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Newborn and health and mortality

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https://www.readbyqxmd.com/read/29643892/association-of-in-hospital-outcome-of-acute-kidney-injury-aki-with-etiology-among-newborns-at-a-tertiary-care-unit
#1
Muhammad Asghar Ali, Abdur Rehman, Ejaz Ahmed
Objective: To determine association of in-hospital outcome of AKI with etiology in newborns at a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted at Department of Pediatric Neonatology, The Children's Hospital and Institute of the Child Health, Multan by using non-probability purposive sampling technique from June 2016 to June 2017. A total of 101 newborns diagnosed with acute kidney injury were registered. Etiological factors were assessed and these patients were followed till discharge to monitor in-hospital outcomes...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29624934/saving-the-lives-of-women-newborns-and-children-a-formative-study-examining-opportunities-to-improve-reproductive-maternal-neonatal-and-child-health-outcomes-in-nigeria
#2
Ejiro J Otive-Igbuzor, Theresa Kaka Effa, Emily Teitsworth, Rufaro Kangai, Chantal Hildebrand, Diana Lara, Denise Dunning
Despite economic growth in Nigeria, maternal and infant mortality rates remain among the highest in the world. Civil society organisations (CSOs) play a critical role in ensuring governmental accountability to fulfil commitments that improve health outcomes for women, newborns, and children. This formative study was undertaken to identify: a) policy advocacy priorities b) advocacy challenges, and, c) opportunities for strategic advocacy. Methods consisted of a desk review of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH) policies, surveys with CSOs working on RMNCAH, and key informants from non-governmental organisations (NGOs), and United Nations agencies...
September 2017: African Journal of Reproductive Health
https://www.readbyqxmd.com/read/29619212/validity-of-maternal-report-of-care-seeking-for-childhood-illness
#3
Emily D Carter, Micky Ndhlovu, Melinda Munos, Emmy Nkhama, Joanne Katz, Thomas P Eisele
Background: Accurate data on care-seeking for child illness are needed to improve public health programs and reduce child mortality. The accuracy of maternal report of care-seeking for child illness as collected through household surveys has not been validated. Methods: A 2016 survey compared reported care-seeking against a gold-standard of health care provider documented care-seeking events among a random sample of mothers of children <5 years in Southern Province, Zambia...
June 2018: Journal of Global Health
https://www.readbyqxmd.com/read/29616146/expectations-for-nursing-care-in-newborn-units-in-kenya-moving-from-implicit-to-explicit-standards
#4
REVIEW
Georgina A V Murphy, Gregory B Omondi, David Gathara, Nancy Abuya, Jacintah Mwachiro, Rose Kuria, Edna Tallam-Kimaiyo, Mike English
Neonatal mortality currently accounts for 45% of all child mortality in Kenya, standing at 22 per 1000 live births. Access to basic but high quality inpatient neonatal services for small and sick newborns will be key in reducing neonatal mortality. Neonatal inpatient care is reliant on nursing care, yet explicit nursing standards for such care do not currently exist in Kenya. We reviewed the Nursing Council of Kenya 'Manual of Clinical Procedures' to identify tasks relevant for the care of inpatient neonates...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29603791/observation-study-showed-that-the-continuity-of-skin-to-skin-contact-with-low-birth-weight-infants-in-uganda-was-sub-optimal
#5
Heather C Watkins, Melissa C Morgan, Harriet Nambuya, Peter Waiswa, Joy E Lawn
AIM: Kangaroo mother care (KMC) is a safe and effective method of reducing neonatal mortality in resource-limited settings, but there has been a lack of data on the duration of skin-to-skin contact (SSC) in busy, low-resource newborn units. Previous studies of intermittent KMC suggest the duration of SSC ranged from 10 minutes to 17 hours per day. METHODS: This was an observational study of newborn infants born weighing less than 2,000 grams, which collected quantitative data on SSC over the first week after birth...
March 30, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29602703/pertussis-in-africa-findings-and-recommendations-of-the-global-pertussis-initiative-gpi
#6
REVIEW
Rudzani Muloiwa, Nicole Wolter, Ezekiel Mupere, Tina Tan, A J Chitkara, Kevin D Forsyth, Carl-Heinz Wirsing von König, Gregory Hussey
Pertussis remains a major cause of morbidity and mortality, particularly in infants and young children, and despite the availability of vaccines and pertinent national and international guidelines. The disease burden is more severe in low- and middle-income countries (LMICs), especially in the African continent. Pertussis is more prevalent among young infants in Africa. Poor or no pertussis surveillance, lack of disease awareness, diagnostic limitations, and competing health priorities are considered key contributory factors for this high pertussis burden in Africa...
March 27, 2018: Vaccine
https://www.readbyqxmd.com/read/29582849/changes-in-neonatal-mortality-and-newborn-health-care-practices-descriptive-data-from-the-bangladesh-demographic-and-health-surveys-2011-and-2014
#7
Tasnima Akter, Angela Dawson, David Sibbritt
Background: Bangladesh has made major improvements in health outcomes over the past two decades, with falls in mortality rates in mothers and in infants and young children aged under 5 years. Despite these improvements, neonatal mortality rates (NMRs) are high in Bangladesh. This paper describes recent changes in NMRs and health-care practices, disaggregated by demographic and socioeconomic characteristics. Methods: Summary statistics from the reports of the Bangladesh Demographic and Health Survey (BDHS) were examined...
April 2018: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/29571592/risk-of-maternal-mortality-in-women-with-severe-anaemia-during-pregnancy-and-post-partum-a-multilevel-analysis
#8
Jahnavi Daru, Javier Zamora, Borja M Fernández-Félix, Joshua Vogel, Olufemi T Oladapo, Naho Morisaki, Özge Tunçalp, Maria Regina Torloni, Suneeta Mittal, Kapila Jayaratne, Pisake Lumbiganon, Ganchimeg Togoobaatar, Shakila Thangaratinam, Khalid S Khan
BACKGROUND: Anaemia affects as many as half of all pregnant women in low-income and middle-income countries, but the burden of disease and associated maternal mortality are not robustly quantified. We aimed to assess the association between severe anaemia and maternal death with data from the WHO Multicountry Survey on maternal and newborn health. METHODS: We used multilevel and propensity score regression analyses to establish the relation between severe anaemia and maternal death in 359 health facilities in 29 countries across Latin America, Africa, the Western Pacific, eastern Mediterranean, and southeast Asia...
March 20, 2018: Lancet Global Health
https://www.readbyqxmd.com/read/29566659/accelerating-newborn-survival-in-ghana-through-a-low-dose-high-frequency-health-worker-training-approach-a-cluster-randomized-trial
#9
Patricia P Gomez, Allyson R Nelson, Amos Asiedu, Etta Addo, Dora Agbodza, Chantelle Allen, Martha Appiagyei, Cynthia Bannerman, Patience Darko, Julia Duodu, Fred Effah, Hannah Tappis
BACKGROUND: Newborn deaths comprise nearly half of under-5 deaths in Ghana, despite the fact that skilled birth attendants (SBAs) are present at 68% of births, which implies that evidence-based care during labor, birth and the immediate postnatal period may be deficient. We assessed the effect of a low-dose, high-frequency (LDHF) training approach on long-term evidence-based skill retention among SBAs and impact on adverse birth outcomes. METHODS: From 2014 to 2017, we conducted a cluster-randomized trial in 40 hospitals in Ghana...
March 22, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29564156/-rowing-against-the-current-the-policy-process-and-effects-of-removing-user-fees-for-caesarean-sections-in-benin
#10
Jean-Paul Dossou, Jenny A Cresswell, Patrick Makoutodé, Vincent De Brouwere, Sophie Witter, Veronique Filippi, Lydie G Kanhonou, Sourou B Goufodji, Isabelle L Lange, Lionel Lawin, Fabien Affo, Bruno Marchal
Background: In 2009, the Benin government introduced a user fee exemption policy for caesarean sections. We analyse this policy with regard to how the existing ideas and institutions related to user fees influenced key steps of the policy cycle and draw lessons that could inform the policy dialogue for universal health coverage in the West African region. Methods: Following the policy stages model, we analyse the agenda setting, policy formulation and legitimation phase, and assess the implementation fidelity and policy results...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29564153/economic-burden-of-neonatal-sepsis-in-sub-saharan-africa
#11
Sylvia L Ranjeva, Benjamin C Warf, Steven J Schiff
Background and significance: The third Sustainable Development Goal for child health, which aims to end preventable deaths of newborns and children less than 5 years of age by 2030, cannot be met without substantial reduction of infection-specific neonatal mortality in the developing world. Neonatal infections are estimated to account for 26% of annual neonatal deaths, with mortality rates highest in sub-Saharan Africa (SSA). Reliable and comprehensive estimates of the incidence and aetiology surrounding neonatal sepsis in SSA remain incompletely available...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29558894/a-systematic-review-of-hepatitis-b-screening-economic-evaluations-in-low-and-middle-income-countries
#12
Cameron M Wright, Lydia Boudarène, Ninh Thi Ha, Olivia Wu, Neil Hawkins
BACKGROUND: Chronic hepatitis B infection is a significant cause of morbidity and mortality worldwide; low- and middle-income countries (LMICs) are disproportionately affected. Economic evaluations are a useful decision tool to assess costs versus benefits of hepatitis B virus (HBV) screening. No published study reviewing economic evaluations of HBV screening in LMICs has been undertaken to date. METHODS: The following databases were searched from inception to 21 April 2017: MEDLINE, PubMed, EMBASE, CINAHL Plus, the Cochrane Library, Global Health and the Cost-effectiveness Analysis Registry...
March 20, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29549556/newborn-screening-for-congenital-hypothyroidism-and-congenital-adrenal-hyperplasia
#13
(no author information available yet)
OBJECTIVE: The Task Force formed by ICMR aimed at studying the prevalence of congenital hypothyroidism and congenital adrenal hyperplasia, the template disorders included in all newborn screening programs, and to evaluate the unidentified challenges in its execution in health care services. It also intended to evaluate the feasibility of newborn screening with regards to different geo-ethnic regions from India. METHODS: Five metropolitan centers identified had further 2 to 11 centers; both the urban and the rural sectors were included and were considered representative of the northern, southern, eastern, western and central parts of the country...
March 17, 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/29542438/who-counts-what-counts-place-and-the-limits-of-perinatal-mortality-measures
#14
Claire Wendland
Maternal and neonatal mortality statistics foreground some possible causes of death at the expense of others. Political place (nation, state) and place of birth (hospital, home) are integral to these statistics; respect for women as persons is not. Using case examples from Malawi and the United States, I argue that the focus on place embedded in these indicators can legitimate coercive approaches to childbirth. Qualitative assessments in both cases reveal that respectful care, while not represented in current indicators, is critical for the health of women and newborns...
March 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29533138/addressing-social-and-gender-norms-to-improve-uptake-of-maternal-health-services-in-mali-a-descriptive-study-of-care-s-project-hope-for-mothers-and-newborns-pemn
#15
Jennifer Kuzara, Anne Woodriff Sprinkel, Feven Tassew Mekuria, Marcie Rubardt, Fodié Maguiraga, Koman Sissoko, Philip Hastings
This study examines the design and implementation of a maternal mortality prevention intervention in central Mali. It uses Project Hope for Mothers and Newborns (PEMN) as a case study to examine the context around implementation, with special emphasis on the role of social, gender and power norms in meeting programme objectives. Interventions to strengthen the health system and workforce were coupled with a social norms change approach to catalyse the personal transformation of staff, community-level health workers and communities via critical reflection and dialogue on gender and social power norms related to maternal health...
March 13, 2018: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29531432/a-step-toward-healthy-newborn-an-assessment-of-2-years-admission-pattern-and-treatment-outcomes-of-neonates-admitted-in-special-newborn-care-units-of-gujarat
#16
Harsh Dilipkumar Shah, Bonny Shah, Paresh V Dave, Janak B Katariya, Khyati P Vats
Context: Facility Based Newborn Care (FBNC) is a key strategy to improve child survival, especially in newborn care where neonatal mortality rate (NMR) is stagnant in declining. Gujarat has achieved considerable amount of reduction in child deaths, but neonatal health requires attention. The study was aimed to assess the admission pattern of Special Newborn Care Units (SNCUs) which supports decision-making. Settings and Design: A cross-sectional descriptive analysis was done from secondary data of the SNCU reports on the aspects of admission patterns, morbidity, and mortality pattern...
January 2018: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/29523194/incidence-and-risk-factors-of-neonatal-infections-in-a-rural-bangladeshi-population-a-community-based-prospective-study
#17
Dipak K Mitra, Luke C Mullany, Meagan Harrison, Ishtiaq Mannan, Rashed Shah, Nazma Begum, Mamun Ibne Moin, Shams El Arifeen, Abdullah H Baqui
BACKGROUND: Infections cause about one fifth of the estimated 2.7 million annual neonatal deaths worldwide. Population-based data on burden and risk factors of neonatal infections are lacking in developing countries, which are required for the appropriate design of effective preventive and therapeutic interventions in resource-poor settings. METHODS: We used data from a community-based cluster-randomized trial conducted to evaluate the impact of two umbilical cord cleansing regimens with chlorhexidine solution on neonatal mortality and morbidity in a rural area of Sylhet District in Bangladesh...
March 9, 2018: Journal of Health, Population, and Nutrition
https://www.readbyqxmd.com/read/29521869/the-impact-of-the-helping-babies-survive-program-on-neonatal-outcomes-and-health-provider-skills-a-systematic-review
#18
Justine Dol, Marsha Campbell-Yeo, Gail Tomblin Murphy, Megan Aston, Douglas McMillan, Brianna Richardson
OBJECTIVE: The objective of this review was to evaluate the impact of the Helping Babies Survive program on neonatal outcomes and healthcare provider knowledge and skills. INTRODUCTION: The Helping Babies Survive program consists of three modules: Helping Babies Breathe, Essential Care for Every Baby, and Essential Care for Small Babies. It was developed to reduce preventable newborn deaths through skill-based learning using simulation, learning exercises, and peer-to-peer training of healthcare providers in low-resource areas...
March 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29512818/antibiotics-at-the-time-of-removal-of-central-venous-catheter-to-reduce-morbidity-and-mortality-in-newborn-infants
#19
REVIEW
Rowena L McMullan, Adrienne Gordon
BACKGROUND: Late-onset sepsis is associated with increased rates of mortality and morbidity in newborn infants, in addition to poorer long-term developmental outcomes and increased length of stay and hospital costs. Central line-associated blood stream infection (CLABSI) is the most common cause of late-onset sepsis in hospitalised infants, and prevention of CLABSI is a key objective in neonatal care. Increased frequency of CLABSI around the time of removal of central venous catheters (CVCs) has been reported, and use of antibiotics at the time of removal may reduce the incidence and impact of late-onset sepsis in vulnerable newborn infants...
March 7, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29510673/analysis-of-low-birth-weight-and-its-co-variants-in-bangladesh-based-on-a-sub-sample-from-nationally-representative-survey
#20
Jahidur Rahman Khan, Md Mazharul Islam, Nabil Awan, Olav Muurlink
BACKGROUND: Low birth weight (LBW) remains a leading global cause of childhood morbidity and mortality. This study leverages a large national survey to determine current prevalence and socioeconomic, demographic and heath related factors associated with LBW in Bangladesh. METHODS: Data from the Multiple Indicator Cluster Survey (MICS) 2012-13 of Bangladesh were analyzed. A total of 2319 women for whom contemporaneous birth weight data was available and who had a live birth in the two years preceding the survey were sampled for this study...
March 6, 2018: BMC Pediatrics
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