Improving survival rates of newborn infants in South Africa

 

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dc.contributor.author Pattinson, Robert en_ZA
dc.contributor.author Woods, David en_ZA
dc.contributor.author Greenfield, David en_ZA
dc.contributor.author Velaphi, Sithembiso en_ZA
dc.date.accessioned 2015-10-12T11:01:06Z
dc.date.available 2015-10-12T11:01:06Z
dc.date.issued 2005 en_ZA
dc.identifier.citation Pattinson, R., Woods, D., Greenfield, D., & Velaphi, S. (2005). Improving survival rates of newborn infants in South Africa. Reprod Health, 2(1), 4. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14213
dc.identifier.uri http://dx.doi.org/10.1186/1742-4755-2-4
dc.description.abstract BACKGROUND:The number, rates and causes of early neonatal deaths in South Africa were not known. Neither had modifiable factors associated with these deaths been previously documented. An audit of live born infants who died in the first week of life in the public service could help in planning strategies to reduce the early neonatal mortality rate. METHODS: The number of live born infants weighing 1000 g or more, the number of these infants who die in the first week of life, the primary and final causes of these deaths, and the modifiable factors associated with them were collected over four years from 102 sites in South Africa as part of the Perinatal Problem Identification Programme. RESULTS: The rate of death in the first week of life for infants weighing 1000 g or more was unacceptably high (8.7/1000), especially in rural areas (10.42/1000). Intrapartum hypoxia and preterm delivery are the main causes of death. Common modifiable factors included inadequate staffing and facilities, poor care in labour, poor neonatal resuscitation and basic care, and difficulties for patients in accessing health care. CONCLUSION: Practical, affordable and effective steps can be taken to reduce the number of infants who die in the first week of life in South Africa. These could also be implemented in other under resourced countries. en_ZA
dc.language.iso eng en_ZA
dc.publisher BioMed Central Ltd en_ZA
dc.rights This is an Open Access article distributed under the terms of the Creative Commons Attribution License en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_ZA
dc.source Reproductive Health en_ZA
dc.source.uri http://www.reproductive-health-journal.com/ en_ZA
dc.subject.other Neonatal mortality rate en_ZA
dc.title Improving survival rates of newborn infants in South Africa en_ZA
dc.type Journal Article en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Paediatrics and Child Health en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Pattinson, R., Woods, D., Greenfield, D., & Velaphi, S. (2005). Improving survival rates of newborn infants in South Africa. <i>Reproductive Health</i>, http://hdl.handle.net/11427/14213 en_ZA
dc.identifier.chicagocitation Pattinson, Robert, David Woods, David Greenfield, and Sithembiso Velaphi "Improving survival rates of newborn infants in South Africa." <i>Reproductive Health</i> (2005) http://hdl.handle.net/11427/14213 en_ZA
dc.identifier.vancouvercitation Pattinson R, Woods D, Greenfield D, Velaphi S. Improving survival rates of newborn infants in South Africa. Reproductive Health. 2005; http://hdl.handle.net/11427/14213. en_ZA
dc.identifier.ris TY - Journal Article AU - Pattinson, Robert AU - Woods, David AU - Greenfield, David AU - Velaphi, Sithembiso AB - BACKGROUND:The number, rates and causes of early neonatal deaths in South Africa were not known. Neither had modifiable factors associated with these deaths been previously documented. An audit of live born infants who died in the first week of life in the public service could help in planning strategies to reduce the early neonatal mortality rate. METHODS: The number of live born infants weighing 1000 g or more, the number of these infants who die in the first week of life, the primary and final causes of these deaths, and the modifiable factors associated with them were collected over four years from 102 sites in South Africa as part of the Perinatal Problem Identification Programme. RESULTS: The rate of death in the first week of life for infants weighing 1000 g or more was unacceptably high (8.7/1000), especially in rural areas (10.42/1000). Intrapartum hypoxia and preterm delivery are the main causes of death. Common modifiable factors included inadequate staffing and facilities, poor care in labour, poor neonatal resuscitation and basic care, and difficulties for patients in accessing health care. CONCLUSION: Practical, affordable and effective steps can be taken to reduce the number of infants who die in the first week of life in South Africa. These could also be implemented in other under resourced countries. DA - 2005 DB - OpenUCT DO - 10.1186/1742-4755-2-4 DP - University of Cape Town J1 - Reproductive Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2005 T1 - Improving survival rates of newborn infants in South Africa TI - Improving survival rates of newborn infants in South Africa UR - http://hdl.handle.net/11427/14213 ER - en_ZA


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