scholarly journals Breast-feeding initiation time and neonatal mortality risk among newborns in South India

2010 ◽  
Vol 31 (6) ◽  
pp. 397-403 ◽  
Author(s):  
C R Garcia ◽  
L C Mullany ◽  
L Rahmathullah ◽  
J Katz ◽  
R D Thulasiraj ◽  
...  
Keyword(s):  
Neonatal Mortality ◽  
Breast Feeding ◽  
Mortality Risk ◽  
South India ◽  
Initiation Time

Neonatal Mortality Risk Related to Birth Weight and Gestational Age in British Columbia

2007 ◽  
Vol 29 (7) ◽  
pp. 568-574 ◽  
Author(s):  
William J. Kierans ◽  
Lorne A. Verhulst ◽  
Jemal Mohamed ◽  
Leslie T. Foster
Keyword(s):  
British Columbia ◽  
Birth Weight ◽  
Neonatal Mortality ◽  
Gestational Age ◽  
Mortality Risk

Cost-effectiveness analysis of Baby-Friendly Hospital Initiative in promotion of breast-feeding and reduction of late neonatal infant mortality in Brazil

2020 ◽  
pp. 1-11
Author(s):  
Osvaldinete Lopes de Oliveira Silva ◽  
Marina Ferreira Rea ◽  
Flávia Mori Sarti ◽  
Gabriela Buccini
Keyword(s):  
Cost Effectiveness ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Breast Feeding ◽  
Cost Effective ◽  
Economic Assessment ◽  
Baby Friendly Hospital Initiative ◽  
Effectiveness Analysis ◽  
The Cost

Abstract Objective: To analyse the cost-effectiveness of Baby-Friendly Hospital Initiative (BFHI) in promoting breast-feeding during the first hour of life (BFFHL) and reducing late neonatal mortality. Design: Cost-effectiveness economic assessment from the health system perspective, preceded by a prospective cohort of mother–baby followed from birth to 6 months of life. The direct costs associated with two health outcomes were analysed: intermediate end point (BFFHL) and final end point (reduction in late neonatal mortality). Setting: Study was carried out in six hospitals in the city of São Paulo (Brazil), three being Baby-Friendly Hospitals (BFH) and three non-BFH. Participants: Mothers with 24 h postpartum, over 18 years old, single fetus and breast-feeding at the time of the interview were included. Poisson regressions adjusted for maternal age and level of education were estimated to identify factors related to BFFHL and late neonatal mortality. Sensitivity analysis was performed to ensure robustness of the economic assessment. Results: Cost-effectiveness analysis showed that BFHI was highly cost-effective in raising BFFHL by 32·0 % at lower cost in comparison with non-BFHI. In addition, BFHI was cost-effective in reducing late neonatal mortality rate by 13·0 % from all causes and by 13·1 % of infant mortality rate from infections. Conclusions: The cost-effectiveness of the BFHI in promoting breast-feeding and reducing neonatal mortality rates justifies the investments required for its expansion within the Brazilian health system.

scholarly journals Assessing the changes in childbirth care practices and neonatal outcomes in Western China: pre-comparison and post-comparison study on early essential newborn care interventions

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e041829
Author(s):  
Wen Qu ◽  
Qing Yue ◽  
Yan Wang ◽  
Jin Liuxing Yang ◽  
Xi Jin ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Neonatal Mortality ◽  
Breast Feeding ◽  
Newborn Care ◽  
Western China ◽  
Comparison Study ◽  
Essential Newborn Care ◽  
Breastfeeding Rate ◽  
Care Practices ◽  
Childbirth Care

ObjectiveTo explore the changes in childbirth care practices and health outcomes of newborns after the introduction of early essential newborn care (EENC).DesignA pre-comparison and post-comparison study.SettingThe study was conducted in December 2016 and December 2018 in 18 counties in four western provinces of China.Participants46 hospitals that provide delivery services participated in the study.InterventionsEENC practices were introduced and implemented in the 46 hospitals.Outcome measuresThe changes of hospital indicators such as incidence of birth asphyxia and neonatal mortality were compared in 2016 and 2018. EENC coverage indicators, such as skin-to-skin (STS) contact, and time of first breast feeding were also compared before and after the intervention via interview with 524 randomly selected postpartum mothers (320 in 2016 and 204 in 2018).Results54 335 newborns were delivered in the pre-EENC period (2016) and 58 057 delivered in the post-EENC period (2018). According to hospital records, the proportion of newborns receiving immediate STS contact increased from 32.6% to 51.2% (Risk Ratio (RR)=1.57,95% CI 1.55 to 1.59) and the percentage of newborns receiving prolonged STS contact for more than 90 min increased from 8.1% to 26.8% (RR=3.31, 95% CI 3.21 to 3.41). No statistically significant changes were found in neonatal mortality, although slight decreases in birth asphyxiate and neonatal intensive care unit admission rates were detected. Among the mothers interviewed, the proportion of newborns receiving immediate STS contact increased from 34.6% to 80.0% (RR=2.31, 95% CI 1.69 to 3.17). The exclusive breastfeeding rate increased from 43% to 73.4% (RR=1.71, 95% CI 1.43 to 2.04). The average length of the first breast feeding increased from 15.8 min to 17.1 min.ConclusionsThe introduction of EENC has yielded significant improvements in newborn care services at the pilot hospitals, including enhanced maternal and newborn care practices, improved STS contact quality and early breastfeeding performance. Further studies are needed to evaluate the long-term impact of EENC on newborn health outcomes.

scholarly journals Analysis of neonatal mortality risk factors in Brazil: a systematic review and meta-analysis of observational studies

2019 ◽  
Vol 95 (5) ◽  
pp. 519-530 ◽  
Author(s):  
Felipe Camilo Santiago Veloso ◽  
Liliana de Meira Lins Kassar ◽  
Michelle Jacintha Cavalcante Oliveira ◽  
Telmo Henrique Barbosa de Lima ◽  
Nassib Bezerra Bueno ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Neonatal Mortality ◽  
Mortality Risk ◽  
Observational Studies ◽  
Meta Analysis

scholarly journals Potential contributions of an on-site nurse mentoring program on neonatal mortality reductions in rural Karnataka state, South India: evidence from repeat community cross-sectional surveys

2019 ◽  
Author(s):  
B.M. Ramesh ◽  
Arin Kar ◽  
Krishnamurthy Jayanna ◽  
Jyoti S. Hallad ◽  
Cunningham Troy ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Mortality Rate ◽  
Neonatal Mortality ◽  
South India ◽  
Post Partum ◽  
Substantial Reduction ◽  
Mortality Rates ◽  
Mentoring Program ◽  
Health Providers ◽  
Neonatal Mortality Rate

Abstract Background: We assessed the effects of a nurse mentoring program on neonatal mortality in eight districts in India. Methods: From 2012 to 2015, nurse mentors supported improvements in critical MNCH-related practices among health providers at primary health centres (PHCs) in northern Karnataka, South India. Baseline (n=5,240) and endline (n=5,154) surveys of randomly selected ever-married women were conducted. Neonatal mortality rates (NMR) among the last live-born children in the three years prior to each survey delivered in NM and non-NM-supported facilities were calculated and compared using survival analysis and cumulative hazard function. Mortality rates on days 1, 2-7 and 8-28 post-partum were compared. Cox survival regression analysis measured the adjusted effect on neonatal mortality of delivering in a nurse mentor supported facility. Results: Overall, neonatal mortality rate in the three years preceding the baseline and endline surveys was 30.5 (95% CI 24.3-38.4) and 21.6 (95% CI 16.3-28.7) respectively. There was a substantial decline in neonatal mortality between the survey rounds among children delivered in PHCs supported by NM: 29.4 (95% CI 18.1-47.5) vs. 9.3 (95% CI 3.9-22.3) (p=0.09). No significant declines in neonatal mortality rate were observed among children delivered in other facilities or at home. In regression analysis, among children born in nurse mentor supported facilities, the estimated hazard ratio at endline was significantly lower compared with baseline (HR: 0.23, 95% CI: 0.06-0.82, p=0.02). Conclusion: The nurse mentoring program was associated with a substantial reduction in neonatal mortality. Further research is warranted to delineate whether this may be an effective strategy for reducing NMR in resource-poor settings. [b]Key words:[/b] Nurse mentoring, Quality of care, Neonatal mortality This work was supported by the Bill & Melinda Gates Foundation, Grant Number OPPGH5310

scholarly journals Breast feeding practices among health care professionals in a tertiary care hospital from South India

2012 ◽  
Vol 56 (2) ◽  
pp. 149 ◽  
Author(s):  
Raghavan Renitha ◽  
ThirunavukkarasuArun Babu ◽  
Manish Kumar ◽  
Sadagopan Srinivasan
Keyword(s):  
Health Care ◽  
Breast Feeding ◽  
Health Care Professionals ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Feeding Practices ◽  
Care Hospital
Sign in / Sign up

Export Citation Format

Share Document