Influence of maternal care, parity and birth weight on neonatal mortality--a prospective study in an urban community
Srinivasa, D.K.; Danabalan, M.; Gnanasujayam, M.; Prabhakara, G.N.; Anand, D.
Indian Journal of Medical Research 64(3): 358-363
1976
ISSN/ISBN: 0019-5340 PMID: 987017 Document Number: 497428
A study of the extent of utilization of maternal care services with neonatal mortality as an outcome indicator was conducted in urban Pondicherry, India. The influence of parity and birth weight on neonatal mortality was studied. The causes of neonatal deaths were analyzed. The perinatal and neonatal mortality rates were 35.9 and 34.7 per 1000 live births, respectively. An inverse relationship was observed between maternal care receptivity and neonatal mortality. The scoring system developed for maternal care receptivity with neonatal mortality as an outcome indicator seemed to offer a tool for measurement of utilization of maternal care services. Neonatal mortality rates of parity .gtoreq. 4 were higher than those of 1, 2 and 3. Mean birth weight was 2635 g. Neonatal mortality was reduced by 94% among babies with birth weight .gtoreq. 2501 g compared to those < 2000 g. The 5 leading causes of death were prematurity, asphyxia, tetanus neonatorum, respiratory infections and congenital anomalies.