| Summary: | Background: Worldwide it is estimated that 130 million babies are born each
year, and 4 million of whom die shortly after birth. Of the infant rate, 98% of
them occur in developing countries, 66 percent die in the early neonatal period,
and 25-45 percent occurs in the first 24 hours after birth. In Indonesia there is 1
early neonatal death in every 7,5 minutes. Result of studies in several countries
have indicated that there is inconsistentcy in the relationship of early neonatal
death to birth spacing.
Objective: To determine the relationship between birth spacing and early
neonatal death at Central General Hospital Dr. Sardjito, Yogyakarta.
Method: This study used secondary data from the Medical Records of Central
General Hospital Dr. Sardjito Yogyakarta. The current research is a quantitative
study with case-control design. The samples were all infants born alive in the
General Hospital Dr. Sardjito Yogyakarta, and then die in the early neonatal
period. The sample of 120 infants born alive and then died in the early neonatal
period constitute the case, and 120 babies born alive and did not die in the early
neonatal period constitute the control. Variables consisted of the independent
variables (birth spacing), and dependent variables (early neonatal mortality), and
external variables (maternal age, parity, gestational age, and birth weight). Data
analysis was conducted using chi-square test and logistic regression.
Results: Multivariate analysis demonstrated that there is a significant relationship
between birth spacing < 24 months and early neonatal mortality, as seen from OR
= 5.16 (95% CI = 2.84 to 9.46)., p-value = 0.001. External variables significantly
association with early neonatal death are parity of three and above, OR = 1.83
(95% CI = 1.06 to 3.16), p-value = 0.020
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