↓ Skip to main content

Neonatal mortality and coverage of essential newborn interventions 2010 - 2013: a prospective, population-based study from low-middle income countries

Overview of attention for article published in Reproductive Health, June 2015
Altmetric Badge

Mentioned by

facebook
1 Facebook page

Citations

dimensions_citation
32 Dimensions

Readers on

mendeley
183 Mendeley
You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output. Click here to find out more.
Title
Neonatal mortality and coverage of essential newborn interventions 2010 - 2013: a prospective, population-based study from low-middle income countries
Published in
Reproductive Health, June 2015
DOI 10.1186/1742-4755-12-s2-s6
Pubmed ID
Authors

Sangappa M Dhaded, Manjunath S Somannavar, Sunil S Vernekar, Shivaprasad S Goudar, Musaku Mwenche, Richard Derman, Janet L Moore, Archana Patel, Omrana Pasha, Fabian Esamai, Ana Garces, Fernando Althabe, Elwyn Chomba, Edward A Liechty, K Michael Hambidge, Nancy F Krebs, Mabel Berrueta, Alvaro Ciganda, Patricia L Hibberd, Robert L Goldenberg, Elizabeth M McClure, Marion Koso-Thomas, Albert Manasyan, Waldemar A Carlo

Abstract

Approximately 3 million neonatal deaths occur each year worldwide. Simple interventions have been tested and found to be effective in reducing the neonatal mortality. In order to effectively implement public health interventions, it is important to know the rates of neonatal mortality and understand the contributing risk factors. Hence, this prospective, population-based, observational study was carried out to inform these needs. The Global Network's Maternal Newborn Health Registry was initiated in the seven sites in 2008. Registry administrators (RAs) attempt to identify and enroll all eligible women by 20 weeks gestation and collect basic health data, and outcomes after delivery and at 6 weeks post-partum. All study data were collected, reviewed, and edited by staff at each study site. The study was reviewed and approved by each sites' ethics review committee. Overall, the 7-day neonatal mortality rate (NMR) was 20.6 per 1000 live births and the 28-day NMR was 25.7 per 1000 live births. Higher neonatal mortality was associated with maternal age > 35 and <20 years relative to women 20-35 years of age. Preterm births were at increased risk of both early and 28-day neonatal mortality (RR 8.1, 95% CI 7.5-8.8 and 7.5, 95% CI 6.9-8.1) compared to term as were those with low birth weight (<2500g). Neonatal resuscitation rates were 4.8% for hospital deliveries compared to 0.9% for home births. In the hospital, 26.5% of deliveries were by cesarean section with an overall cesarean section rate of 12.5%. Neonatal mortality rates were highest in the Pakistan site and lowest in Argentina. Using prospectively collected data with high follow up rates (99%), we documented characteristics associated with neonatal mortality. Low birth weight and prematurity are among the strongest predictors of neonatal mortality. Other risk factors for neonatal deaths included male gender, multiple gestation and major congenital anomalies. Breech presentation/transverse lie, and no antenatal care were also significant risk factors for neonatal death. Coverage of interventions varied by setting of delivery, with the overall population rate of most evidence-based interventions low. This study informs about risk factors for neonatal mortality which can serve to design strategies/interventions to reduce risk of neonatal mortality. The trial is registered at clinicaltrials.gov. ClinicalTrial.gov NCT01073475.

Mendeley readers

The data shown below were compiled from readership statistics for 183 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ethiopia 1 <1%
Unknown 182 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 40 22%
Student > Ph. D. Student 21 11%
Researcher 19 10%
Student > Postgraduate 17 9%
Student > Bachelor 17 9%
Other 35 19%
Unknown 34 19%
Readers by discipline Count As %
Medicine and Dentistry 84 46%
Nursing and Health Professions 27 15%
Social Sciences 10 5%
Biochemistry, Genetics and Molecular Biology 5 3%
Agricultural and Biological Sciences 4 2%
Other 9 5%
Unknown 44 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 September 2015.
All research outputs
#4,649,427
of 5,581,375 outputs
Outputs from Reproductive Health
#386
of 407 outputs
Outputs of similar age
#159,385
of 200,648 outputs
Outputs of similar age from Reproductive Health
#26
of 28 outputs
Altmetric has tracked 5,581,375 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 407 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 200,648 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 28 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.