What impact do essential newborn care practices have on neonatal mortality in low and lower-middle income countries? Evidence from Bangladesh

Akter, T; Dawson, A; Sibbritt, D

What impact do essential newborn care practices have on neonatal mortality in low and lower-middle income countries? Evidence from Bangladesh

Akter, T Dawson, A

Sibbritt, D

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Publication Type:: Journal Article
Citation:: Journal of Perinatology, 2016, 36 (3), pp. 225 - 230
Issue Date:: 2016-03-01

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Field	Value	Language
dc.contributor.author	Akter, T	en_US
dc.contributor.author	Dawson, A https://orcid.org/0000-0003-0926-2202	en_US
dc.contributor.author	Sibbritt, D https://orcid.org/0000-0003-3561-9447	en_US
dc.date.available	2020-05-25T19:02:17Z
dc.date.issued	2016-03-01	en_US
dc.identifier.citation	Journal of Perinatology, 2016, 36 (3), pp. 225 - 230	en_US
dc.identifier.issn	0743-8346	en_US
dc.identifier.uri	http://hdl.handle.net/10453/41262
dc.description.abstract	© 2016 Nature America, Inc. Objective:To assess the impact of essential newborn care (ENC) practices on the mortality of neonates delivered at home in Bangladesh.Study design:This study used cross-sectional data from the 2011 Bangladesh Demographic and Health Survey. Adjusted logistic regression model was used to examine the effect of ENC practices on neonatal mortality based on 3190 live-born infants.Result:Delayed bathing (72 h after delivery) significantly contributed to reducing neonatal mortality. A significant but counterintuitive relation was observed between the dry cord care and neonatal deaths.Conclusion:Neonatal mortality may be reduced through emphasizing delayed bathing. Specific guidelines on the cleanliness of the fabric used to dry and wrap newborns, as well as emphasizing the use of clean delivery kits and initiation of immediate and exclusive breastfeeding, may improve neonatal outcomes. Further, the ENC guidelines in Bangladesh should include the application of topical antiseptics to the cord stump.	en_US
dc.relation.ispartof	Journal of Perinatology	en_US
dc.relation.isbasedon	10.1038/jp.2015.181	en_US
dc.subject.classification	Pediatrics	en_US
dc.subject.mesh	Umbilical Cord	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Chlorhexidine	en_US
dc.subject.mesh	Anti-Infective Agents, Local	en_US
dc.subject.mesh	Hygiene	en_US
dc.subject.mesh	Perinatal Care	en_US
dc.subject.mesh	Baths	en_US
dc.subject.mesh	Delivery, Obstetric	en_US
dc.subject.mesh	Home Childbirth	en_US
dc.subject.mesh	Health Surveys	en_US
dc.subject.mesh	Infant Mortality	en_US
dc.subject.mesh	Logistic Models	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Breast Feeding	en_US
dc.subject.mesh	Poverty	en_US
dc.subject.mesh	Adolescent	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Bangladesh	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Practice Guidelines as Topic	en_US
dc.subject.mesh	Young Adult	en_US
dc.title	What impact do essential newborn care practices have on neonatal mortality in low and lower-middle income countries? Evidence from Bangladesh	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	36	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1114 Paediatrics and Reproductive Medicine	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public 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	open_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	36	en_US

Abstract:

© 2016 Nature America, Inc. Objective:To assess the impact of essential newborn care (ENC) practices on the mortality of neonates delivered at home in Bangladesh.Study design:This study used cross-sectional data from the 2011 Bangladesh Demographic and Health Survey. Adjusted logistic regression model was used to examine the effect of ENC practices on neonatal mortality based on 3190 live-born infants.Result:Delayed bathing (72 h after delivery) significantly contributed to reducing neonatal mortality. A significant but counterintuitive relation was observed between the dry cord care and neonatal deaths.Conclusion:Neonatal mortality may be reduced through emphasizing delayed bathing. Specific guidelines on the cleanliness of the fabric used to dry and wrap newborns, as well as emphasizing the use of clean delivery kits and initiation of immediate and exclusive breastfeeding, may improve neonatal outcomes. Further, the ENC guidelines in Bangladesh should include the application of topical antiseptics to the cord stump.

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http://hdl.handle.net/10453/41262