Utilization of postnatal care for newborns and its association with neonatal mortality in India An analytical appraisal 英文参考文献.docVIP
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Utilization of postnatal care for newborns and its association with neonatal mortality in India An analytical appraisal 英文参考文献
Singhetal.BMCPregnancyandChildbirth2012,12:33
/1471-2393/12/33
RESEARCH ARTICLE
OpenAccess
Utilizationofpostnatalcarefornewbornsandits
associationwithneonatalmortalityinIndia:An
analyticalappraisal
AbhishekSingh1*,AwadheshYadav2andAshishSingh3
Abstract
Background:39%ofneonataldeathsinIndiaoccuronthefirstdayoflife,and57%duringthefirstthreedaysof
births.However,theassociationbetweenpostnatalcare(PNC)fornewbornsandneonatalmortalityhasnothitherto
beenexamined.ThepaperaimstoexaminetheassociationofPNCfornewbornswithneonatalmortalityinIndia.
Methods:DatafromDistrictLevelHouseholdSurvey,waivethree(DLHS-3)conductedin2007–08isutilizedinthe
study.WeusedconditionallogitregressionmodelstoexaminetheassociationofPNCwithneonatalmortality.The
matchingvariablesincludedbirthorderandtheageofthemotheratthebirthofthenewborn.
Results:Thefindingssuggestnoassociationbetweencheck-upofnewbornswithin24hoursofbirthandneonatal
mortality.However,theplacewherethenewbornswereexaminedwassignificantlyassociatedwithneonatal
mortality.Moreover,findingsdorevealthatchildrenofmotherswhowereadvisedon‘keepingbabywarm
(kangaroocare)afterbirth’duringtheirantenatalsessionsweresignificantlylesslikelytodieduringtheneonatal
periodcomparedtothosechildrenwhosemotherswerenotadvisedaboutthesame.
Conclusions:Thefindingsarerelevantbecause‘keepingbabywarm’isoneofthemostcost-effectiveandeasiest
interventionstosavebabiesfromdyingduringtheneonatalperiod.Thoughrandomizedcontrolledtrialshave
alreadydemonstratedtheeffectivenessof‘keepingbabywarm’,forthefirsttimethishasbeenfoundeffectiveina
large-scalepopulation-basedstudy.ThefindingsareofimmensevalueforacountrylikeIndiawheretheneonatal
mortalityratesareunacceptablyhigh.
Keywords:Postnatalcarefornewborns,Kangaroocare,Neonatalmortality,Matchedcase–controlStudy,
Conditionallogitregression,India
Background
significant statelevelandurban–ruraldifferentials.Trends
Although there is no doubt that India has improved in ininfantmortalityratesindicatethatthedeclinesininfant
terms of
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