PDF(Pubmed)
Abstract：
UNASSIGNED: neonatal mortality rate (NMR) is defined as the probability of dying during the first 28 days of life expressed per 1,000 live births. The death of neonates without risk factors at the end of pregnancy could be an indicator of sub-optimal quality care during labor and care of sick neonates. Therefore, this study aimed to determine the factors associated with neonatal deaths happening without detected risks during prenatal period.
UNASSIGNED: a cross-sectional study was conducted from 2017 to 2021.The recruited pregnant women were those who had a live, term, single-intrauterine pregnancy without detectable fetal abnormality at the time of starting labor. The data were collected through open data kit (ODK) forms that were customized in kobo tool in the tablets. The data analysis was performed using STATA statistical software. The factors associated with neonatal mortality were analyzed in a multiple logistic regression and considered significant if p < 0.05.
UNASSIGNED: among the 4401 enrolled mothers, neonatal deaths were 361 (8.2%). The factors associated with death of neonates without risk factors during prenatal period were low Apgar score [AOR = 4.38: 95%CI (2.33-7.72)], male sex [AOR=2.25: 95%CI (1.12-3.81)], gestational age above 40 weeks [AOR=4.79: (2.50-7.61)] and assisted vaginal delivery [AOR = 2.55: 95%CI (1.12-4.96)].
UNASSIGNED: the increased number of neonatal deaths are associated with sex of neonates, low Apgar score, post maturity and assisted vaginal delivery. The hospital-based studies should be done to address the preventable neonatal deaths with no detected risk factors before birth.
UNASSIGNED: a cross-sectional study was conducted from 2017 to 2021.The recruited pregnant women were those who had a live, term, single-intrauterine pregnancy without detectable fetal abnormality at the time of starting labor. The data were collected through open data kit (ODK) forms that were customized in kobo tool in the tablets. The data analysis was performed using STATA statistical software. The factors associated with neonatal mortality were analyzed in a multiple logistic regression and considered significant if p < 0.05.
UNASSIGNED: among the 4401 enrolled mothers, neonatal deaths were 361 (8.2%). The factors associated with death of neonates without risk factors during prenatal period were low Apgar score [AOR = 4.38: 95%CI (2.33-7.72)], male sex [AOR=2.25: 95%CI (1.12-3.81)], gestational age above 40 weeks [AOR=4.79: (2.50-7.61)] and assisted vaginal delivery [AOR = 2.55: 95%CI (1.12-4.96)].
UNASSIGNED: the increased number of neonatal deaths are associated with sex of neonates, low Apgar score, post maturity and assisted vaginal delivery. The hospital-based studies should be done to address the preventable neonatal deaths with no detected risk factors before birth.
摘要：
■新生儿死亡率（NMR）定义为每1,000名活产婴儿在生命的前28天死亡的概率。在妊娠结束时没有危险因素的新生儿死亡可能是分娩期间和生病新生儿护理质量欠佳的指标。因此,这项研究的目的是确定在产前期间未发现风险的新生儿死亡发生的相关因素。
■2017年至2021年进行了一项横断面研究。招募的孕妇是那些有生命的人，term,在开始分娩时没有检测到胎儿异常的单次宫内妊娠。通过在片剂中的kobo工具中定制的开放式数据试剂盒(ODK)形式收集数据。使用STATA统计软件进行数据分析。对与新生儿死亡率相关的因素进行了多因素logistic回归分析，如果p<0.05，则认为有意义。
■在4401名注册母亲中，新生儿死亡人数为361人(8.2%)。产前无危险因素新生儿死亡的相关因素为低Apgar评分[AOR=4.38:95CI(2.33-7.72)],男性[AOR=2.25：95CI（1.12-3.81）]，胎龄大于40周[AOR=4.79:(2.50-7.61)]和辅助阴道分娩[AOR=2.55:95CI(1.12-4.96)].
■新生儿死亡人数的增加与新生儿的性别有关，阿普加得分低,成熟后和辅助阴道分娩。应进行基于医院的研究，以解决可预防的新生儿死亡，在出生前没有检测到危险因素。
■2017年至2021年进行了一项横断面研究。招募的孕妇是那些有生命的人，term,在开始分娩时没有检测到胎儿异常的单次宫内妊娠。通过在片剂中的kobo工具中定制的开放式数据试剂盒(ODK)形式收集数据。使用STATA统计软件进行数据分析。对与新生儿死亡率相关的因素进行了多因素logistic回归分析，如果p<0.05，则认为有意义。
■在4401名注册母亲中，新生儿死亡人数为361人(8.2%)。产前无危险因素新生儿死亡的相关因素为低Apgar评分[AOR=4.38:95CI(2.33-7.72)],男性[AOR=2.25：95CI（1.12-3.81）]，胎龄大于40周[AOR=4.79:(2.50-7.61)]和辅助阴道分娩[AOR=2.55:95CI(1.12-4.96)].
■新生儿死亡人数的增加与新生儿的性别有关，阿普加得分低,成熟后和辅助阴道分娩。应进行基于医院的研究，以解决可预防的新生儿死亡，在出生前没有检测到危险因素。
