Risk factors for neonatal mortality due to birth asphyxia in southern Nepal: A prospective, community-based cohort study

Document Type

Journal Article

Publication Date

5-1-2008

Journal

Pediatrics

Volume

121

Issue

5

DOI

10.1542/peds.2007-1966

Keywords

Asphyxia neonatorum; Mortality; Neonatal; Nepal; Risk factors

Abstract

OBJECTIVE. Our goal was to identify antepartum, intrapartum, and infant risk factors for birth asphyxia mortality in a rural, low-resource, population-based cohort in southern Nepal. PATIENTS AND METHODS.Data were collected prospectively during a cluster-randomized, community-based trial evaluating the impact of newborn skin and umbilical cord cleansing on neonatal mortality and morbidity in Sarlahi, Nepal. A total of 23 662 newborn infants were enrolled between September 2002 and January 2006. Multi-variable regression modeling was performed to determine adjusted relative risk estimates of birth asphyxia mortality for antepartum, intrapartum, and infant risk factors. © 2008 by the American Academy of Pediatrics.

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