and pregnancy planning.

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“…The latter was contrary to results from a 2014 study conducted in India. The authors found that married egalitarian gender attitudes and gender sensitive decision making, meaning that the wife takes part in the decision on issues that affect her or her family, among married men were both associated with current contraceptive use [ 11 ]. There is no consensus regarding associations between gender attitudes and contraception use in all low- and middle-income countries and research should be performed at country level to account for local culture.…”

Section: Introductionmentioning

confidence: 99%

Married couples’ dynamics, gender attitudes and contraception use in Savannakhet Province, Lao PDR

Chanthakoumane

Maguet

Essink

2020

Global Health Action

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Background: The use of contraception in Lao PDR remains inadequate. In 2017, unmet contraception needs among married women aged 15-49 were 14.3% in Lao PDR overall and 18.6% in the province of Savannakhet. Although the government has a goal to reduce gender inequalities, they still persist in many areas. Objective: The aim of this research was to understand the extent to which couples' dynamics and gender attitudes affect contraception use in Savannakhet, Lao PDR. Methods: To conduct this research, mixed methods were used. Quantitative methods took the form of a survey filled out by 200 married couples in the province of Savannakhet. Afterwards, focus group discussions were carried out to give meaning to the quantitative data and to obtain a deeper understanding of gender roles and contraceptive use. Results: Findings showed that most couples rely on female-dependent contraceptives and that while women hold most of the family planning responsibility, men's opinions have more weight on the final decision. Additionally, women's financial autonomy and spousal communication regarding birth control were associated with contraceptive use within the couple. However, this communication usually began after the birth of the third child. Lastly, the hypothesis that egalitarian gender attitudes were associated with contraceptive use could not be confirmed. Conclusion: This study clearly demonstrates that contraception use is influenced by couples' dynamics, more specifically spousal communication, in Lao PDR. The findings have highlighted the need to involve men in all stages of family planning, and to foster both spousal communication and financial autonomy for women. If the findings are implemented, this may foster shared decision making within couples.

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Risk factors for perinatal death in two different levels of care: a case–control study

Cited by 17 publications

References 26 publications

Determinants of Neonatal Mortality in North Shoa Zone, Amhara Regional State, Ethiopia

Determinants of Neonatal Mortality in North Shoa Zone, Amhara Regional State, Ethiopia

Asphyxia and the Occurrences of Perinatal Death in Anutapura General Hospital of Palu in 2018

Married couples’ dynamics, gender attitudes and contraception use in Savannakhet Province, Lao PDR

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