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early neonatal care in Bangladesh

Louise T Day, Daniel Hruschka, Felicity Mussell, Eva Jeffers, Stacy L Saha, Shafiul Alam
BACKGROUND: Prior studies have shown that using uterotonics to augment or induce labor before arrival at comprehensive Emergency Obstetric and Neonatal Care (CEmONC) settings (henceforth, "outside uterotonics") may contribute to perinatal mortality in low- and middle-income countries. We estimate its effect on perinatal mortality in rural Bangladesh. METHODS: Using hospital records (23986 singleton term births, Jan 1, 2009-Dec 31, 2015) from rural Bangladesh, we use a logistic regression model to estimate the increased risk of perinatal death from uterotonics administered outside a CEmONC facility...
October 6, 2016: Reproductive Health
Aduragbemi Banke-Thomas, Kikelomo Wright, Olatunji Sonoiki, Oluwasola Banke-Thomas, Babatunde Ajayi, Onaedo Ilozumba, Oluwarotimi Akinola
BACKGROUND: Lack of timely and quality emergency obstetric care (EmOC) has contributed significantly to maternal morbidity and mortality, particularly in low- and middle-income countries (LMICs). Since 2009, the global guideline, referred to as the 'handbook', has been used to monitor availability, utilization, and quality of EmOC. OBJECTIVE: To assess application and explore experiences of researchers in LMICs in assessing EmOC. DESIGN: Multiple databases of peer-reviewed literature were systematically reviewed on EmOC assessments in LMICs, since 2009...
2016: Global Health Action
Sheraz Ahmed, Shabina Ariff, Sajid Bashir Soofi, Amjad Hussain, Aneeta Hotwani, Muhammad Yaqoob, Shahida M Qureshi, Imran Ahmed, Mohammad Shahidul Islam, Samir K Saha, Zulfiqar A Bhutta
BACKGROUND: The Aetiology of Neonatal Infection in South Asia (ANISA) study is a population-based study with sites in Bangladesh, India and Pakistan. It aims to determine community-acquired incidence, etiology and associated risk factors for neonatal infections. Matiari, a rural site in Pakistan, was chosen for the study due to its high neonatal mortality rate and the presence of an established pregnancy and birth surveillance system. This article summarizes various challenges, remedial measures taken and lessons learned during the implementation of the ANISA study protocol in the unique rural setting of Matiari where the majority of births take place at home and accessibility to health care is limited...
May 2016: Pediatric Infectious Disease Journal
Anne C C Lee, Mohammad A Quaiyum, Luke C Mullany, Dipak K Mitra, Alain Labrique, Parvez Ahmed, Jamal Uddin, Iftekhar Rafiqullah, Sushil DasGupta, Arif Mahmud, Emilia H Koumans, Parul Christian, Samir Saha, Abdullah H Baqui
BACKGROUND: Approximately half of preterm births are attributable to maternal infections, which are commonly undetected and untreated in low-income settings. Our primary aim is to determine the impact of early pregnancy screening and treatment of maternal genitourinary tract infections on the incidence of preterm live birth in Sylhet, Bangladesh. We will also assess the effect on other adverse pregnancy outcomes, including preterm birth (stillbirth and live birth), late miscarriage, maternal morbidity, and early onset neonatal sepsis...
December 7, 2015: BMC Pregnancy and Childbirth
Rashed Shah, Luke C Mullany, Gary L Darmstadt, Radwanur Rahman Talukder, Syed Moshfiqur Rahman, Ishtiaq Mannan, Shams El Arifeen, Abdullah H Baqui
BACKGROUND: Preterm birth leads to an estimated 35% of neonatal deaths worldwide. Our study analyses neonatal mortality risks among preterm births in rural Bangladesh. METHODS: Trained community health workers (CHW) prospectively collected data between June 2007 and September 2009. RESULTS: Among 32 126 livebirths, 22.3% were preterm (delivered at <37 weeks gestation) and almost half (46.4%) of all neonatal deaths occurred among preterm babies...
November 2014: Paediatric and Perinatal Epidemiology
S K Banik, M A Baki, S Sarker, F Rahat, S Akhter, N Nahar
Early onset of hyperglycemia is common among low birth weight neonates. Increased risk for death and major morbidities has been observed among hyperglycemic low birth weight infants. This prospective observational study was done to find out hyperglycemia as a predictor of increased morbidity and mortality in the low birth weight sick newborn and was conducted among the hospitalized newborn of Special Care Baby Unit (SCABU), BIRDEM hospital, Dhaka, Bangladesh from July 2009 to December 2009. A total of 198 LBW neonates were included in this study...
July 2014: Mymensingh Medical Journal: MMJ
F H Parna, T Latif, N Sultana, M A Ali, S B Chowdhury
This cross sectional observational study was done in Department of Obs & Gynae, General Hospital Tangail, to find out the maternal and fetal outcome of eclamptic admitted patient in secondary care hospital in Bangladesh. Study period was Jan 2008 to Dec 2008. Sample size was 100. During this period total 4727 patients were admitted among them 124(2.62%) were eclamptic patients. From that 124 patients 100 cases were randomly included. Among all patients 80% had age <25 years and 62% were primigravidae. Maximum (75%) patients had antepartum eclampsia...
July 2013: Mymensingh Medical Journal: MMJ
Maria E Sundaram, Alain B Labrique, Sucheta Mehra, Hasmot Ali, Abu A Shamim, Rolf D W Klemm, Keith P West, Parul Christian
Exclusive breastfeeding of newborns, a practice recommended by WHO, is hindered in many countries by practices such as prelacteal feeding (feeding other foods before breast milk is fed to infants). This paper describes maternal and infant characteristics and trends over time associated with early neonatal feeding (ENF) in Bangladesh. The analysis used data from 24,992 participants in a randomized controlled trial supplementing vitamin A and β-carotene to women in northwestern rural Bangladesh. A majority of newborns (89...
July 2013: Journal of Nutrition
Alfredo L Fort
Maternal and neonatal mortality in the post-partum period remain high in many countries because of the limited provision of care. This study uses demographic & health survey data for Egypt in 2005 and 2008 and Bangladesh in 2004 and 2007 to analyse levels and trends in post-partum and post-natal care by place of delivery. Improvements were found in levels and timing of post-partum care following institutional deliveries in both countries, especially within 24 hours post-partum. In Egypt, post-partum care within 24 hours rose from 86% to 93% between the two surveys, and in Bangladesh from 46% to 67% (data for home deliveries only)...
June 2012: Reproductive Health Matters
Luke C Mullany, Samir K Saha, Rasheduzzaman Shah, Mohammad Shahidul Islam, Mostafiz Rahman, Maksuda Islam, Radwanur Rahman Talukder, Shams El Arifeen, Gary L Darmstadt, Abdullah H Baqui
BACKGROUND: Randomized trials from South Asia indicate umbilical cord chlorhexidine cleansing reduces mortality and omphalitis. No community-based data are available on bacteriological profile of the cord, early neonatal colonization dynamics, or impact of cord cleansing on colonizing organisms. Such data could clarify the design of scaled chlorhexidine interventions. METHODS: Umbilical swabs were collected at home (days 1, 3, 6) after birth from infants participating in a trial of 3 cord-care regimens (no chlorhexidine, single cleansing, multiple cleansing) in Sylhet, Bangladesh...
May 2012: Pediatric Infectious Disease Journal
Luke C Mullany, Samir K Saha, Rasheduzzaman Shah, Mohammad Shahidul Islam, Mostafiz Rahman, Maksuda Islam, Radwanur Rahman Talukder, Shams El Arifeen, Gary L Darmstadt, Abdullah H Baqui
BACKGROUND:: Randomized trials from South Asia indicate umbilical cord chlorhexidine cleansing reduces mortality and omphalitis. No community-based data are available on bacteriological profile of the cord, early neonatal colonization dynamics, or impact of cord cleansing on colonizing organisms. Such data could clarify the design of scaled chlorhexidine interventions. METHODS:: Umbilical swabs were collected at home (days 1, 3, 6) after birth from infants participating in a trial of three cord care regimens (no chlorhexidine, single cleansing, multiple cleansing) in Sylhet, Bangladesh...
December 20, 2011: Pediatric Infectious Disease Journal
Md Shahjahan, M Ranzu Ahmed, M Mokhlesur Rahman, Afsana Afroz
Newborn care is of immense importance for the proper development and healthy life of a baby. Although child and infant mortality in South Asia has reduced substantially, the rate of neonatal mortality is still high, although these deaths can be prevented by adopting simple interventions at the community level. The aim of the study was to identify the associated factors which affect newborn care practices. Data for the study were drawn from the Bangladesh Demographic and Health Survey 2007, in which 6150 mothers were considered...
January 2012: Paediatric and Perinatal Epidemiology
Hafizur R Chowdhury, Sandra C Thompson, Mohammed Ali, Nurul Alam, Mohammed Yunus, Peter K Streatfield
BACKGROUND: Poor neonatal health is a major contributor to under-five mortality in developing countries. A major constraint to effective neonatal survival programme has been the lack of population level data in developing countries. This study investigated the consultation patterns of caregivers during neonatal fatal illness episodes in the rural Matlab sub-district of eastern Bangladesh. METHODS: Neonatal deaths were identified through a population-based demographic surveillance system in Matlab ICDDR,B maternal and child health (MCH) project area and an adjoining government service area...
2011: BMC Pediatrics
Mohammod J Chisti, Mohammed A Salam, Jonathan Harvey Smith, Tahmeed Ahmed, Hasan Ashraf, Pradip K Bardhan, Mark A C Pietroni
BACKGROUND: Hypoxemia is a grave sequel of pneumonia, and an important predictor of a fatal outcome. Pneumonia in the neonatal period is often associated with lack of breast feeding. However, there is no published report on the impact of the cessation of breast feeding in the neonatal period on the development of pneumonia and hypoxemia. The purpose of our study was to assess the impact of non-breast feeding or stopping breast feeding during the neonatal period (henceforth to be referred to as non-breast fed) on clinical features of pneumonia and hypoxemia in 0-6-month-old infants with diarrhea admitted to an urban hospital in Bangladesh...
2011: PloS One
Hafizur Rahman Chowdhury, Sandra Thompson, Mohammed Ali, Nurul Alam, Md Yunus, Peter Kim Streatfield
The study assessed the timing and causes of neonatal deaths in a rural area of Bangladesh. A population-based demographic surveillance system, run by the International Centre for Diarrhoeal Disease Research, Bangladesh, recorded livebirths and neonatal deaths during 2003-2004 among a population of 224,000 living in Matlab, a rural subdistrict of eastern Bangladesh. Deaths were investigated using the INDEPTH/ World Health Organization verbal autopsy. Three physicians independently reviewed data from verbal autopsy interview to assign the cause of death...
August 2010: Journal of Health, Population, and Nutrition
D Alo, M Shahidullah, M A Mannan, K Noor
This interventional study was done to determine the effect of parenteral amino acid supplementation on weight change, biochemical effect and incidence of sepsis in preterm low birth weight newborns during their hospital stay. It was carried out during the period of June 2006-May 2007 in the Newborn unit of a tertiary care hospital of Bangladesh. Sixty preterm (28-34weeks), low birth weight (1000-1800g) AGA (appropriate for gestational age) newborns were enrolled within 24 hours of birth. Intervention and control newborns were matched in terms of birth weight and gestational age...
July 2010: Mymensingh Medical Journal: MMJ
Carine Ronsmans, Mahbub Elahi Chowdhury, Marge Koblinsky, Anisuddin Ahmed
OBJECTIVE: To examine the nature of the relationship between the use of skilled attendance around the time of delivery and maternal and perinatal mortality. METHODS: We analysed health and demographic surveillance system data collected between 1987 and 2005 by the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) in Matlab, Bangladesh. FINDINGS: The study recorded 59 165 pregnancies, 173 maternal deaths, 1661 stillbirths and 1418 early neonatal deaths in its service area over the study period...
April 2010: Bulletin of the World Health Organization
Moshiur Rahman, Syeda Shahanara Huq
This study findings show primarily - amongst the biodemographic and health seeking services factors, delivery-related maternal health complicacies, blindness, higher order births, twin births, lower household size and interaction effect of higher order live births and male child are significantly correlated with higher neonatal mortality. Neonatal deaths are heavily caused by biological, demographical and maternal experience health hazards during/after delivery. The analysis shows that the causes of deaths after neonatal period are deeply rooted in poverty, regional administrative disparity, lack of breastfeeding, unplanned frequency of births, small interval between births and non-utilization of health seeking services...
April 2009: East African Journal of Public Health
Gary L Darmstadt, Shams El Arifeen, Yoonjoung Choi, Sanwarul Bari, Syed M Rahman, Ishtiaq Mannan, Peter J Winch, A S M Nawshad Uddin Ahmed, Habibur Rahman Seraji, Nazma Begum, Robert E Black, Mathuram Santosham, Abdullah H Baqui
BACKGROUND: Effective and scalable community-based strategies are needed for identification and management of serious neonatal illness. METHODS: As part of a community-based, cluster-randomized controlled trial of the impact of a package of maternal-neonatal health care, community health workers (CHWs) were trained to conduct household surveillance and to identify and refer sick newborns according to a clinical algorithm. Assessments of newborns by CHWs at home were linked to hospital-based assessments by physicians, and factors impacting referral, referral compliance and outcome were evaluated...
March 2010: Health Policy and Planning
Luke C Mullany, Shams El Arifeen, Peter J Winch, Rasheduzzaman Shah, Ishtiaq Mannan, Syed M Rahman, Mohammad R Rahman, Gary L Darmstadt, Saifuddin Ahmed, Mathuram Santosham, Robert E Black, Abdullah H Baqui
BACKGROUND: The World Health Organization recommends dry cord care for newborns but this recommendation may not be optimal in low resource settings where most births take place in an unclean environment and infections account for up to half of neonatal deaths. A previous trial in Nepal indicated that umbilical cord cleansing with 4.0% chlorhexidine could substantially reduce mortality and omphalitis risk, but policy changes await additional community-based data. METHODS: The Projahnmo Chlorhexidine study was a three-year, cluster-randomized, community-based trial to assess the impact of three cord care regimens on neonatal mortality and omphalitis...
2009: BMC Pediatrics
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