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Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania.

Identifieur interne : 000459 ( PubMed/Checkpoint ); précédent : 000458; suivant : 000460

Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania.

Auteurs : Justice Ajaari [Afrique du Sud] ; Honorati Masanja [Tanzanie] ; Renay Weiner [Afrique du Sud] ; Shalom Akonvi Abokyi [Ghana] ; Seth Owusu-Agyei [Ghana]

Source :

RBID : pubmed:27621958

Abstract

Studies on factors affecting neonatal mortality have rarely considered the impact of place of delivery on neonatal mortality. This study provides epidemiological information regarding the impact of place of delivery on neonatal deaths.

PubMed: 27621958


Affiliations:


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pubmed:27621958

Le document en format XML

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<nlm:affiliation>Kintampo Health Research Centre, Kintampo, Ghana; Ifakara Health Research and Development Centre, Ifakara, Tanzania; University of Witwatersrand, Johannesburg, South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
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<div type="abstract" xml:lang="en">Studies on factors affecting neonatal mortality have rarely considered the impact of place of delivery on neonatal mortality. This study provides epidemiological information regarding the impact of place of delivery on neonatal deaths.</div>
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<ArticleTitle>Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Studies on factors affecting neonatal mortality have rarely considered the impact of place of delivery on neonatal mortality. This study provides epidemiological information regarding the impact of place of delivery on neonatal deaths.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We analyzed data from the Rufiji Health and Demographic Surveillance System (RHDSS) in Tanzania. A total of 5,124 live births and 166 neonatal deaths were recorded from January 2005 to December 2006. The place of delivery was categorized as either in a health facility or outside, and the neonatal mortality rate (NMR) was calculated as the number of neonatal deaths per 1,000 live births. Univariate and multivariate logistic regression models were used to assess the association between neonatal mortality and place of delivery and other maternal risk factors while adjusting for potential confounders.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Approximately 67% (111) of neonatal deaths occurred during the first week of life. There were more neonatal deaths among deliveries outside health facilities (NMR = 43.4 per 1,000 live births) than among deliveries within health facilities (NMR = 27.0 per 1,000 live births). The overall NMR was 32.4 per 1,000 live births. Mothers who delivered outside a health facility experienced 1.85 times higher odds of experiencing neonatal deaths (adjusted odds ratio = 1.85; 95% confidence interval = 1.33-2.58) than those who delivered in a health facility.</AbstractText>
<AbstractText Label="CONCLUSIONS AND PUBLIC HEALTH IMPLICATIONS" NlmCategory="UNASSIGNED">Place of delivery is a significant predictor of neonatal mortality. Pregnant women need to be encouraged to deliver at health facilities and this should be done by intensifying education on where to deliver. Infrastructure, such as emergency transport, to facilitate health facility deliveries also requires urgent attention.</AbstractText>
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<RefSource>Br J Obstet Gynaecol. 1994 May;101(5):414-7</RefSource>
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<RefSource>Lancet. 2005 Mar 5-11;365(9462):891-900</RefSource>
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<RefSource>Demography. 2001 Feb;38(1):115-32</RefSource>
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<Keyword MajorTopicYN="N">Maternal age</Keyword>
<Keyword MajorTopicYN="N">Neonatal mortality</Keyword>
<Keyword MajorTopicYN="N">Place of delivery</Keyword>
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