TY - JOUR
T1 - Clean cord care practices and neonatal mortality
T2 - Evidence from rural Uttar Pradesh, India
AU - Agrawal, Praween K.
AU - Agrawa, Sutapa
AU - Mullany, Luke C
AU - Darmstadt, Gary L.
AU - Kumar, Vishwajeet
AU - Kiran, Usha
AU - Ahuja, Ramesh C.
AU - Srivastava, Vinod K.
AU - Santosham, Mathuram
AU - Black, Robert E.
AU - Baqui, Abdullah H.
PY - 2012/8
Y1 - 2012/8
N2 - Background About a million newborns die each year in India, accounting for about a fourth of total global neonatal deaths. Infections are among the leading causes of neonatal mortality. Care practices immediately following delivery contribute to newborns' risk of infection and mortality. Objectives This study examined the association between clean cord care practices and neonatal mortality in rural Uttar Pradesh, India. Methods The study used data from a household survey conducted to evaluate a community-based intervention program in two districts of Uttar Pradesh, India. Analysis included data from 5741 singleton live births delivered at home during 2005. The association between clean cord care (clean instrument used to cut cord, clean thread used to tie cord and antiseptics or nothing applied to the cord) and neonatal mortality was estimated using multivariate logistic regression models. Results Thirty per cent of the study mothers practiced clean cord care. Neonatal mortality rate was significantly lower among newborns exposed to clean cord care (36.5/1000 live births, 95% CI 28.0 to 46.8) than those who did not practice (53.0/1000 live births, 95% CI 46.1 to 60.6). Clean cord care was associated with 37% lower neonatal mortality (OR=;0.63; 95% CI 0.46 to 0.87) after adjusting for mother's age, education, caste/tribe, religion, household wealth, newborn thermal care practice and care-seeking during the first week after birth and study arms. Conclusions Promoting clean cord care practice among neonates in community-based maternal and newborn care programs has the potential to improve neonatal survival in rural India and similar other settings.
AB - Background About a million newborns die each year in India, accounting for about a fourth of total global neonatal deaths. Infections are among the leading causes of neonatal mortality. Care practices immediately following delivery contribute to newborns' risk of infection and mortality. Objectives This study examined the association between clean cord care practices and neonatal mortality in rural Uttar Pradesh, India. Methods The study used data from a household survey conducted to evaluate a community-based intervention program in two districts of Uttar Pradesh, India. Analysis included data from 5741 singleton live births delivered at home during 2005. The association between clean cord care (clean instrument used to cut cord, clean thread used to tie cord and antiseptics or nothing applied to the cord) and neonatal mortality was estimated using multivariate logistic regression models. Results Thirty per cent of the study mothers practiced clean cord care. Neonatal mortality rate was significantly lower among newborns exposed to clean cord care (36.5/1000 live births, 95% CI 28.0 to 46.8) than those who did not practice (53.0/1000 live births, 95% CI 46.1 to 60.6). Clean cord care was associated with 37% lower neonatal mortality (OR=;0.63; 95% CI 0.46 to 0.87) after adjusting for mother's age, education, caste/tribe, religion, household wealth, newborn thermal care practice and care-seeking during the first week after birth and study arms. Conclusions Promoting clean cord care practice among neonates in community-based maternal and newborn care programs has the potential to improve neonatal survival in rural India and similar other settings.
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U2 - 10.1136/jech-2011-200362
DO - 10.1136/jech-2011-200362
M3 - Article
C2 - 22493477
AN - SCOPUS:84866028512
SN - 0143-005X
VL - 66
SP - 755
EP - 758
JO - Journal of epidemiology and community health
JF - Journal of epidemiology and community health
IS - 8
ER -