Original Research Article
Year: 2020 | Month: January | Volume: 10 | Issue: 1 | Pages: 9-17
Maternal and Neonatal Factors Associated With Neonatal Morbidity: A Prospective Follow-Up Study in Selected Hospital of Nepal
Dilip Kumar Yadav1, Girija Shankar Shukla2, Neena Gupta3, Akanksha Singh4, Dipak Kumar Bose5, Apala Gupta1
1Ph D Scholar, 3Assistant Professor (Sr.), 4Teaching Associate,
Shalom Institute of Health and Allied Sciences, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Prayagraj-211007, India;
2Professor, Shalom Institute of Health and Allied Sciences, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Prayagraj -211007, India and Director, School of Health Science, Uttar Pradesh Rajarshi Tandon Open University, Prayagraj.
5Associate Professor, Department of Agricultural Extension and Communication, Sam Higginbottom University of Agriculture, Technology and Sciences (SHUATS), Prayagraj -211007
ABSTRACT
Introduction: Neonatal morbidity and mortality, a sensitive indicator which indicates the availability, utilization, and effectiveness of maternal and child health services in the community, are major global public health challenges. The objective of the study was to find out the maternal and neonatal factors associated with neonatal morbidity in selected hospital of Nepal.
Methods: This was a hospital based prospective follow up study conducted among babies nested for case control study design. Among 1104 babies, 368 babies with low birth weight and 736 babies with normal birth weight were followed up after 28 days of birth and morbidity was assessed.
Result: Neonatal morbidity was about 131/1000 neonates. Neonates who were living in kachcha house [AOR: 2.03, 95% CI: (1.17-3.53), p=0.012], had low birth weight [AOR: 3.46, 95% CI: (2.19-5.48), p<0.001] and had born in wet season [AOR: 3.10, 95% CI: (1.94-4.95), p<0.001] were significantly associated with neonatal morbidity.
Conclusion: The study identified ‘living in kachcha house, low birth weight and born in wet season’ as the major contributors to neonatal morbidity. Providing financial as well as technical support for the construction of house, improving maternal health and nutrition, antenatal care and practicing proper care of newborn babies especially low birth weight babies will help to improve neonatal outcome.
Key words: Maternal factors, Neonatal Factors, Neonatal Morbidity, Nepal.