Publication: Maternal and Neonatal Factors Associated with Neonatal Mortality: a Prospective Follow-up Study in Selected Hospitals of Nepal
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Health Research Council
Abstract
Background: Neonatal mortality, a sensitive indicator which indicates the availability, utilization, and effectiveness of maternal and child health services in the community, are major global public health challenges. The objective of the study was to find out the maternal and neonatal factors associated with neonatal mortality in selected hospitals of Nepal.
Methods: This was a hospital based prospective follow up study conducted among babies nested for case control study design. Among 1104 babies, 368 babies with LBW and 736 babies with normal birth weight were followed up after 28 days of birth and mortality was assessed.
Results: Neonatal mortality was about 10/1000 live birth. In multivariable logistic regression analysis, father with no formal education [AOR:12.54, 95% CI:(2.61-60.13), p=0.002], multi parity [AOR:11.26, 95% CI:(1.25-100.89), p=0.030] and depressed (<7) APGAR score at 5 minutes of birth[AOR:7.44, 95% CI:(1.18-46.80), p=0.032] were significantly associated with neonatal mortality.
Conclusions: The study identified ‘father with no formal education, multi parity and low APGAR score at 5 minutes of birth’ as the major contributors to neonatal mortality. Improving parental education, and access to child health care will help to improve neonatal outcome.
Keywords: Maternal factors; neonatal factors; neonatal mortality; Nepal.
Description
Dilip Kumar Yadav
Shalom Institute of Health and Allied Sciences, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Prayagraj-211007, India
Girija Shankar Shukla
Shalom Institute of Health and Allied Sciences, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Prayagraj-211007, India
Neena Gupta
Shalom Institute of Health and Allied Sciences, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Prayagraj-211007, India
Naveen Shrestha
CIST College, Kathmandu, Nepal
Jitendra Kumar Singh
Department of Community Medicine, Janaki Medical College, TU, Janakpurdham, Nepal
Hari Kaphle
Shalom Institute of Health and Allied Sciences, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Prayagraj-211007, India
Pratima Yadav
Nobel Medical College and Teaching Hospital, Biratnagar, Morang, Nepa
Dipendra Kumar Yadav
School of Health and Allied Sciences, Pokhara University, Nepal