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Littérature scientifique sur le sujet « Neonatal deaths »

Auteur : Grafiati

Publié le 4 juin 2021

Mis à jour le 25 janvier 2023

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Articles de revues sur le sujet "Neonatal deaths"

Mrisho, Mwifadhi, David Schellenberg, Fatuma Manzi, Marcel Tanner, Hassan Mshinda, Kizito Shirima, Beverly Msambichaka, Salim Abdulla et Joanna Armstrong Schellenberg. « Neonatal Deaths in Rural Southern Tanzania : Care-Seeking and Causes of Death ». ISRN Pediatrics 2012 (24 janvier 2012) : 1–8. http://dx.doi.org/10.5402/2012/953401.

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Introduction. We report cause of death and care-seeking prior to death in neonates based on interviews with relatives using a Verbal Autopsy questionnaire. Materials and Methods. We identified neonatal deaths between 2004 and 2007 through a large household survey in 2007 in five rural districts of southern Tanzania. Results. Of the 300 reported deaths that were sampled, the Verbal Autopsy (VA) interview suggested that 11 were 28 days or older at death and 65 were stillbirths. Data was missing for 5 of the reported deaths. Of the remaining 219 confirmed neonatal deaths, the most common causes were prematurity (33%), birth asphyxia (22%) and infections (10%). Amongst the deaths, 41% (90/219) were on the first day and a further 20% (43/219) on day 2 and 3. The quantitative results matched the qualitative findings. The majority of births were at home and attended by unskilled assistants. Conclusion. Caregivers of neonates born in health facility were more likely to seek care for problems than caregivers of neonates born at home. Efforts to increase awareness of the importance of early care-seeking for a premature or sick neonate are likely to be important for improving neonatal health.

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Alharam, Zahra Mansour, Isaada Elsaeti et Mohamed Alferjani. « Neonatal Mortality in the Neonatal Intensive Care Unit at Benghazi Pediatric Hospital– Libya. » AL-MUKHTAR JOURNAL OF SCIENCES 35, n^o 4 (31 décembre 2020) : 284–93. http://dx.doi.org/10.54172/mjsc.v35i4.331.

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This research aims to study mortality rates and identify the direct causes of neonatal deaths among newborns at Benghazi Pediatric Hospital. A descriptive case series study was conducted during 2015. Data included; birth weight, gender, residency, duration of hospital stay, age of neonates at death, and causes of death. Out of 1610 neonatal admissions reviewed, the total number of deaths was 122 during 2015. The data focused on death certificates of neonates and showed that the male gender was predominant (62.3 %). Most of them had a birth weight ranged between 2-2.9 Kg. Approximately 52 % of neonatal deaths in one day were of newborns <1 week old, and 54% were full-term newborns. The most frequent direct single cause of death in neonates was prematurity, then neonatal sepsis and congenital heart disease respectively. The study concluded that the most frequent causes of infant mortality related deaths were prematurity then neonatal sepsis. Furthermore, future research is recommended, and the calculation of early and late neonatal mortality rate with the availability of total live births.

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Eshete, Akine, et Sileshi Abiy. « When Do Newborns Die ? Timing and Cause-Specific Neonatal Death in Neonatal Intensive Care Unit at Referral Hospital in Gedeo Zone : A Prospective Cohort Study ». International Journal of Pediatrics 2020 (15 février 2020) : 1–8. http://dx.doi.org/10.1155/2020/8707652.

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Background. Maternal, newborn, and child health have a high stake in the global health agenda, however, neonates’ risk of dying is unacceptable in the world. Ethiopia is one of the countries with high burden of neonatal morbidity and mortality. Yet, timing and cause-specific neonatal death are under-investigated. The present study aimed to determine the timing and cause-specific neonatal death. Methods. We conducted a prospective cohort study at Dilla University Referral Hospital Neonatal Care Unit from November 2016 to January 2018. All admitted neonates to the neonatal care unit were followed from cohort entry up to the occurrence of an event (death) or end of follow-up. We generated descriptive statistics to determine the timing of neonatal death and the cause of deaths. Results. Overall, 11.6% of neonates died during the follow-up. We found that 34.0% and 64.3% of deaths occurred during the first and second weeks of neonatal life, respectively. Neonatal sepsis and low birth weight were the main causes of death and hospital admission. Jaundices and low birth weight were the most common causes of death during the early neonatal period, whereas birth asphyxia, low birth weight, and sepsis were during late neonatal life. However, for other causes of death, the slight difference was seen between the death patterns in early and late neonatal periods. Conclusions. The timing and cause-specific neonatal deaths were varying among different time of the neonatal periods that needs to design context-based policy and interventions.

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Abdul-Mumin, Alhassan, Cesia Cotache-Condor, Sheila Agyeiwaa Owusu, Haruna Mahama et Emily R. Smith. « Timing and causes of neonatal mortality in Tamale Teaching Hospital, Ghana : A retrospective study ». PLOS ONE 16, n^o 1 (13 janvier 2021) : e0245065. http://dx.doi.org/10.1371/journal.pone.0245065.

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Neonatal deaths now account for more than two-thirds of all deaths in the first year of life and for about half of all deaths in children under-five years. Sub-Saharan Africa accounts up to 41% of the total burden of neonatal deaths worldwide. Our study aims to describe causes of neonatal mortality and to evaluate predictors of timing of neonatal death at Tamale Teaching Hospital (TTH), Ghana. This retrospective study was conducted at TTH located in Northern Ghana. All neonates who died in the Neonatal Intensive Care Unit (NICU) from 2013 to 2017 were included and data was obtained from admission and discharge books and mortality records. Bivariate and multivariate logistic regression were used to assess predictors of timing of neonatal death. Out of the 8,377 neonates that were admitted at the NICU during the 5-year study period, 1,126 died, representing a mortality rate of 13.4%. Of those that died, 74.3% died within 6 days. There was an overall downward trend in neonatal mortality over the course of the 5-year study period (18.2% in 2013; 14.3% in 2017). Preterm birth complications (49.6%) and birth asphyxia (21.7%) were the top causes of mortality. Predictors of early death included being born within TTH, birth weight, and having a diagnosis of preterm birth complication or birth asphyxia. Our retrospective study found that almost 3/4 of neonatal deaths were within the first week and these deaths were more likely to be associated with preterm birth complications or birth asphyxia. Most of the deaths occurred in babies born within health facilities, presenting an opportunity to reduce our mortality by improving on quality of care provided during the perinatal period.

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Liu, Yuxi, Leni Kang, Chunhua He, Lei Miao, Xiaoqiong Qiu, Weipeng Xia, Jun Zhu et al. « Neonatal mortality and leading causes of deaths : a descriptive study in China, 2014–2018 ». BMJ Open 11, n^o 2 (février 2021) : e042654. http://dx.doi.org/10.1136/bmjopen-2020-042654.

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ObjectiveThe present study estimated the national and urban–rural levels and causes of neonatal deaths in China annually between 2014 and 2018 to provide data support for the further end of preventable neonatal deaths for China and other low-income and middle-income countries.MethodsThe study was based on data from the National Maternal and Child Health Surveillance System. All neonates of surveillance districts (gestational week: ≥28 weeks) who died after delivery have been involved in the study. The mortality rate and the leading causes of death for neonates were analysed.ResultsThe neonatal mortality rate (NMR) of China has steadily decreased from 5.9 deaths per 1000 live births in 2014 to 3.9 deaths per 1000 live births in 2018. The NMR in 2018 of urban and rural areas was 2.2 deaths per 1000 live births and 4.7 deaths per 1000 live births, respectively. The leading preventable causes of neonatal deaths are the same in the urban and rural areas were same, which were preterm birth, intrapartum complications and pneumonia. Mortality rates of these three causes fell significantly between 2014 and 2018 but contributed to a higher proportion of deaths in rural areas than urban areas. The proportion of preventable deaths accounted for 74.6% in 2018.ConclusionsThe NMR of China has decreased steadily from 2014 to 2018. However, the inequality between urban and rural areas still exists. The goal of government interventions should be to reduce the health inequality of neonates and further take targeted measures to eliminate preventable neonatal death.

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Shahidullah, Mohammod, M. Zahidul Hasan, Ismat Jahan, Firoz Ahmed, Arjun Chandra Dey, Sanjoy Kumer Dey et MA Mannan. « Perinatal Characteristics and Outcome of Neonates at NICU of a Tertiary Level Hospital in Bangladesh ». Bangladesh Journal of Child Health 41, n^o 1 (20 août 2017) : 34–39. http://dx.doi.org/10.3329/bjch.v41i1.33634.

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Background: One of the Millennium Development Goals (MDG-4) is to reduce child mortality up to two-thirds by 2015. In most developing countries, a higher proportion of neonatal deaths are observed. It has been recognized that without a substantial reduction in neonatal deaths, MDG-4 will not be met.Objective: To assess the perinatal characteristics, pattern of admissions and outcome of neonates in a tertiary care centre in Bangladesh.Methods: A retrospective review of consecutive neonatal admissions to Bangabandhu Sheikh Mujib Medical University, between January and December 2013, was conducted. Data were collected from the neonatal admission, discharge and death registers. Standard definitions of the conditions were used to diagnose the clinical conditions.Results: Total 683 neonates were admitted to the NICU. Among them 56.1% were inborn and males were 56.8%. Total 61.3% neonates were low birth weight and 60.3 % were preterm. The overall cesarean section rate was 61.9%. Total 35.3% neonates had sepsis and perinatal asphyxia was present in 16.8% neonates. Congenital anomaly was present in 17.6% neonates. The mean duration of hospital stay was 11.1 days and overall mortality rate was 14.9%.Conclusion: Prematurity, neonatal infections, birth asphyxia and congenital anomalies were the main causes of neonatal hospital admission and neonatal deaths in this study.Bangladesh J Child Health 2017; VOL 41 (1) :34-39

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Alferjani, Dr Mohamed Masoud, Dr Fatema Alsedawi, Dr Salema Alzhawi et Dr Fadwa Abdalhamid Aldeghaily. « Causes of Admissions and Deaths in Neonate Department Benghazi Children Hospital 2019 ». Scholars Journal of Applied Medical Sciences 10, n^o 1 (24 janvier 2022) : 114–22. http://dx.doi.org/10.36347/sjams.2022.v10i01.019.

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This research aims to study the causes of neonatal admissions and deaths among newborns at neonate department in Benghazi Children Hospital. A cross sectional retrospective study was conducted during 2019. Data included; causes of admission, causes of deaths, gender, age, residency, area of referral, duration of hospital stay. Out of 1720 neonatal admissions reviewed, the total number of deaths was 229, the overall mortality rate was (13.3%) but much higher (25.2%) among the referred babies. The male gender was predominant admissions and deaths (61.3% and 63% respectively). Most of neonatal admissions and deaths were occurred in the first week of life. The most frequent cause of admission was neonatal jaundice 492 (28.6%) followed by RD 380 (22.1%). The common cause of death was prematurity and its related problems 66 (28.3%), then neonatal sepsis 51 (22.3%) and congenital heart disease 36(15.7%).

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Ibrahim, Riyadh M. « Morbidity and Mortality Pattern of Neonates Admitted to Neonatal Care Unit.Central Teaching Pediatric Hospital Baghdad ». AL-Kindy College Medical Journal 16, n^o 1 (5 septembre 2020) : 38–48. http://dx.doi.org/10.47723/kcmj.v16i1.188.

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Background; Neonatal period is a very vulnerable period of life due to many problems, In spite of advances in perinatal and neonatal care still, the mortality rate of neonate high especially in developing country The World Health Organization estimates that globally four million neonatal deaths per year, Developing countries account for around 99% of the neonatal mortality in the world, In Iraq. Neonatal mortality rate about 19 per 1000 live births which represent 56% of child death below 5 years age in 2012. .Objectives The aims of the study were to determine the institutional new-born case fatality rate and the cause of admission and death in the neonatal care unit.Method; Across-section study was carried out of the Neonatal Care Unit of Central Teaching Hospital of Pediatric in Baghdad Al-krakh Health DirectorateResult; During 2015, 1977 neonates were admitted, Mortality rate was 9%, Four main causes of death were identified; Respiratory related condition, Bacterial sepsis, premature neonate (Disorder related to short gestational and low birth weight not relayed to elsewhere classification) and congenital malformation 37.5%, 33.3%, 7.1% and 7.1% respectively , The main causes of morbidity were Neonatal jaundice, Respiratory related condition, Bacterial sepsis 37.5%, 35.2%. 14.1% respectively Conclusions: The majority of neonatal morbidity and mortality can be prevented by appropriate interventions

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Heráclio, Isabela De Lucena, Ana Paula Timóteo Vieira, Aline Luzia Sampaio Guimarães, Conceição Maria de Oliveira, Paulo Germano de Frias et Cristine Vieira do Bonfim. « Vigilância do óbito evitável : comparação entre fetal e neonatal precoce ». Revista Recien - Revista Científica de Enfermagem 11, n^o 34 (27 juin 2021) : 354–63. http://dx.doi.org/10.24276/rrecien2021.11.34.354-363.

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Comparar características sociodemográficas, assistenciais e epidemiológicas de óbitos fetais e neonatais precoces evitáveis investigados. Estudo transversal, cuja fonte de dados foi a ficha de investigação do óbito fetal, em menor de um ano, preenchida pela vigilância do Recife (PE). Procedeu-se a comparação entre os grupos de óbitos fetais e neonatais precoces evitáveis, utilizando o teste Qui-quadrado de Pearson, com a=5%. Dos 117 óbitos analisados, 94 (80,3%) eram fetais. A avaliação da assistência à saúde evidenciou falhas em 95,6% dos óbitos perinatais, destacando-se a assistência ao pré-natal, com falhas em 75,6% dos fetais e 90% nos neonatais precoces. Os óbitos reduzíveis por adequada atenção à mulher na gestação constituíram o principal grupo de evitabilidade (64,1%). Houve falhas na assistência na quase totalidade dos óbitos. A comparação entre os óbitos perinatais evitáveis permitiu avaliar a qualidade da assistência e pode contribuir com a elaboração de estratégias de redução.Descritores: Mortalidade perinatal, Saúde Materno-infantil, Estatísticas Vitais, Vigilância em Saúde Pública. Preventable death surveillance: a comparison between fetal and neonatalAbstract: To compare sociodemographic, health care and epidemiologic characteristics of investigated preventable fetal and premature neonatal deaths. Cross-sectional study, whose data source was the fetal death investigation form, in less than a year, filled out by Recife’s surveillance (PE). Then, a comparison proceeded between fetal and premature neonatal preventable death groups, utilizing the Pearson’s Chi-square test, with a=5%. From 117 analyzed deaths, 94 (80.3%) were fetal. The evaluation of healthcare presented failures in 95.6% of perinatal deaths, emphasizing the assistance to prenatal, with failures of 75.6% of fetal and 90% in premature neonatal deaths. Deaths reducible by adequate assistance for women during pregnancy were the main preventable group (64.1%). There were deficiencies in the assistance in almost all deaths. The comparison among avoidable perinatal deaths allowed the evaluation of care quality and may enable contributions towards the elaboration of reduction strategies.Descriptors: Perinatal Mortality, Maternal and Child Health, Vital Statistics, Public Health Surveillance. Vigilancia del óbito evitable: comparación entre fetal y neonatal precozResumen: Comparar características sociodemográficas, de auxílio social y epidemiológicas de óbitos fetales y neonatales precoces evitables investigados. Estudio transversal, cuya fuente de datos fue la ficha de investigación del óbito fetal, en menor de un año, rellenada por la vigilancia de Recife (PE). Se procedió a la comparación entre los grupos de óbitos fetales y neonatales precoces evitables, empleando el test Qui-cuadrado de Pearson, con a=5%. De los 117 óbitos analizados, 94 (80,3%) eran fetales. La evaluación de la asistencia a la salud denotó fallos en 95,6% de los óbitos perinatales, destacándose la asistencia prenatal con fallos en el 75,6% de los óbitos perinatales y 90% de los neonatales precoces. Los óbitos reductibles por atención adecuada a la mujer gestante constituyeron el principal grupo de evitabilidad (64,1%). Hubo fallos en la asistencia en la casi totalidad de los óbitos. La comparación entre los óbitos perinatales evitables permitió evaluar la calidad de la asistencia y puede enriquecer la elaboración de estrategias de reducción. Descriptores: Mortalidad perinatal, Salud Materno-Infantil, Estadísticas Vitales, Vigilancia en Salud Pública.

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Deviany, Poppy E., Philip W. Setel, Henry D. Kalter, Trisari Anggondowati, Martini Martini, Fitri Nandiaty, Kamaluddin Latief et al. « Neonatal mortality in two districts in Indonesia : Findings from Neonatal Verbal and Social Autopsy (VASA) ». PLOS ONE 17, n^o 3 (14 mars 2022) : e0265032. http://dx.doi.org/10.1371/journal.pone.0265032.

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Background The Government of Indonesia is determined to follow global commitments to reduce the neonatal mortality rate. Yet, there is a paucity of information on contributing factors and causes of neonatal deaths, particularly at the sub-national level. This study describes care-seeking during neonates’ fatal illnesses and their causes of death. Methods We conducted a cross-sectional community-based study to identify all neonatal deaths in Serang and Jember Districts, Indonesia. Follow-up interviews were conducted with the families of deceased neonates using an adapted verbal and social autopsy instrument. Cause of death was determined using the InSilicoVA algorithm. Results The main causes of death of 259 neonates were prematurity (44%) and intrapartum-related events (IPRE)-mainly birth asphyxia (39%). About 83% and 74% of the 259 neonates were born and died at a health facility, respectively; 79% died within the first week after birth. Of 70 neonates whose fatal illness began at home, 59 (84%) sought care during the fatal illness. Forty-eight of those 59 neonates went to a formal care provider; 36 of those 48 neonates (75%) were moderately or severely ill when the family decided to seek care. One hundred fifteen of 189 neonates (61%) whose fatal illnesses began at health facilities were born at a hospital. Among those 115, only 24 (21%) left the hospital alive–of whom 16 (67%) were referred by the hospital. Conclusions The high proportion of deaths due to prematurity and IPRE suggests the need for improved management of small and asphyxiated newborns. The moderate to severe condition of neonates at the time when care was sought from home highlights the importance of early illness recognition and appropriate management for sick neonates. Among deceased neonates whose fatal illness began at their delivery hospital, the high proportion of referrals may indicate issues with hospital capability, capacity, and/or cost.

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Thèses sur le sujet "Neonatal deaths"

Hatupopi, Saara K. « Investigating factors contributing to neonatal deaths in 2013 at a national hospital in Namibia ». University of the Western Cape, 2017. http://hdl.handle.net/11394/5617.

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Magister Curationis - MCur
Background: The neonatal period starts at birth and ends 28 days after birth, and is the most defence less period in the newborn's life. Improving newborn health is a priority for the Ministry of Health and Social Services (MoHSS) in Namibia. The national neonatal mortality rate stood at 21.80 per 1000 live births in the country, and Namibia was unable to attain Millennium Development Goal 4 which focused on reduction of the child mortality rate by two-thirds between 1990 and 2015. Aim: This study investigated the factors contributing to neonatal deaths at a national hospital in the Khomas region of Namibia, with the following objectives: (i) to identify causes of early neonatal deaths; (ii) to identify the causes of late neonatal deaths; and (iii) to identify avoidable and unavoidable factors contributing to neonatal deaths. Methodology: The study used a quantitative research approach with a retrospective descriptive design to investigate factors contributing to neonatal deaths. The primary data were collected from a population of 231 record files of all neonates who died during the period 1 January to 31 December 2013 while admitted to the national hospital before 28 completed days of life. Results: The study identified that of the neonates who died, 67.1% (n=155) were early neonatal deaths (during the first 0–7 days of life), while 32.9% (n=76) died during the late neonatal period (from 8–28 days of life). Of the neonates who died, 50.6% (n=117) were male and 48.48% (n=112) were female. The causes of early and late neonatal deaths were similar, although they happened at different stages. The causes of early neonatal deaths have been identified as respiratory distress syndrome (RDS) – 24.2% (n=56); neonatal sepsis – 12.1% (n=28); birth asphyxia – 11.7 % (n=27); congenital abnormalities – 14.7 % (n=34); hemorrhagic diseases of newborns – 3.9% (n=9); and unknown – 0.6% (n=1). Neonatal sepsis caused the highest number of late neonatal deaths 17.7 %,( n=41); followed by RDS – 7.4% (n=17); congenital abnormalities – 3.9% (n=9); birth asphyxia – 3.1% (n=7); birth trauma – 0.4% (n=1); and unknown factors – 0.4 % (n=1). The study revealed that avoidable factors related to healthcare providers had a severe impact on neonatal deaths, while congenital abnormalities were unavoidable factors. Conclusion: The study concluded that most neonatal deaths are related to actions or inactions of the healthcare providers and could be avoided. Recommendations: Based on the results of the study, further research is required to assess the knowledge, skills, and behaviors of the healthcare providers. Training and education about neonatal resuscitation needs to be carried out on a regular basis.

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Lorenzo-Luaces, Felipe. « A Study of the Two Major Causes of Neonatal Deaths : Perinatal Conditions and Congenital Anomalies ». UNF Digital Commons, 1994. http://digitalcommons.unf.edu/etd/116.

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Infant mortality is a public health concern in the United states. We concentrate on neonatal mortality for its high accountability of infant mortality. In this paper we study the neonatal mortality of Florida's 1989 live birth cohort. The data has been analyzed for two major causes of deaths: perinatal conditions and congenital anomalies. We use the KAPLAN-MEIER method to estimate the survival probabilities. For each cause, data were fit to the Weibull models and Extreme Value models to estimate the parameters of the survival curves. The results indicate that primary factors for each cause of neonatal deaths are very low birth weight, prior pregnancies of the mother, and late initiation of prenatal care when the variables are considered separately. The conclusion still remains the same for perinatal conditions when the interaction effects of the factors are considered, but we do not conclude similarly for the congenital anomalies at the same interaction level.

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Aboobakur, Maimoona Pimonpan Isarabhakdi. « Influence of maternal and service factors on neonatal deaths and still births in the Maldives / ». Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd392/4838760.pdf.

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Lawn, J. E. « 4 million neonatal deaths : an analysis of available cause-of-death data and systematic country estimates with a focus on 'birth asphyxia' ». Thesis, University College London (University of London), 2009. http://discovery.ucl.ac.uk/19027/.

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Background: Of the world’s four million neonatal deaths, 99% occur in low/middleincome countries, but most information relates to the 1% dying in high-income countries. Reliable cause-of-death data are lacking. The aim of this thesis is to develop programmatically-relevant, national estimates for neonatal cause-of-death, focusing on “birth asphyxia” to illustrate specific challenges in the available data and for systematic national estimates. Objectives: 1. Review estimation methods, giving implications for neonatal cause-of-death estimation. 2. Propose programmatic categories for neonatal cause-of-death, reviewing measurement options for intrapartum-related outcomes (“birth asphyxia”). 3. Identify and analyse existing neonatal cause-of-death data. 4. Estimate intrapartum-related neonatal deaths for all countries, comparing single-cause and multi-cause models. 5. Summarise priorities for improving neonatal cause-of-death estimates and input data. Data inputs: Case definitions were reviewed for neonatal cause-of-death and intrapartumrelated outcomes. Six programmatically relevant cause-of-death categories were defined, plus a residual “other neonatal” category. Two sources of neonatal cause-of-death data were examined: Vital Registration (VR) datasets for countries with high coverage (>90%) based on a new analysis from 83 countries; and published/unpublished studies identified through systematic searches. Inclusion criteria for representativeness and comparability were applied. Data from 44 countries with VR (96,797 neonatal deaths) and from 56 studies (29 countries, 13,685 neonatal deaths) met inclusion criteria, despite screening almost 7,000 abstracts. These data represent <3% of the world’s neonatal deaths. Thus estimation is necessary for global level information. No useable data were identified from Central and North-West Africa, or Central Asia. Modelling: Methods were developed to estimate intrapartum-related neonatal deaths (single-cause), and then simultaneously estimate seven causes of neonatal death (multi-cause). Applying these proportions to the numbers of neonatal deaths in 192 countries gives a global estimate of intrapartum-related neonatal deaths of 0.90 (0.65-1.17) million using single-cause and 0.91 (0.60-1.08) million using multi-cause methods. Discussion: The multi-cause model has become WHO’s standard method for neonatal cause-of-death estimates. However, complex statistical models are not a panacea. More representative data are required. Simplified case definitions and consistent hierarchical cause-of- death attribution would improve comparability, especially for intrapartum-related deaths.

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Vergnano, S. « Verbal autopsy for stillbirth and neonatal deaths : comparing population cause specific mortality fraction using two methods ». Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1349291/.

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Background: Every year 3.2 million infants are stillborn and 3.6 million die within the first month. Up to 98% of these deaths occur in countries with inadequate or non-existent vital registration systems, where cause of death data are sparse and mostly derived from verbal autopsies (VA). It has been advocated that VA are included in routine national statistics. This thesis proposes and compares the strengths and limitations of methodologies to collect and interpret VA data for stillbirths and neonatal deaths. Methods: Data were derived from three research areas in Malawi, Nepal and Mumbai. The development of classifications, diagnostic algorithms and questionnaires for VA, suitable for physician review interpretation is described. A probabilistic method to analyse all age deaths (InterVA) was adapted for stillbirths and neonatal deaths. Cause specific mortality fractions were compared using physicians’ review and InterVA. Results: Neonatal mortality rate in Malawi was 25/1000 livebirths (LB), in Nepal 31/1000 LB and in Mumbai 16/1000 LB. A total of 922 VA including both live and stillbirths were analysed to establish causes of death. Stillbirths accounted for 44-54% of deaths. Of neonatal deaths, in Malawi the majority were attributed to severe infections according to physician review (55%) and InterVA (46%); in Nepal (43%) and Mumbai (61%) perinatal asphyxia was most common according to InterVA. In Nepal however, physician review ascribed the majority of neonatal deaths to severe infections (50%). Kappa statistics for individual agreement comparing both methods was 0.60 (CI 0.567-0.702) in Malawi, 0.62(CI 0.59- 0.65) in Nepal and 0.48(0.40 - 0.50) in Mumbai. Discussion: Different VA interpretation methods exist, however standardised procedures are necessary for international comparison. The role of physician review in interpreting VA is changing while computerised methods are becoming more widespread. The modified InterVA model provides a rapid and consistent method to establish causes of stillbirths and neonatal deaths, however it requires further refinements and ultimately a validation study using a comparison other than physician review.

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Lewycka, S. O. « Reducing maternal and neonatal deaths in rural Malawi : evaluating the impact of a community-based women's group intervention ». Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1310258/.

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Background: Maternal and neonatal mortality are high in Malawi, and cost-effective and sustainable interventions are needed in order to reduce mortality rates and make progress to achieve Millennium Development Goals 4 and 5 for mother and child health. Where health systems are weak and many women deliver at home, community-based interventions have the potential to make an important contribution to health improvements. Methods: A cluster-randomised study with a factorial design was used to evaluate the impact of two community-based interventions on maternal and child health outcomes. A prospective pregnancy and birth monitoring system was developed to collect information on pre-specified pregnancy, birth and infant outcomes. The research presented here focuses on the women’s group intervention, which uses participatory methods to mobilise communities to take actions for maternal and child health problems they identify. Results: 18,562 pregnancies were followed up, resulting in 18,340 live births, 362 stillbirths, 434 neonatal deaths and 73 maternal deaths. 11,450 live births were identified retrospectively, resulting in 484 infant deaths. Statistically significant reductions in maternal and neonatal mortality as a result of the women’s group intervention were not seen (adjusted odds ratio 0.94 (95% CI 0.56-1.61) and 0.95 (95% CI 0.71-1.28) respectively). There were significant improvements in antenatal care and immunisation, and reductions in births attended by traditional birth attendants, and there were non-significant reductions in mortality and increases in health-care seeking. Discussion: Although women’s groups showed promising signs of community-level action for mother and child health, methodological factors, such as low power and baseline imbalance after randomisation, may have limited the ability of this study to detect an impact of the intervention on mother and child health outcomes. Design and implementation factors may also have caused delays and limited the measurable impact of the intervention at this time. Follow-up over a longer period may show greater impact.

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Chowdhury, Md Hafizur Rahman. « Neonatal deaths in a rural area of Bangladesh : an assessment of causes, predictors and health care seeking using verbal autopsy ». Thesis, Curtin University, 2008. http://hdl.handle.net/20.500.11937/1526.

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Poor neonatal health is a major contributor to mortality in under-five children in developing countries, accounting for more than two thirds of all deaths in the first year of life, and for about half of all deaths in children under-five. A major constraint to effective neonatal survival programmes in developing countries, such as Bangladesh, has been the lack of accurate epidemiological data on neonatal deaths. The current study aimed to (1) describe the causes of neonatal death in a rural subdistrict of Bangladesh; (2) describe associated birth and obstetric characteristics of neonatal deaths; (3) describe the patterns of care-seeking practices during the fatal neonatal illness episode; (4) compare deaths and care-seeking patterns between the Maternal and Child Health and Family Planning (MCH-FP) service area of the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) and the adjoining government service area; (5) identify the predictors of neonatal deaths; and (6) assess the accuracy in assigning causes of death from verbal autopsy data by comparing physician review with medical assistant review and computer-based algorithm.This study was carried out during 2003 and 2004 in a demographic surveillance area in the Matlab rural sub-district of eastern Bangladesh. The surveillance system covers a population of ~220,000 and is maintained by ICDDR,B. Community health workers (CHRW) visit each household monthly to record vital demographic, morbidity and health care seeking data. Half of the surveillance population receives MCH-FP services from ICDRR,B (ICDDR,B service area) and the remaining half receives standard government services (government service area).Verbal autopsies, consisting of retrospective interviews with caregivers of recently deceased neonates about the circumstances leading to their death, were carried out by the staff trained in verbal autopsy. The interviews were held with the mothers of all deceased neonates (n=365) who had died during 2003 and 2004. The verbal autopsy data were then independently reviewed by three physicians and a medical assistant to assign a direct cause of death and an originating cause of death. A computer algorithm using evidence-based clinical signs and/or symptoms was also used for assigning cause of death. Agreement of at least two of the three physicians was used to determine direct causes of death. Diagnostic accuracy and reliability of medical assistant and algorithm in assigning direct cause of death were evaluated by comparing with the diagnoses provided by the physicians. Linked epidemiological data on all live births in the Matlab area during 2003 and 2004 were also analysed.There were 365 deaths among the 11,291 live births recorded during 2003 and 2004, yielding a neonatal mortality rate (NMR) of 32.3 per 1000 live births. The NMR was lower in the ICDDR,B area compared to the government area. Of all neonatal deaths, 37% occurred within 24 hours, 76% within three days, 84% within seven days, and the remaining 16% between eight and 28 days of birth.Five causes accounted for 85% of the deaths: birth asphyxia (45%), prematurity/low birth weight (LBW) (15%), sepsis/meningitis (12%), respiratory distress syndrome (7%), and pneumonia (6%). The majority of neonatal death cases were low birth weight (56%) and singleton births (82%). There were some differences in the distribution of causes of death between the ICDDR,B and government areas, the most notable being prematurity/LBW which was twice as common in the ICDDR,B area than in government area.Strikingly, more than a third (37%) of the deceased neonates had not been taken to any source of health care for the fatal illness episode, and another quarter (25%) sought care from traditional healers or from unqualified practitioners. Only 37% sought modern biomedical care from a doctor or paramedic.Among the 365 neonatal deaths, a much higher proportion (48.5%) of the deliveries occurred at a health facility in the ICDDR,B area, compared to 15.3% in the government area. Vaginal delivery was the commonest mode of delivery in both areas, with a higher proportion of caesarean sections in the ICDDR,B area (9.3%) compared with the comparison government area (1.6%).The verbal autopsy method appears to be highly effective in that agreement on a direct cause of death was reached by at least two physicians in 339 (93%) cases. Using the physician review as the gold standard, the medical assistant review of causes of death demonstrated a sensitivity ranging from 47.7% to 83.5% depending on the cause of death, a specificity ranging from 93.0% to 97.5%, and kappa values ranging from 0.51 to 0.77. Similarly, depending on the cause of death, algorithm demonstrated a sensitivity ranging from 35.6% to 77.4%, specificity ranging from 86.8% to 95.9%, and kappa values ranging from 0.24 to 0.69.Independent predictors of neonatal mortality included lack of maternal education, single parity, and lack of antenatal care (ANC) during the last trimester. Male sex of the neonate, multiple births, and facility-based delivery were also significantly associated with excess neonatal mortality.In conclusion, the study highlighted the central role of birth asphyxia, prematurity/LBW, and sepsis/meningitis in neonatal deaths, indicating that the core of interventional packages to prevent neonatal deaths in rural Bangladesh should incorporate these causes. Community awareness about early care seeking, skilled attendance at delivery, and training and integration into mainstream services of traditional/unqualified care practitioners are some of the approaches needed to reduce neonatal mortality further. Improving access to female education and antenatal care would also have beneficial effects on neonatal survival.This study revealed the value of both review by medical assistant and computerbasedalgorithm to reliably assign major causes of neonatal deaths from verbalautopsy data. Further research could be undertaken to develop optimal combinationsof the medical assistant and hierarchical algorithm for assigning major causes ofdeath in low-resource settings such as Matlab.

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Santos, Patricia Carla dos. « Análise socioespacial dos nascimentos, óbitos neonatais e fetais ocorridos no município de São Paulo em 2010 ». Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/6/6132/tde-17052017-164401/.

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Introdução - O estudo de eventos de saúde deve levar em conta que as características dos indivíduos de uma determinada localidade não constituem simples somatórios das medidas de cada um dos sujeitos e há que se considerar um modelo explicativo baseado em níveis de organização e na estrutura de dependência entre o nível individual e o nível de contexto onde esses sujeitos estão inseridos. Assim, a análise dos nascimentos e da mortalidade neonatal e fetal pode incorporar diferentes variáveis associadas ao contexto onde se expressam considerando a complexidade e as particularidades dessas ocorrências numa população e num espaço tão diverso. Metodologia - Foi realizado estudo transversal dos nascimentos, óbitos neonatais (<28 dias de vida) e óbitos fetais de mães residentes e ocorridos no município de São Paulo. Os endereços de residência materna foram geocodificados e foi calculada a distância entre as residências e o hospital de ocorrência. Além disso, cada indivíduo foi caracterizado com informações socioeconômicas do Censo Demográfico de 2010, segundo área de Ponderação. Os setores censitários de residência foram classificados segundo Índice Paulista de Vulnerabilidade Social IPVS. Os hospitais foram classificados em SUS e não SUS e para os Nascidos Vivos (e óbitos neonatais) também foram classificados segundo referência para atendimento de risco gestacional. Foram obtidos aglomerados de Nascidos Vivos (NV) através da técnica de varredura espacial. Através de análise multinível foi verificado o efeito do contexto socioeconômico na mortalidade neonatal e fetal. Resultados - Verificou-se que os aglomerados tanto SUS como não SUS não são homogêneos entres si, com diferenças em relação à idade das mães, escolaridade, número de consultas pré-natal e prematuridade. A distância média teórica percorrida pelas mães até o hospital foi 51,8% menor nos aglomerados SUS que nos não SUS. A menor distância nos nascimentos SUS indica a regionalização da assistência ao parto no município de São Paulo. Os resultados mostraram que há um aumento da taxa de mortalidade neonatal com o aumento da vulnerabilidade social. Houve um efeito contextual da vulnerabilidade social e observa-se que apenas as variáveis individuais que representam as características da gestação, recém-nascido e assistência pré-natal mostraram-se associadas à mortalidade neonatal. O efeito contextual da vulnerabilidade social nas variáveis individuais que representam as características da gestação, feto e escolaridade materna mostrou-se associadas à mortalidade fetal. Na modelagem multinível não foi observada variabilidade importante da mortalidade fetal entre os níveis. Conclusões - A detecção de aglomerados e sua caracterização socioeconômica das áreas contribuem para o entendimento do padrão de nascimentos e nas intervenções de saúde pública, proporcionando melhoria no atendimento das necessidades de acesso ao pré-natal e parto de forma mais eficiente. Os resultados em relação à mortalidade neonatal e fetal revelam que as desigualdades sociais estão presentes na cadeia causal desses dois desfechos e o que contribui com a compreensão dos fatores de risco para a mortalidade neonatal e fetal, principalmente no que diz respeito à participação da vulnerabilidade social na mortalidade e explicita a distância entre a residência materna e o hospital como um indicador socioeconômico
Introduction - The study of health events should take into account that the characteristics of the individuals of a given locality are not simple sums of the measures of each one of the subjects and it is necessary to consider an explanatory model based on levels of organization and the structure of dependence between the Individual level and the context level where these subjects are inserted. Thus, the analysis of neonatal and fetal births and mortality can incorporate different variables associated to the context considering the complexity and the peculiarities of these occurrences in a population and in such a diverse space. Methodology - A cross-sectional study of births, neonatal deaths (<28 days of life) and fetal deaths of resident mothers occurred in the city of. The maternal residence addresses were geocoded to calculate the distance between the residences and the hospital. In addition, each individual was characterized with socioeconomic information from the Demographic Census of 2010, according to the weighting areas. The census tracts of residence were classified according to Index of Social Vulnerability - IPVS. Hospitals were classified in SUS and non-SUS and for live births (and neonatal deaths) were also classified according to reference for gestational risk care. The clusters of live births (LB) were obtained through the spatial sweep technique. The effect of the socioeconomic context on neonatal and fetal mortality was verified by multilevel analysis. Results - It was verified that the clusters both SUS and non-SUS are not homogeneous between them, with differences in relation to the mothers\' age, schooling, number of prenatal consultations and prematurity. The mean theoretical distance traveled by the mothers to the hospital was 51.8% lower in the SUS clusters than in the non-SUS. The shorter distance in SUS births indicates the regionalization of childbirth care in the city of São Paulo. The results showed that there is an increase in the neonatal mortality rate with increased social vulnerability. There was a contextual effect of social vulnerability and it was observed that only the individual variables that represent the characteristics of gestation, newborn and prenatal care were shown to be associated with neonatal mortality. The contextual effect of social vulnerability on the individual variables that represent the characteristics of gestation, fetus and maternal schooling has been shown to be associated with fetal mortality. In the multilevel modeling whose context was the level of vulnerability of the place of maternal residence, no significant variability of fetal mortality between the levels was observed. Conclusion - The detection of clusters and their socioeconomic characterization of the areas contribute to the understanding of the birth pattern and the public health interventions, providing an improvement in the attendance of prenatal access and delivery needs in a more efficient way. The results in relation to neonatal and fetal mortality reveal that social inequalities are present in the causal chain of these two outcomes and that contributes to the understanding of the risk factors for neonatal and fetal mortality, especially with regard to the participation of social vulnerability In mortality and explicit the distance between the maternal residence and the hospital as a socioeconomic indicator

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Hofer, Amanda. « Causes and circumstances of neonatal deaths in 108 consecutive cases over a 10-year period at the children's hospital of Lucerne, Switzerland / ». [S.l.] : [s.n.], 2009. http://www.ub.unibe.ch/content/bibliotheken_sammlungen/sondersammlungen/dissen_bestellformular/index_ger.html.

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Sleutjes, Fernanda Cristina Manzini [UNESP]. « Avaliação dos óbitos neonatais no Departamento Regional de Saúde VI - Bauru ». Universidade Estadual Paulista (UNESP), 2011. http://hdl.handle.net/11449/106049.

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Investigar os óbitos neonatais pode ser uma importante estratégia para redução da mortalidade infantil e fetal, pois contribui para melhorar a qualidade da informação sobre esse evento adverso e possibilita a adoção, pelos serviços de saúde, de medidas para a prevenção de óbitos evitáveis. Objetivo Geral: avaliar os óbitos neonatais investigados no Departamento Regional de Saúde VI – Bauru, considerando-se os Colegiados de Gestão Regional, no ano de 2009. Metodologia: estudo descritivo e transversal, que analisou 162 óbitos investigados, a partir das informações digitadas no Sistema de Informações sobre Mortalidade Neonatal (SIM-Neo). Os resultados são apresentados de forma descritiva e a partir de escore síntese que considerou a qualidade da atenção ao pré-natal, ao parto e ao recém-nascido; fatores de risco pré-natal, no parto e com relação ao recém-nascido e situação sociodemográfica materna. Para análise dos escores foi ajustado um modelo para proporções do tipo logístico, considerando Colegiados e categorias como efeitos principais e a interação Colegiados versus categorias. Resultados: passaram por alguma investigação 88,5% dos óbitos ocorridos e 67,3% tiveram investigação completa. A análise dos escores relativos à qualidade da atenção pré-natal evidenciou diferença quando se consideraram os piores resultados (escore menores que cinco), sendo o Colegiado Vale do Jurumirim diferente e melhor que o de Bauru e o de Lins. Com relação à qualidade da assistência ao parto, houve diferença quando se compararam os Colegiados Vale do Jurumirim, Bauru e Cuesta Botucatu com Lins, sendo pior a situação de Lins. Para a qualidade da atenção ao neonato, os Colegiados de Bauru e Jaú diferiram e foram melhores que o Vale do Jurumirim. Quanto ao risco do neonato, o Colegiado Vale do Jurumirim...
Introduction: Investigating neonatal deaths can be an important strategy to reduce child and fetal mortality as it contributes to improve the quality of information on such adverse event and allows for the adoption of measures for prevention of evitable deaths by health care services. Objective: To evaluate neonatal deaths investigated at the Regional Health Department VI (DRS VI) – Bauru by taking into account the Regional Management Collegiates in 2009. Methodology: This is a descriptive crosssectional study that analyzed 162 deaths investigated from the information entered on the Neonatal Mortality Information System (SIM-Neo). Results are presented in a descriptive fashion and based on a synthesis score which considered the quality of prenatal care, the care to delivery and the care to newborns; prenatal risk factors, delivery risks and those related to newborns as well as maternal sociodemographic conditions. For score analysis, a logistic model was fitted for proportions by taking into account Collegiates and categories as main effects and the Collegiate-versuscategory interaction. Results: 88.5% of the occurring deaths underwent some investigation, and 67.3% were completely investigated. The analysis of the scores related to the quality of prenatal care showed difference when the worse scores (scores lower than five) were considered, and Vale do Jurumirim Collegiate was different and better than those in Bauru and Lins. As regards the quality of care to delivery, difference was found when comparing the Collegiates in Vale do Jurumirim, Bauru and Cuesta Botucatu with that in Lins, and Lins showed the worst situation. As for the quality of care to neonates, the Collegiates in Bauru and Jau differed and were better than that in Vale do Jurumirim. Concerning risk to neonates, the Collegiate... (Complete abstract click electronic access below)

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Livres sur le sujet "Neonatal deaths"

Alexander, Isolde. Births and neonatal deaths by birthweight and hospital of birth occurrence, Oregon, 1984-1988. Portland : Oregon Dept. of Human Resources, Health Division, Epidemiology and Health Statistics, Center for Health Statistics, 1991.

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Great Britain. Department of Health. Review of four neonatal deaths due to cardiac tamponade associated with the presence of a central venous catheter. London : Department of Health, 2001.

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Society, Stillbirth and Neonatal Death. After stillbirth and neonatal death : What happens next. London : The Society, 1986.

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Emanuel, Lewis, Vallender Ian et Tavistock Clinic, dir. Psychological aspects of stillbirth and neonatal death : An annotated bibliography. London : Tavistock Clinic, 1992.

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International Conference on Fetal and Neonatal Physiological Measurements (2nd 1984 Oxford). Neonatal physiological measurements : Proceedings of the Second International Conference on Fetal and Neonatal Physiological Measurements. London : Butterworths, 1986.

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W, Fowlie Peter, dir. Life, death, and decisions : Doctors and nurses reflect on neonatal practice. Hale, Cheshire, England : Hochland & Hochland, 1996.

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Boyle, Frances M. Mothers bereaved by stillbirth, neonatal death, or sudden infant death syndrome : Patterns of distress and recovery. Aldershot, Hants., England : Ashgate, 1997.

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Coping with infertility, miscarriage, and neonatal loss : Finding perspective and creating meaning. Washington, D.C : American Psychological Association, 2014.

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Kohner, Nancy. When a baby dies : The experience of late miscarriage, stillbirth and neonatal death. London : Pandora, 1991.

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Alix, Henley, dir. When a baby dies : The experience of late miscarriage, stillbirth, and neonatal death. New York : Routledge, 2001.

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Chapitres de livres sur le sujet "Neonatal deaths"

Collins, Kim A. « Fetal, Intrapartum, and Neonatal Deaths ». Dans Forensic Pathology of Infancy and Childhood, 81–108. New York, NY : Springer New York, 2014. http://dx.doi.org/10.1007/978-1-61779-403-2_5.

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Singla, Rimpi. « Management of pregnancy with one or more early neonatal deaths ». Dans Recurrent Pregnancy Loss and Adverse Natal Outcomes, 97–106. Boca Raton : CRC Press, 2020. : CRC Press, 2020. http://dx.doi.org/10.1201/9780429435027-12.

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Paes, Neir Antunes, Carlos Sérgio Araújo dos Santos et Tiê Dias de Farias Coutinho. « Completeness Assessment of Neonatal Deaths in a Region of Brazil : Linkage and Imputing Missing Data ». Dans The Springer Series on Demographic Methods and Population Analysis, 207–17. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-93005-9_13.

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Charles, Cathy. « Stillbirth and neonatal death ». Dans The Midwife's Labour and Birth Handbook, 385–405. Chichester, UK : John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119235064.ch21.

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Golding, Jean. « Epidemiology of Fetal and Neonatal Death ». Dans Fetal and Neonatal Pathology, 151–65. London : Springer London, 1987. http://dx.doi.org/10.1007/978-1-4471-3523-4_7.

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Golding, Jean. « Epidemiology of Fetal and Neonatal Death ». Dans Fetal and Neonatal Pathology, 175–90. London : Springer London, 2001. http://dx.doi.org/10.1007/978-1-4471-3682-8_6.

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Golding, Jean. « Epidemiology of Fetal and Neonatal Death ». Dans Fetal and Neonatal Pathology, 165–81. London : Springer London, 1993. http://dx.doi.org/10.1007/978-1-4471-3802-0_6.

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MA, Jean Golding. « Epidemiology of Fetal and Neonatal Death ». Dans Fetal and Neonatal Pathology, 204–23. London : Springer London, 2007. http://dx.doi.org/10.1007/978-1-84628-743-5_9.

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Flenady, Vicki. « Epidemiology of Fetal and Neonatal Death ». Dans Keeling’s Fetal and Neonatal Pathology, 141–64. Cham : Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-19207-9_6.

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Flenady, Vicki, et Jessica Sexton. « Epidemiology of Fetal and Neonatal Death ». Dans Keeling's Fetal and Neonatal Pathology, 131–57. Cham : Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84168-3_6.

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Actes de conférences sur le sujet "Neonatal deaths"

Khader, Yousef, Mohammad S. Alyahya, Anwar Batieha et Adel Taweel. « JSANDS : A Stillbirth and Neonatal Deaths Surveillance System ». Dans 2019 IEEE/ACS 16th International Conference on Computer Systems and Applications (AICCSA). IEEE, 2019. http://dx.doi.org/10.1109/aiccsa47632.2019.9035335.

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Dria, Stephen, Kaitlyn Harfmann, Christopher (Xiang) Lee, David Narrow, Kusum Thapa, Harshad Sanghvi, Helge Myklebust et Soumyadipta Acharya. « Optimizing the Design of a Device Targeted Towards Facilitating Adequate Neonatal Resuscitation in Low Resource Environments ». Dans ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14682.

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Annually, there are 4 million global neonatal deaths, which account for over 38% of deaths in children under the age of five. 1 Most of these deaths occur in developing nations and resource constrained environments. Researchers have identified 16 available interventions, and with 99% coverage, these interventions can prevent 41–72% of all global neonatal deaths. 2

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Pratiwi, Silvalia Rahma, Hanung Prasetya et Bhisma Murti. « Low Birth Weight and Neonatal Mortality : Meta Analysis ». Dans The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.113.

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ABSTRACT Background: Low birth weight (LBW) has been used as an important public health indicator. LBW is one of the key drivers and indirect causes of neonatal death. It contributes to 60% to 80% of all neonatal deaths, annually. This study aimed to examine association between LBW and neonatal mortality using meta analysis. Subjects and Methods: This was meta-analysis and systematic review. Published articles in 2010-2020 were collected from Google Scholar, PubMed, Springer Link, Hindawi, Clinical Key, ProQuest databases. Keywords used “low birth weight” AND “mortality” OR “birth weight mortality” OR “neonatal death” AND “cross sectional” AND “adjusted odd ratio”. The inclusion criteria were full text, using cross-sectional study design, and reporting adjusted ratio. The data were analyzed by PRISMA flow chart and Revman 5.3. Results: 6 studies were met criteria. This study showed that low birth weight increased the risk of neonatal mortality (aOR= 2.23; 95% CI= 1.12 to 4.44; p= 0.02). Conclusion: Low birth weight increases the risk of neonatal mortality. Keywords: low birth weight, mortality, neonatal death Correspondence: Silvalia Rahma Pratiwi. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: silvaliarahmapratiwi@gmail.com. Mobile: 082324820288. DOI: https://doi.org/10.26911/the7thicph.03.113

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Armijos, Luciana, Betzabé Tello, Carmenza Sevilla, Isaac Cano, Johanna Fonseca, Luis Vivas, María F. Rivadeneira et al. « Development of a web-based tool –The Score Bebé ®– for enhancing neonatal risk stratification : A nationwide retrospective study ». Dans 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002102.

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Background: In Ecuador, the neonatal mortality rate has increased from 4.1 to 6.0 per 1000 live births between 2014 and 2019. We aimed to develop and validate a health risk assessment tool for predicting neonatal mortality and to reach a nationwide consensus on stratified management. Methods: We retrospectively analyzed all neonatal deaths registered by the Ministry of Public Health between 2014 and 2017 in Ecuador. We developed a health risk assessment tool by using the information of deceased neonates between 2014 and 2016, and subsequently validated it using the information of deceased neonates in 2017. Several perinatal predictors were tested. The score was qualitatively refined by ~70 healthcare professionals in five Ecuadorian cities, and it was transformed into a web-based calculator with stratified suggestions of care. Results: Survival estimates differed significantly across the risk bands. The resulting Score Bebé® is available at https://scorebebe.com/ and includes stratified suggestions for care.

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Gu, Brian, Malvi Hemani, Barbara Kim, Angelica Herrera, Eun Yong Kim, Hyun Soo Jang, Megan Lamberti et Anne Pigula. « Neonatal Resuscitation : A Global Perspective ». Dans ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14353.

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Approximately 904,000 newborns die of breathing complications, or birth asphyxia, each year[1]. It is estimated that 30% of these deaths could be prevented[2]; however, healthcare workers in developing nations often lack the training, skills, or equipment necessary to properly resuscitate these infants. For this reason, child mortality is disproportionally clustered in low-resource locations in which the current standard of care is ineffective. The bag-valve mask resuscitator (or BVM) is the recommended treatment for a newborn who is not breathing properly.

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Eduardo Beluzo, Carlos, Lucas Rodrigues Pimentel et Tiago José de Carvalho. « Big Data Visualization Methods Applied in the Context of Neonatal Mortality ». Dans Computer on the Beach. Itajaí : Universidade do Vale do Itajaí, 2020. http://dx.doi.org/10.14210/cotb.v11n1.p592-595.

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Neonatal mortality is a worldwide problem and its reduction isof common international interest. Around 46% of all deaths inthe world happen to infants up to five years of age, and most ofthose deaths is concentrated in the first few days after birth. InBrazil, although having data sources such as IBGE and DATASUS,there is no platform that provides an intuitive way of visualizingthis data. Thus, this work proposes the use of specialized visualanalysis tools for big data, such as Python libraries Dash by Plotly,NumPy and Pandas, in order to facilitate the understanding ofpublic information related to neonatal mortality, which can lead tothe mitigation of the problem.

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Soares Bicalho, Thamires, Ana Paula Ferreira, Larissa Azevedo da Hora, Roberta Lastorina Rios, Thaís Aparecida de Castro Palermo et Carolina Magalhães Santos. « Neonatal mortality : the profile of deaths in the state of Rio de Janeiro ». Dans 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212406.

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Deaths that occur up to 27 days of life are related to maternal and child health. However, the health of the mother-child binomial is built from the beginning of family planning, the responsibility of prenatal care; the technical conduction of childbirth and postpartum with a sensitive observation of the first hours of life. In professional practice, death is classified as earlyand late depending on the postpartum survival time, with Brazilian indicators revealing 53.2% of occurrences related to the first 6 days of life. Given the negative context, this study aimed to reveal the epidemiological profile of neonatal mortality in the state of Rio de Janeiro and relate the causes that may have corroborated the occurrences. This was a descriptive cross-sectional study with cuts between the years 2008 to 2018 (11 years) which, after the data collected from the federal platform TabNet, were distributed in frequency tables for descriptive statistical analysis using the SPSS software version 24.0. From the data collected, it can be stated that the largest proportion of deaths occurred in the early neonatal stage, especially in the city of Rio de Janeiro, which over the years had the highest number of occurrences of all states, but with a pending period of average investigation of the last triennium of 16%. The majority of deaths occurred in the hospital environment, in premature male babies, born by cesarean delivery, low birth weight, of brown race/color with causes of death from conditions originating from the perinatal period such as pneumonia, born to women aged between 20 to 29 years, with study time of 12 years or more. Maternal and child health is a priority within public health policies, however, the population suffers from the reduction or stagnation of investments that optimize the strengthening of the policy by expanding the network of access to consultations, tests, treatment, andmonitoring of puerperal needs. The overload of health professionals working in the unit can also make it difficult to provide care since there is productivity to be achieved, which can interfere with the quality and time of listening and observation of consultations. Given the detailed work, it is concluded that municipal health policies should use their finances to mitigate risk events from prenatal care, turning their eyes to the quality of access to health that it provides in relation to the physical structure, diagnostic equipment, waiting for time and updating of health professionals.

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Guo, S. « EFFICACY OF TELEMEDICINE IN REDUCING NEONATAL DEATHS DURING THE COVID-19 PANDEMIC ». Dans International conference on public health. The International Institute of Knowledge Management, 2022. http://dx.doi.org/10.17501/24246735.2022.7109.

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Dubus, Magali, Kwok Sean Mun et Vimal Vasu. « 1549 Variation in referral of neonatal deaths to coronial services in the UK ». Dans Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 15 June 2021–17 June 2021. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2021. http://dx.doi.org/10.1136/archdischild-2021-rcpch.712.

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Ahmed, L., GI Oligbu, L. Ferraras et SN Ladhani. « G610(P) Retrospective analysis of neonatal deaths secondary to infections in England and Wales, 2013–2015 ». Dans Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 25 September 2020–13 November 2020. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-rcpch.524.

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Rapports d'organisations sur le sujet "Neonatal deaths"

Heron, Melonie. Deaths : Leading Causes for 2018. National Center for Health Statistics, mai 2021. http://dx.doi.org/10.15620/cdc:104186.

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This report presents final 2018 data on the 10 leading causes of death in the United States by age, sex, race, and Hispanic origin, along with leading causes of infant, neonatal, and postneonatal death.

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Zamorano, Natalia, et Cristian Herrera. Can community-based intervention packages reduce maternal and neonatal morbidity and mortality ? SUPPORT, 2017. http://dx.doi.org/10.30846/170115.

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In the last three decades, rates of neonatal mortality in low-income countries have declined much more slowly than the rates of infant and maternal mortality. A significant proportion of these deaths could potentially be addressed by community-based intervention packages, which are defined as delivering more than one intervention via different sets of strategies that include additional training of outreach workers, building community-support, community mobilization, antenatal and postnatal home visitation, training of traditional birth attendants, antenatal and delivery home visitation, and home-based neonatal care and treatment; usually supplemented by strengthening linkages with local health systems.

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Steinmann, Peter. Can in-service health professional training improve the resuscitation of seriously ill newborns and children in low-income countries ? SUPPORT, 2016. http://dx.doi.org/10.30846/1608152.

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Mortality among seriously ill neonates and children remains high in many low -income countries, even in healthcare facilities with professional staff. Most of these deaths occur within 48 hours of admission. In-service training courses in the emergency care of neonates and children are targeted towards professional healthcare staff. This is seen as a way of reducing mortality through training. However, most courses have been developed in high-income countries and their potential effectiveness in low-income country settings is unclear.

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