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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Insights
Neonatal survival is crucial for reducing child mortality. Most neonatal deaths occur within the first three days of life, highlighting the critical need for immediate postnatal care.
Area of Science:
- Public Health
- Neonatal Medicine
- Demography
Background:
- Child mortality reduction is increasingly dependent on improving neonatal survival rates.
- The timing and distribution of neonatal deaths in community settings remain poorly understood.
- Understanding neonatal mortality patterns is essential for effective public health interventions.
Purpose of the Study:
- To investigate the distribution of neonatal deaths within the first week of life in rural India.
- To identify the most critical periods for neonatal mortality.
- To provide an evidence base for refining postnatal care guidelines.
Main Methods:
- A cross-sectional survey was conducted in five rural Indian sites.
- Data were collected retrospectively over a one-year period.
- Information on 30,473 births and 2,218 infant deaths, including 1,521 neonatal deaths, was analyzed.
Main Results:
- A significant proportion of neonatal deaths, 39.3%, occurred on the first day of life.
- Over half of all neonatal deaths, 56.8%, happened within the first three days.
- The study covered a population of 1,316,681.
Conclusions:
- The first three days of life represent the most hazardous period for neonates.
- Findings underscore the critical importance of timely and effective postnatal care.
- Evidence supports enhancing postnatal care strategies to address early neonatal mortality.
Abstract:
Neonatal survival has emerged as the key to further reduction in child mortality. Distribution of neonatal deaths in first week of life in the community is poorly understood. In a cross sectional survey covering a population of 13,16,681, information was collected retrospectively for one-year reference period on 30,473 births, 1,521 neonatal deaths and 2,218 infant deaths from five rural sites in India. Of all neonatal deaths, 39.3% occurred on first day of life, and 56.8 % during the first three days. The study highlights importance of first three days as the most hazardous phase in life and provides evidence base for postnatal care guidelines.
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