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Effect of Timing of First Postnatal Check on Neonatal Death in Indonesia (Analysis of IDHS 2002-2003, 2007, and 2012 with Retrospective Cohort Study)
Description:
Many of under five death occurs during neonatal period. The first week of life after birth, especially the first day of life is is the most vulnerable time for child survival. Neonatal period account more than one third (over 44%) in under five death. In Indonesia, Neonatal Mortality Rate in 2012 is 19 per 1000 livebirth. One of the intervention to increasing of neonatal survival is by timing of first postnatal check up but from previous study showed inconsistent effect. The objective of this study was to indentify effect timing of the first postnatal check up for the newborn on neonatal survival. This study used the data from 2002-2003, 2007, and 2012 IDHS. The design of this study was retrospective cohort study and assessed the association of factors related to neonatal death used survival analysis by cox regression. A total of 35.985 live birth singleton in IDHS 2002-2003, 2007 and 2012 were analyzed. Multivariat analysis showed that Babies who received first postnatal check up by health professional ≥24 hours up to 7 days after birth has significant protective effect on neonatal death (HR=0,09; 95%CI: 0,04-0,23). The study also found other result that birth weight (HR=13,23; 95%:5,47-32,04) and preganancy complication (HR=1,66; 95%CI: 1,17-2,36) were significant associated with neonatal death.. In order to improve neonal survival, it is important to prevent risk factor of low birth weight and detect the sign of complication during pregancy as early as possible., so that it can not affect to the babies life
Author:
- Ira Marti Ayu
- Ratna Djuwita
Source:
International Conference on Recent Innovation 2018[/vc_column_text][/vc_column][/vc_row]
