Causes of neonatal and maternal deaths in Dhaka slums: implications for service delivery.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
    • Abstract:
      Background: Bangladesh has about 5.7 million people living in urban slums that are characterized by adverse living conditions, poor access to healthcare services and health outcomes. In an attempt to ensure safe maternal, neonatal and child health services in the slums BRAC started a programme, MANOSHI, in 2007. This paper reports the causes of maternal and neonatal deaths in slums and discusses the implications of those deaths for Maternal Neonatal and Child Health service delivery.
      Methods: Slums in three areas of Dhaka city were selected purposively. Data on causes of deaths were collected during 2008-2009 using verbal autopsy form. Two trained physicians independently assigned the cause of deaths.
      Results: A total of 260 newborn and 38 maternal deaths were identified between 2008 and 2009. The majority (75%) of neonatal deaths occurred during 0-7 days. The main causes of deaths were birth asphyxia (42%), sepsis (20%) and birth trauma (7%). Post partum hemorrhage (37%) and eclampsia (16%) were the major direct causes and hepatic failure due to viral hepatitis was the most prevalent indirect cause (11%) of maternal deaths.
      Conclusion: Delivery at a health facility with child assessment within a day of delivery and appropriate treatment could reduce neonatal deaths. Maternal mortality is unlikely to reduce without delivering at facilities with basic Emergency Obstetric Care (EOC) and arrangements for timely referral to EOC. There is a need for a comprehensive package of services that includes control of infectious diseases during pregnancy, EOC and adequate after delivery care.
    • References:
      J Perinatol. 2005 Mar;25 Suppl 1:S62-71. (PMID: 15791280)
      J Viral Hepat. 1997 Jan;4(1):51-4. (PMID: 9031065)
      Health Res Policy Syst. 2007 May 16;5:4. (PMID: 17506872)
      J Health Popul Nutr. 2005 Mar;23(1):16-24. (PMID: 15884748)
      J Perinatol. 2008 Dec;28 Suppl 2:S53-60. (PMID: 19057569)
      J Health Popul Nutr. 2010 Aug;28(4):375-82. (PMID: 20824981)
      Lancet. 2005 Mar 26-Apr 1;365(9465):1147-52. (PMID: 15794969)
      Stud Fam Plann. 1995 Jan-Feb;26(1):22-32. (PMID: 7785065)
      J Midwifery Womens Health. 2004 Jul-Aug;49(4):293-7. (PMID: 15236708)
      Kathmandu Univ Med J (KUMJ). 2010 Jan-Mar;8(29):62-72. (PMID: 21209510)
      Lancet. 2005 Aug 6-12;366(9484):478-85. (PMID: 16084256)
      BMJ. 2009;339:b2826. (PMID: 19684100)
      J Health Popul Nutr. 2009 Jun;27(3):379-90. (PMID: 19507753)
      Lancet. 2008 Jun 7;371(9628):1936-44. (PMID: 18539225)
      Infect Dis Clin North Am. 2000 Sep;14(3):669-87. (PMID: 10987115)
    • Publication Date:
      Date Created: 20120128 Date Completed: 20120620 Latest Revision: 20190108
    • Publication Date:
      20200306
    • Accession Number:
      10.1186/1471-2458-12-84
    • Accession Number:
      22280444
  • Citations
    • ABNT:
      KHATUN, F. et al. Causes of neonatal and maternal deaths in Dhaka slums: implications for service delivery. BMC public health, [s. l.], v. 12, p. 84, 2012. DOI 10.1186/1471-2458-12-84. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=22280444&authtype=sso&custid=s5834912. Acesso em: 31 maio. 2020.
    • AMA:
      Khatun F, Rasheed S, Moran AC, et al. Causes of neonatal and maternal deaths in Dhaka slums: implications for service delivery. BMC public health. 2012;12:84. doi:10.1186/1471-2458-12-84.
    • APA:
      Khatun, F., Rasheed, S., Moran, A. C., Alam, A. M., Shomik, M. S., Sultana, M., Choudhury, N., Iqbal, M., & Bhuiya, A. (2012). Causes of neonatal and maternal deaths in Dhaka slums: implications for service delivery. BMC Public Health, 12, 84. https://doi.org/10.1186/1471-2458-12-84
    • Chicago/Turabian: Author-Date:
      Khatun, Fatema, Sabrina Rasheed, Allisyn C Moran, Ashraful M Alam, Mohammad Sohel Shomik, Munira Sultana, Nuzhat Choudhury, Mohammad Iqbal, and Abbas Bhuiya. 2012. “Causes of Neonatal and Maternal Deaths in Dhaka Slums: Implications for Service Delivery.” BMC Public Health 12 (January): 84. doi:10.1186/1471-2458-12-84.
    • Harvard:
      Khatun, F. et al. (2012) ‘Causes of neonatal and maternal deaths in Dhaka slums: implications for service delivery’, BMC public health, 12, p. 84. doi: 10.1186/1471-2458-12-84.
    • Harvard: Australian:
      Khatun, F, Rasheed, S, Moran, AC, Alam, AM, Shomik, MS, Sultana, M, Choudhury, N, Iqbal, M & Bhuiya, A 2012, ‘Causes of neonatal and maternal deaths in Dhaka slums: implications for service delivery’, BMC public health, vol. 12, p. 84, viewed 31 May 2020, .
    • MLA:
      Khatun, Fatema, et al. “Causes of Neonatal and Maternal Deaths in Dhaka Slums: Implications for Service Delivery.” BMC Public Health, vol. 12, Jan. 2012, p. 84. EBSCOhost, doi:10.1186/1471-2458-12-84.
    • Chicago/Turabian: Humanities:
      Khatun, Fatema, Sabrina Rasheed, Allisyn C Moran, Ashraful M Alam, Mohammad Sohel Shomik, Munira Sultana, Nuzhat Choudhury, Mohammad Iqbal, and Abbas Bhuiya. “Causes of Neonatal and Maternal Deaths in Dhaka Slums: Implications for Service Delivery.” BMC Public Health 12 (January 26, 2012): 84. doi:10.1186/1471-2458-12-84.
    • Vancouver/ICMJE:
      Khatun F, Rasheed S, Moran AC, Alam AM, Shomik MS, Sultana M, et al. Causes of neonatal and maternal deaths in Dhaka slums: implications for service delivery. BMC public health [Internet]. 2012 Jan 26 [cited 2020 May 31];12:84. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=22280444&authtype=sso&custid=s5834912