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Related Experiment Videos

Birthweight-specific neonatal mortality in developing countries and obstetric practices.

H K Straughn1, R L Goldenberg, J E Tolosa

  • 1Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA. hstraughn@yahoo.com

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|January 16, 2003
PubMed
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Neonatal mortality rates and perinatal interventions are significantly lower in developing countries compared to developed nations. Inconsistent data collection in developing countries hinders accurate evaluation of factors contributing to high neonatal mortality.

Area of Science:

  • Perinatal medicine
  • Neonatal health
  • Global health disparities

Background:

  • Significant disparities exist in neonatal mortality and perinatal care between developed and developing countries.
  • The Global Network for Perinatal and Reproductive Health (GNPRH) aims to improve perinatal outcomes globally.

Purpose of the Study:

  • To compare birthweight-specific neonatal mortality and the utilization of perinatal interventions in major medical centers across developed and developing nations.
  • To identify differences in obstetric practices and their impact on neonatal outcomes.

Main Methods:

  • A survey was distributed to 13 GNPRH centers, with 9 from developing and 3 from developed countries for comparison.
  • Data on neonatal mortality rates and specific perinatal interventions were collected and analyzed.

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  • The ability of centers to provide data by birthweight and gestational age was assessed.
  • Main Results:

    • Developing countries showed higher neonatal mortality rates, particularly at lower birthweights and gestational ages.
    • Perinatal intervention practices differed, with variations in the consideration of viability (28 weeks) and timing of cesarean sections (26-37 weeks).
    • Antibiotic use for preterm premature rupture of membranes (pPROM) was limited in developing countries; tocolysis and corticosteroid use varied.

    Conclusions:

    • GNPRH centers in developing countries, despite representing high-quality care, exhibit higher neonatal mortality and different obstetric practices compared to developed countries.
    • Incomplete and inconsistent data collection in developing countries poses a challenge for evaluating factors influencing neonatal mortality.