Early neonatal death review from two provinces in Papua New Guinea: A retrospective analysis.
Perinatal Problem Identification Program
early neonatal death audit
low resource country
Journal
Journal of paediatrics and child health
ISSN: 1440-1754
Titre abrégé: J Paediatr Child Health
Pays: Australia
ID NLM: 9005421
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
revised:
30
11
2020
received:
11
09
2020
accepted:
16
12
2020
pubmed:
16
1
2021
medline:
9
6
2021
entrez:
15
1
2021
Statut:
ppublish
Résumé
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. 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. 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. 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.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
841-846Subventions
Organisme : The Australian Stillbirth Centre for Research Excellence
Organisme : Research for Development award from the Swiss National Science Foundation
ID : IZ07Z0_160909/1
Organisme : Australian National Health and Medical Research Council
ID : GNT1084429
Organisme : UK Medical Research Council
Organisme : UK Department for International Development
Organisme : Wellcome Trust
ID : MR/N006089/1
Pays : United Kingdom
Informations de copyright
© 2021 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
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