Early neonatal death review from two provinces in Papua New Guinea: A retrospective analysis.

Vallely, LM; Smith, R; Laman, M; Riddell, MA; Mengi, A; Au, L; Polomon, C; Vogel, JP; Pomat, WS; Vallely, AJ; Homer, CS

Early neonatal death review from two provinces in Papua New Guinea: A retrospective analysis.

Vallely, LM Smith, R

Laman, M Riddell, MA Mengi, A Au, L Polomon, C Vogel, JP Pomat, WS Vallely, AJ Homer, CS

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Journal of paediatrics and child health, 2021, 57, (6), pp. 841-846
Issue Date:: 2021-06

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Field	Value	Language
dc.contributor.author	Vallely, LM
dc.contributor.author	Smith, R https://orcid.org/0000-0003-3985-3951
dc.contributor.author	Laman, M
dc.contributor.author	Riddell, MA
dc.contributor.author	Mengi, A
dc.contributor.author	Au, L
dc.contributor.author	Polomon, C
dc.contributor.author	Vogel, JP
dc.contributor.author	Pomat, WS
dc.contributor.author	Vallely, AJ
dc.contributor.author	Homer, CS
dc.date.accessioned	2021-09-22T03:49:38Z
dc.date.available	2020-12-16
dc.date.available	2021-09-22T03:49:38Z
dc.date.issued	2021-06
dc.identifier.citation	Journal of paediatrics and child health, 2021, 57, (6), pp. 841-846
dc.identifier.issn	1034-4810
dc.identifier.issn	1440-1754
dc.identifier.uri	http://hdl.handle.net/10453/150659
dc.description.abstract	<h4>Aim</h4>To determine the causes of early neonatal death and the avoidable factors associated with these deaths among women participating in a cluster-randomised crossover trial in Papua New Guinea.<h4>Methods</h4>Early neonatal deaths were identified by retrospective chart review of the Women and Newborn Trial of Antenatal Interventions and Management study participants between July 2017 and January 2020. Causes of death and avoidable factors were identified using the Perinatal Problem Identification Program system.<h4>Results</h4>There were 35 early neonatal deaths among 2499 livebirths (14 per 1000 births). Fifty-seven percent (20/35) of deaths occurred on the first day of life. Idiopathic preterm birth was the leading obstetric cause of perinatal death (29%; 10/35). Extreme multi-organ immaturity (23%; 8/35) and hypoxic ischaemic encephalopathy (17%; 6/35) were the most common final causes of neonatal death. Forty-six avoidable factors were identified among 26 deaths, including delays in care-seeking, insufficient resources at health facilities, poor intrapartum care and immediate care of the newborn, including neonatal resuscitation.<h4>Conclusion</h4>In this study, potentially preventable causes and avoidable factors were identified in the majority of early neonatal deaths. Addressing these factors will require health system strengthening, particularly the upskilling of primary level health staff, as well as targeted health education of women and the community.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation	http://purl.org/au-research/grants/nhmrc/1084429
dc.relation	Medical Research CouncilMR/N006089/1
dc.relation.ispartof	Journal of paediatrics and child health
dc.relation.isbasedon	10.1111/jpc.15333
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services
dc.subject.classification	Pediatrics
dc.subject.mesh	Humans
dc.subject.mesh	Premature Birth
dc.subject.mesh	Resuscitation
dc.subject.mesh	Infant Mortality
dc.subject.mesh	Retrospective Studies
dc.subject.mesh	Pregnancy
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Female
dc.subject.mesh	Perinatal Death
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Infant Mortality
dc.subject.mesh	Infant, Newborn
dc.subject.mesh	Papua New Guinea
dc.subject.mesh	Perinatal Death
dc.subject.mesh	Pregnancy
dc.subject.mesh	Premature Birth
dc.subject.mesh	Resuscitation
dc.subject.mesh	Retrospective Studies
dc.title	Early neonatal death review from two provinces in Papua New Guinea: A retrospective analysis.
dc.type	Journal Article
utslib.citation.volume	57
utslib.location.activity	Australia
utslib.for	1103 Clinical Sciences
utslib.for	1114 Paediatrics and Reproductive Medicine
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney/Strength - WHO CC
utslib.copyright.status	closed_access	*
dc.date.updated	2021-09-22T03:49:37Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	57
utslib.citation.issue	6

Abstract:

Aim

To determine the causes of early neonatal death and the avoidable factors associated with these deaths among women participating in a cluster-randomised crossover trial in Papua New Guinea.

Methods

Early neonatal deaths were identified by retrospective chart review of the Women and Newborn Trial of Antenatal Interventions and Management study participants between July 2017 and January 2020. Causes of death and avoidable factors were identified using the Perinatal Problem Identification Program system.

Results

There were 35 early neonatal deaths among 2499 livebirths (14 per 1000 births). Fifty-seven percent (20/35) of deaths occurred on the first day of life. Idiopathic preterm birth was the leading obstetric cause of perinatal death (29%; 10/35). Extreme multi-organ immaturity (23%; 8/35) and hypoxic ischaemic encephalopathy (17%; 6/35) were the most common final causes of neonatal death. Forty-six avoidable factors were identified among 26 deaths, including delays in care-seeking, insufficient resources at health facilities, poor intrapartum care and immediate care of the newborn, including neonatal resuscitation.

Conclusion

In this study, potentially preventable causes and avoidable factors were identified in the majority of early neonatal deaths. Addressing these factors will require health system strengthening, particularly the upskilling of primary level health staff, as well as targeted health education of women and the community.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/150659