Causes of Neonatal Deaths among Tribal Women in Gujarat,India |
| |
Authors: | Baiju Dinesh Shah Laxmi Kant Dwivedi |
| |
Institution: | (1) School of Health Systems Studies, Tata Institute of Social Sciences, V N Purav Marg, Deonar, Mumbai, 400 088, India |
| |
Abstract: | Mortality among neonates has long been largely neglected by research in all developing nations of world including India. This
study aims to identify the primary and secondary causes of neonatal deaths among the tribes of Gujarat by retrospectively
analyzing 106 neonatal deaths that occurred during the year 2008 and 2009. The socio-economic, biological and traditional
newborn care practices impacting newborn survival were also studied. Case studies including in-depth interviews of 33 women
who had experienced neonatal deaths in period of 2008 and 2009 have also been conducted. The results show that the main causes
of neonatal deaths in the study area were birth asphyxia, prematurity, aspiration, infection and congenital anomalies, irrespective
of place of delivery. Absence of trained and skilled personnel for newborn resuscitation was the main cause of perinatal birth
asphyxia related deaths. Around 36% mothers had a history of infant deaths. Low birth weight is one of the important causes
of neonatal deaths among mothers who had a history of child loss. Cyclicality of neonatal deaths continued among clustered
families with social factors initiating the cycle. Qualified trained birth attendants practicing essential newborn care are
necessary during home deliveries. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|