Rates, timing and causes of neonatal deaths in rural India: implications for neonatal health programmes.

Abstract:

OBJECTIVE:To assess the rates, timing and causes of neonatal deaths and the burden of stillbirths in rural Uttar Pradesh, India. We discuss the implications of our findings for neonatal interventions. METHODS:We used verbal autopsy interviews to investigate 1048 neonatal deaths and stillbirths. FINDINGS:There were 430 stillbirths reported, comprising 41% of all deaths in the sample. Of the 618 live births, 32% deaths were on the day of birth, 50% occurred during the first 3 days of life and 71% were during the first week. The primary causes of death on the first day of life (i.e. day 0) were birth asphyxia or injury (31%) and preterm birth (26%). During days 1-6, the most frequent causes of death were preterm birth (30%) and sepsis or pneumonia (25%). Half of all deaths caused by sepsis or pneumonia occurred during the first week of life. The proportion of deaths attributed to sepsis or pneumonia increased to 45% and 36% during days 7-13 and 14-27, respectively. CONCLUSION:Stillbirths and deaths on the day of birth represent a large proportion of perinatal and neonatal deaths, highlighting an urgent need to improve coverage with skilled birth attendants and to ensure access to emergency obstetric care. Health interventions to improve essential neonatal care and care-seeking behavior are also needed, particularly for preterm neonates in the early postnatal period.

authors

Baqui AH,Darmstadt GL,Williams EK,Kumar V,Kiran TU,Panwar D,Srivastava VK,Ahuja R,Black RE,Santosham M

doi

10.2471/blt.05.026443

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

706-13

issue

9

eissn

0042-9686

issn

1564-0604

pii

S0042-96862006000900013

journal_volume

84

pub_type

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