Neonatal mortality of low-birth-weight infants in Bangladesh
OBJECTIVE: To ascertain the role of low birth weight (LBW) in neonatal mortality in a periurban setting in Bangladesh. METHODS: LBW neonates were recruited prospectively and followed up at one month of age. The cohort of neonates were recruited after delivery in a hospital in Dhaka, Bangladesh, and...
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| Format: | Article |
| Language: | English |
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The World Health Organization
2001-01-01
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| Series: | Bulletin of the World Health Organization |
| Subjects: | |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000700005 |
| _version_ | 1797281506092122112 |
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| author | Yasmin Sohely Osrin David Paul Elizabeth Costello Anthony |
| author_facet | Yasmin Sohely Osrin David Paul Elizabeth Costello Anthony |
| author_sort | Yasmin Sohely |
| collection | DOAJ |
| description | OBJECTIVE: To ascertain the role of low birth weight (LBW) in neonatal mortality in a periurban setting in Bangladesh. METHODS: LBW neonates were recruited prospectively and followed up at one month of age. The cohort of neonates were recruited after delivery in a hospital in Dhaka, Bangladesh, and 776 were successfully followed up either at home or, in the event of early death, in hospital. FINDINGS: The neonatal mortality rate (NMR) for these infants was 133 per 1000 live births (95% confidence interval: 110-159). The corresponding NMRs (and confidence intervals) for early and late neonates were 112 (91-136) and 21 (12-33) per thousand live births, respectively. The NMR for infants born after fewer than 32 weeks of gestation was 769 (563-910); and was 780 (640-885) for infants whose birth weights were under 1500g. Eighty-four per cent of neonatal deaths occurred in the first seven days; half within 48 hours. Preterm delivery was implicated in three-quarters of neonatal deaths, but was associated with only one-third of LBW neonates. CONCLUSION: Policy-relevant findings were: that LBW approximately doubles the NMR in a periurban setting in Bangladesh; that neonatal mortality tends to occur early; and that preterm delivery is the most important contributor to the NMR. The group of infants most likely to benefit from improvements in low-cost essential care for the newborn accounted for almost 61% of neonatal mortalities in the cohort. |
| first_indexed | 2024-03-07T16:58:30Z |
| format | Article |
| id | doaj.art-df191f306323452ab5d236f5cb63d3f7 |
| institution | Directory Open Access Journal |
| issn | 0042-9686 |
| language | English |
| last_indexed | 2024-03-07T16:58:30Z |
| publishDate | 2001-01-01 |
| publisher | The World Health Organization |
| record_format | Article |
| series | Bulletin of the World Health Organization |
| spelling | doaj.art-df191f306323452ab5d236f5cb63d3f72024-03-03T03:32:46ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862001-01-01797608614Neonatal mortality of low-birth-weight infants in BangladeshYasmin SohelyOsrin DavidPaul ElizabethCostello AnthonyOBJECTIVE: To ascertain the role of low birth weight (LBW) in neonatal mortality in a periurban setting in Bangladesh. METHODS: LBW neonates were recruited prospectively and followed up at one month of age. The cohort of neonates were recruited after delivery in a hospital in Dhaka, Bangladesh, and 776 were successfully followed up either at home or, in the event of early death, in hospital. FINDINGS: The neonatal mortality rate (NMR) for these infants was 133 per 1000 live births (95% confidence interval: 110-159). The corresponding NMRs (and confidence intervals) for early and late neonates were 112 (91-136) and 21 (12-33) per thousand live births, respectively. The NMR for infants born after fewer than 32 weeks of gestation was 769 (563-910); and was 780 (640-885) for infants whose birth weights were under 1500g. Eighty-four per cent of neonatal deaths occurred in the first seven days; half within 48 hours. Preterm delivery was implicated in three-quarters of neonatal deaths, but was associated with only one-third of LBW neonates. CONCLUSION: Policy-relevant findings were: that LBW approximately doubles the NMR in a periurban setting in Bangladesh; that neonatal mortality tends to occur early; and that preterm delivery is the most important contributor to the NMR. The group of infants most likely to benefit from improvements in low-cost essential care for the newborn accounted for almost 61% of neonatal mortalities in the cohort.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000700005Infant mortalityInfant, Low birth weightProspective studiesCohort studiesBangladesh |
| spellingShingle | Yasmin Sohely Osrin David Paul Elizabeth Costello Anthony Neonatal mortality of low-birth-weight infants in Bangladesh Bulletin of the World Health Organization Infant mortality Infant, Low birth weight Prospective studies Cohort studies Bangladesh |
| title | Neonatal mortality of low-birth-weight infants in Bangladesh |
| title_full | Neonatal mortality of low-birth-weight infants in Bangladesh |
| title_fullStr | Neonatal mortality of low-birth-weight infants in Bangladesh |
| title_full_unstemmed | Neonatal mortality of low-birth-weight infants in Bangladesh |
| title_short | Neonatal mortality of low-birth-weight infants in Bangladesh |
| title_sort | neonatal mortality of low birth weight infants in bangladesh |
| topic | Infant mortality Infant, Low birth weight Prospective studies Cohort studies Bangladesh |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000700005 |
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