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Updated: May 6, 2026
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
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Risk Factor-Specific Mortality Analysis of the Outborn Newborns to Improve the Neonatal Mortality Rate: A
Tapan K Kundu1, Abhilash Chatterjee1, Mitali Bera1
1Department of Pediatrics, Midnapore Medical College, Midnapore, West Bengal, India.
Summary
Preventable newborn deaths remain a challenge. This study identifies key risk factors like male gender, low birth weight, and prematurity to reduce neonatal mortality rate (NMR) in outborn infants.
Area of Science:
- Neonatalogy
- Public Health
- Pediatrics
Background:
- The 2030 Sustainable Development Goal (SDG) aims to eliminate preventable newborn deaths.
- Data on outborn newborns is limited, hindering targeted interventions.
- Reducing neonatal mortality rate (NMR) is crucial for achieving global health targets.
Purpose of the Study:
- To determine admission causes for outborn newborns.
- To identify timing and causes of mortality in this population.
- To pinpoint areas for NMR reduction.
Main Methods:
- A retrospective, descriptive cross-sectional study was conducted.
- Data from 1671 outborn newborns admitted to a Special Newborn Care Unit (SNCU) in eastern India (2021) were analyzed.
- Admission and mortality data were collected and reviewed.
Main Results:
- Sepsis (35.23%), perinatal asphyxia (22.78%), and prematurity/ELBW (16.73%) were leading causes of death.
- Mortality was highest in infants with birth weight ≤999g (91.84%) and gestational age <28 weeks (100%).
- Over 55% of deaths occurred on the first day of life.
Conclusions:
- Interventions should prioritize male infants, scheduled tribes, and those born preterm or with extremely low birth weight (ELBW).
- Addressing sepsis and perinatal asphyxia is critical for reducing NMR.
- Targeted strategies are needed to decrease mortality in vulnerable outborn newborns.
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