Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran)
Objective: To identify the effects of community-based interventions on the Neonatal Health Index in one district of Tehran-Iran. Materials and methods: A community and healthcare center-based study was carried out from January 2011 through September 2014. The population of the study included newborn...
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Format: | Article |
Language: | English |
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Tehran University of Medical Sciences
2016-08-01
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Series: | Journal of Family and Reproductive Health |
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Online Access: | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/420 |
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author | Fatemeh Nayeri Hosein Dalili Kazem Shahzadeh Fazeli Shahnaz Delbarpoor Ahmadi Frozan Akrami Tahereh Esmailnia Abbas Habibelahi Mamak Shariat |
author_facet | Fatemeh Nayeri Hosein Dalili Kazem Shahzadeh Fazeli Shahnaz Delbarpoor Ahmadi Frozan Akrami Tahereh Esmailnia Abbas Habibelahi Mamak Shariat |
author_sort | Fatemeh Nayeri |
collection | DOAJ |
description | Objective: To identify the effects of community-based interventions on the Neonatal Health Index in one district of Tehran-Iran.
Materials and methods: A community and healthcare center-based study was carried out from January 2011 through September 2014. The population of the study included newborns from mothers residing in the 4th district of Tehran, Iran. Demographic data of mothers and infants were recorded in questionnaires before and after intervention. Interventions were implemented in hospitals, participants' homes, and health centers. The primary outcomes were comparison of mean birth weight, weight gain during the first 3-7 days, first week visit rate, hospitalization rate between the before and after intervention groups.
Results: The populations in the before and after intervention groups were 274 and 250, respectively. A significant difference was seen between the gestational ages (P value = 0.007) of the two groups. Mean birth height in the first group was 50.35 ± 3.48 and in the second group was 55 ± 5.32 cm (P value = 0.04). Neonatal complications in the second group were 6.9% lower than in the first group (P value = 0.048). In the first group 41 neonates (15%) were hospitalized in the NICU while in the second group 12 cases (4.8%) were hospitalized (P value = 0.018). Seven cases (2.6%) in the first group and one case (0.4%) in the second group were resuscitated (P value = 0.0001).
Conclusion: The results of implementing community-based newborn care strategies witnessed at the first week postnatal visit included improvements inneonatal gestational growth, management of neonates with potentially serious illnesses, diagnosis of warning signs and neonatal care practices. |
first_indexed | 2024-04-11T19:04:11Z |
format | Article |
id | doaj.art-73c80c6c7ef94d2d8b4273869fa39806 |
institution | Directory Open Access Journal |
issn | 1735-8949 1735-9392 |
language | English |
last_indexed | 2024-04-11T19:04:11Z |
publishDate | 2016-08-01 |
publisher | Tehran University of Medical Sciences |
record_format | Article |
series | Journal of Family and Reproductive Health |
spelling | doaj.art-73c80c6c7ef94d2d8b4273869fa398062022-12-22T04:07:51ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922016-08-01102356Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran)Fatemeh Nayeri0Hosein Dalili1Kazem Shahzadeh Fazeli2Shahnaz Delbarpoor Ahmadi3Frozan Akrami4Tahereh Esmailnia5Abbas Habibelahi6Mamak Shariat7Maternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, IranBreast Feeding Research Center, Tehran University of Medical Sciences, Tehran, IranHealth Deputies, Shahid Beheshti University of Medical Sciences, Tehran, IranHealth Deputies, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Midwifery, Neonatal Health Office, Ministry of Health, Tehran, IranBreast Feeding Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Pediatrics, Neonatal Health Office, Ministry of Health, Management and Education of Iran, Tehran, IranMaternal, Fetal and Neonatal Research Center, Tehran University of Medical Sciences, Tehran, IranObjective: To identify the effects of community-based interventions on the Neonatal Health Index in one district of Tehran-Iran. Materials and methods: A community and healthcare center-based study was carried out from January 2011 through September 2014. The population of the study included newborns from mothers residing in the 4th district of Tehran, Iran. Demographic data of mothers and infants were recorded in questionnaires before and after intervention. Interventions were implemented in hospitals, participants' homes, and health centers. The primary outcomes were comparison of mean birth weight, weight gain during the first 3-7 days, first week visit rate, hospitalization rate between the before and after intervention groups. Results: The populations in the before and after intervention groups were 274 and 250, respectively. A significant difference was seen between the gestational ages (P value = 0.007) of the two groups. Mean birth height in the first group was 50.35 ± 3.48 and in the second group was 55 ± 5.32 cm (P value = 0.04). Neonatal complications in the second group were 6.9% lower than in the first group (P value = 0.048). In the first group 41 neonates (15%) were hospitalized in the NICU while in the second group 12 cases (4.8%) were hospitalized (P value = 0.018). Seven cases (2.6%) in the first group and one case (0.4%) in the second group were resuscitated (P value = 0.0001). Conclusion: The results of implementing community-based newborn care strategies witnessed at the first week postnatal visit included improvements inneonatal gestational growth, management of neonates with potentially serious illnesses, diagnosis of warning signs and neonatal care practices.https://jfrh.tums.ac.ir/index.php/jfrh/article/view/420Community-BasedIntervention PackagesNeonatal Health Status |
spellingShingle | Fatemeh Nayeri Hosein Dalili Kazem Shahzadeh Fazeli Shahnaz Delbarpoor Ahmadi Frozan Akrami Tahereh Esmailnia Abbas Habibelahi Mamak Shariat Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran) Journal of Family and Reproductive Health Community-Based Intervention Packages Neonatal Health Status |
title | Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran) |
title_full | Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran) |
title_fullStr | Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran) |
title_full_unstemmed | Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran) |
title_short | Effects of Community-Based Newborn Care Intervention on Neonate Health Status in a District of Tehran (Iran) |
title_sort | effects of community based newborn care intervention on neonate health status in a district of tehran iran |
topic | Community-Based Intervention Packages Neonatal Health Status |
url | https://jfrh.tums.ac.ir/index.php/jfrh/article/view/420 |
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