Circumstances of post-neonatal deaths in Ceara, Northeast Brazil: mothers' health care-seeking behaviors during their infants' fatal illness. A post-mortem (also known as an autopsy) is a medical examination of your baby’s body to try to work out the cause of death. These targets need to be monitored through reliable cause-of-death information. Jaya P Tripathy, Sanskruti Mishra, Causes and Predictors of Neonatal, Post-neonatal and Maternal Deaths in India: Analysis of a Nationwide District-Level Household Survey-4 (DLHS-4), 2012–13, Journal of Tropical Pediatrics, Volume 63, Issue 6, December 2017, Pages 431–439, https://doi.org/10.1093/tropej/fmx009. Subjects. Placental insufficiency 4. A total of 19% of maternal deaths could not be assigned a cause, whereas another 32% died due to other medical conditions not specified (Table 3). These findings indicate the need for an efficient ambulance transport system, promoting health-seeking behaviour, better knowledge of danger signs and strengthening community–facility linkages. Seriousness of the condition not realized, Delay in receiving care at health facility, Seriousness of the condition realized but did not how to respond, Lack of transport in shifting to facility, Time between onset of compli cations and death. Your baby’s health care provider can help you learn as much as possible about your baby’s death. Oxford University Press is a department of the University of Oxford. We estimated time to event (death) in days within the specified age range and time period based on varied information on age at death recorded by TDHS, for consistency across all the study outcomes . The details of sampling design, survey tools and data collection methods are provided in the survey report [6]. Most maternal and neonatal deaths occur at home. Of 1324 neonatal deaths, 46% occurred at home and 73% in the first week of life. A standardized accurate verbal autopsy tool and proper administration of the tool are required to accurately ascertain the cause of death and reduce the number of deaths that are assigned an ill-defined cause. Nearly 14% of neonates die on the first day of life mostly as a result of birth asphyxia, birth injury and complications of preterm delivery. The 1988 NMIHS is a … The low birth weight is estimated to be an underlying risk factor in > 70 % of prenatal deaths, 90 % of neonatal deaths, and 50 %of infant deaths. The survey was conducted across 26 states and union territories of India (covering only the non-Empowered Action Group states) using a multistage stratified sampling design. Multivariate logistic regression was performed to explore the socio-economic and household characteristics associated with neonatal, post-neonatal and maternal mortality. Search for other works by this author on: Independent Public Health Consultant, New Delhi 110070, India, Counting the dead and what they died from: an assessment of the global status of cause of death data, Estimating mortality using data from civil registration: a cross-sectional study in India, Rates, timing and causes of neonatal deaths in rural India: implications for neonatal health programmes, Neonatal mortality in India’s rural poor: findings of a household survey and verbal autopsy study in Rajasthan, Bihar and Odisha, International Institute for Population Sciences (IIPS), Status and Trends Drinking Water and Sanitation in East Asia and the Pacific. Characteristics of maternal deaths in India, District-Level Household Survey, 2012–13. Post-neonatal death is defined as the death of a newborn between 28 days and 1 year of age expressed per 1000 live births. The present study also revealed that various socio-economic and household characteristics are associated with mortality. Use of unclean fuel was associated with neonatal [1.5 95% confidence interval (CI) = 1.3–1.7, <0.001] and maternal mortality (1.8, 95% CI = 1.2–2.5, 0.001). Support for grandparents after a neonatal death . Previous estimates of death on the first day of life range from 25 to 45% [8]. We collected medical data on three deceased children from a follow-up cohort of 48 CHARGE patients and retrospectively on an additional four deceased patients (age at death 11 months to 22 years). Neonatal death is defined as the death of a newborn on or before 28 days postpartum expressed per 1000 live births. Obstetric complications 6.1. 4 million neonatal deaths: when? Yet, this is the most neglected period of care. If the cause of the death is unclear, a post-mortem is ordered by a coroner or procurator fiscal. Published by Oxford University Press. There is lack of reliable mortality estimates in India about maternal, neonatal and infant deaths. A significant proportion of neonatal deaths occur by the first week of life. The findings of this study have key implications for health planning and resource allocation. A majority of the post-neonatal deaths occurred at home. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Causes of death in a rural area of South Africa: an international perspective, Correlation of SARS-CoV-2 Serology and Clinical Phenotype Amongst Hospitalised Children in a Tertiary Children’s Hospital in India. Around 22% of post-neonatal deaths occurred within 1–2 months of life, whereas another 42% lost their lives between 3 and 6 months of life. 5 Perinatal Mortality Rate = (number of neonatal deaths + spontaneous fetal … A total of 1324 neonatal deaths were reported, of which 60% were male, 45% occurred at home and another 48% occurred at the health facilities. torsof neonatal and post-neonatal death are infant birth weights of < 2499 g and gestational age of < 33 weeks (4). Similarly, 50% cases of post-neonatal deaths were classified as ‘others’. Neonatal death is when a baby dies in the first 28 days of life. In spite of various efforts, a substantial burden of infant and maternal mortality still exists. Bhutta ZA, Darmstadt GL, Hasan BS, et al. Rate of perinatal mortality and selected perinatal risk factors, 2010–12p., and post-neonatal death, 2008–10p., by Hospital and Health Service of usual residence, compared with Queensland Mortality Gestation and birthweight of singleton babies Risk factors Hospital and Health Service Stillbirth (mother’s usual residence) (b) Thank you for submitting a comment on this article. Birth weight is the single most important determinant of infant survival in developing countries. It focuses on linking home and community-based services to facility-based services [24]. These studies have limitations of small sample size [4, 5]. postneonatal mortality Public health A standard indicator of health, defined as the number of infant deaths occurring between 28 days and 11 months of life. In this study, we present the causes and characteristics of neonatal, post-neonatal and maternal deaths in India and the socio-economic and household characteristics associated with these deaths. India launched the RMNCH + A approach in 2013, which seeks to address the major causes of mortality among women and children as well as the delays in accessing and using healthcare and services. A more accurate verbal autopsy tool and proper administration of the tool are required to accurately ascertain cause of death and reduce the number of deaths that are assigned an ill-defined cause. We do not consider neonatal death (a liveborn child who dies before 28 days), because breastfeeding information was not gathered on the children who died so young and most such deaths are attributable to preterm birth or congenital anomalies; we also excluded deaths from congenital anomaly or malignancy occurring in the postneonatal period. All rights reserved. Author information: (1)Harvard School of Public Health, Department of Maternal and Child Health, Boston, MA 02115, USA. 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