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Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India
Despite India having a high burden of infant deaths and preterm birth, there is a clear lack of studies documenting association between preterm birth and infant mortality in India. Additionally, existing studies have failed to account for unobserved heterogeneity while linking preterm birth with inf...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021707/ https://www.ncbi.nlm.nih.gov/pubmed/36962696 http://dx.doi.org/10.1371/journal.pgph.0000205 |
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author | Kannaujiya, Ajit Kumar Kumar, Kaushalendra Upadhyay, Ashish Kumar McDougal, Lotus Raj, Anita James, K. S. Singh, Abhishek |
author_facet | Kannaujiya, Ajit Kumar Kumar, Kaushalendra Upadhyay, Ashish Kumar McDougal, Lotus Raj, Anita James, K. S. Singh, Abhishek |
author_sort | Kannaujiya, Ajit Kumar |
collection | PubMed |
description | Despite India having a high burden of infant deaths and preterm birth, there is a clear lack of studies documenting association between preterm birth and infant mortality in India. Additionally, existing studies have failed to account for unobserved heterogeneity while linking preterm birth with infant mortality. Hence, the present study examines association of preterm birth with early neonatal death (ENND), late neonatal death (LNND), and postneonatal death (PNND) in India. We used the reproductive calendar canvassed in the cross-sectional National Family Health Survey 2015–16 (NFHS-4) to identify preterm births. We used multivariable logistic regression to examine the associations for all births, most-, second most-, and third most- recent births occurred in five years preceding NFHS-4. We use mother fixed-effect logistic regression to confirm the associations among all recent births. Among all births, preterm births were 4.2, 3.8, and 1.7 times as likely as full-term births to die during early neonatal, late neonatal, and postneonatal periods respectively. Among most recent births, preterm births were 4.4, 4.0, and 2.0 times as likely as full-term births to die during early neonatal, late neonatal, and postneonatal periods respectively. Preterm births were also associated with risk of only ENND, LNND, and PNND among the second most recent births. Preterm births were associated with risk of only ENND and LNND among the third most recent births. Preterm births were also associated with ENND, LNND, and PNND in the mother fixed-effects regressions. This study establishes associations of preterm birth with ENND, LNND, and PNND in India using over 0.2 million births that occurred in 5 years preceding one of the largest population-based representative household surveys conducted in any part of the world. Our findings call for programmatic and policy interventions to address the considerable burden of preterm birth in the country. |
format | Online Article Text |
id | pubmed-10021707 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-100217072023-03-17 Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India Kannaujiya, Ajit Kumar Kumar, Kaushalendra Upadhyay, Ashish Kumar McDougal, Lotus Raj, Anita James, K. S. Singh, Abhishek PLOS Glob Public Health Research Article Despite India having a high burden of infant deaths and preterm birth, there is a clear lack of studies documenting association between preterm birth and infant mortality in India. Additionally, existing studies have failed to account for unobserved heterogeneity while linking preterm birth with infant mortality. Hence, the present study examines association of preterm birth with early neonatal death (ENND), late neonatal death (LNND), and postneonatal death (PNND) in India. We used the reproductive calendar canvassed in the cross-sectional National Family Health Survey 2015–16 (NFHS-4) to identify preterm births. We used multivariable logistic regression to examine the associations for all births, most-, second most-, and third most- recent births occurred in five years preceding NFHS-4. We use mother fixed-effect logistic regression to confirm the associations among all recent births. Among all births, preterm births were 4.2, 3.8, and 1.7 times as likely as full-term births to die during early neonatal, late neonatal, and postneonatal periods respectively. Among most recent births, preterm births were 4.4, 4.0, and 2.0 times as likely as full-term births to die during early neonatal, late neonatal, and postneonatal periods respectively. Preterm births were also associated with risk of only ENND, LNND, and PNND among the second most recent births. Preterm births were associated with risk of only ENND and LNND among the third most recent births. Preterm births were also associated with ENND, LNND, and PNND in the mother fixed-effects regressions. This study establishes associations of preterm birth with ENND, LNND, and PNND in India using over 0.2 million births that occurred in 5 years preceding one of the largest population-based representative household surveys conducted in any part of the world. Our findings call for programmatic and policy interventions to address the considerable burden of preterm birth in the country. Public Library of Science 2022-06-28 /pmc/articles/PMC10021707/ /pubmed/36962696 http://dx.doi.org/10.1371/journal.pgph.0000205 Text en © 2022 Kannaujiya et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Kannaujiya, Ajit Kumar Kumar, Kaushalendra Upadhyay, Ashish Kumar McDougal, Lotus Raj, Anita James, K. S. Singh, Abhishek Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India |
title | Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India |
title_full | Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India |
title_fullStr | Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India |
title_full_unstemmed | Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India |
title_short | Effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in India |
title_sort | effect of preterm birth on early neonatal, late neonatal, and postneonatal mortality in india |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021707/ https://www.ncbi.nlm.nih.gov/pubmed/36962696 http://dx.doi.org/10.1371/journal.pgph.0000205 |
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