Distributions and Determinants of Neonatal Mortality in Rembang Regency, Central Java Province, Indonesia
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Abstract
Neonatal mortality in Rembang regency, Central Java province, has raised concerns to solve comprehensively. This study aimed to observe distributions and examine determinants of neonatal mortality in the Rembang regency. A case-control study was conducted to examine 50 cases and 50 control by the medical records in the Department of Health. There were 11 variables: parity, mother's age, gestational age, a congenital defect, neonatal sepsis, neonatal asphyxia, pregnancy complication, birth weight, labour locations, childbirth helper, and type of labour. The analysis consists of bivariate with chi-square and multivariate by logistic regression. The most frequent risk factors are gestational age (P=0.00; OR=18.4; and CI=5.04-67.00) and birth weight (P=0.00; OR=14.7 and CI=4.96-43.51), yet logistic regression found high-risk birth weight (P=0.01; aOR=5.4 and CI=1.43 – 20.34) and high-risk gestational age (P=0.03; aOR=5.8 and CI=1.22-27.59) are significant on neonatal mortality in Rembang regency, Central Java Indonesia. This finding is essential in taking policy action on safe pregnancy among high-risk women in the Rembang regency.
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How to Cite
Soleman, S., & Odelia, Y. (2023). Distributions and Determinants of Neonatal Mortality in Rembang Regency, Central Java Province, Indonesia. Unnes Journal of Public Health, 12(1), 53-60. https://doi.org/10.15294/ujph.v12i1.57694
References
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Berhan, Y. (2014). Predictors of Perinatal Mortality Associated with Placenta Previa and Placental Abruption : An Experience from a Low. Journal of Pregnancy, 2014, 307043. https://doi.org/10.1155/2014/307043
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Khanam, R., Ahmed, S., Creanga, A. A., Begum, N., Koffi, A. K., Mahmud, A., Rosen, H., & Baqui, A. H. (2017). Antepartum complications and perinatal mortality in rural Bangladesh. BMC Pregnancy and Childbirth, 17(1), 1–8. https://doi.org/10.1186/s12884-017-1264-1
Leak, P., Yamamoto, E., Noy, P., Keo, D., Krang, S., Kariya, T., Saw, Y. M., Siek, M., & Hamajima, N. (2021). Factors Associated with Neonatal Mortality Iin a Tertiary Hospital in Phnom Penh, Cambodia. Nagoya J Med Sci, 83(1), 113–124. https://doi.org/10.18999/nagjms.83.1.113
Ndayisenga, T. (2016). Maternal and Newborn Risk Factors associated With Neonatal Mortality in Gitwe District Hospital in Ruhango District , Rwanda. Int J Med. Public Health, 6(2), 98–102. https://doi.org/10.5530/ijmedph.2016.2.9
Nuccio, E., & Chonchol, M. (2016). Kidney Disease and Maternal and Fetal Outcomes in Pregnancy. 66(1), 55–59. https://doi.org/10.1053/j.ajkd.2014.11.019
PERKI. (2022). Mengenal Penyakit Jantung Bawaan Lebih Dalam – Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. https://inaheart.org/news/mengenal-penyakit-jantung-bawaan-lebih-dalam/
Titaley, C. R., Dibley, M. J., Agho, K., Roberts, C. L., & Hall, J. (2008). Determinants of neonatal mortality in Indonesia. BMC Public Health, 15, 1–15. https://doi.org/10.1186/1471-2458-8-232
Vicente, P., Almeida, B., Barreto, M. L., Barros, F., & Victora, C. (1915). Reproductive , maternal , neonatal and child health in the 30 years since the creation of the Unified Health System ( SUS ). 1915–1928. https://doi.org/10.1590/1413-81232018236.03942018
Adashi, E., Gardiner, M., Adriaansz, G., Berman, P., Goldenberg, R., Sastroasmoro, S., Shankar, A., & Soemantri, S. (2014). Reducing maternal and neonatal mortality in Indonesia: saving lives, saving the future. The National Academies Press. https://doi.org/10.17226/18437
Alves, S., Lopes, A., Cristina, I., Guimarães, B., Fontes, S., Costa, D. O., Acosta, X., Sandes, K. A., Maurício, C., & Mendes, C. (2018). Original Article Mortality for Critical Congenital Heart Diseases and Associated Risk Factors in Newborns . A Cohort Study. Arq Bras Cardiol, 111(5), 666–673. https://doi.org/10.5935/abc.20180175
Ananth, C., & Basso, O. (2011). Impact of Pregnancy-Induced Hypertension on Stillbirth and Neonatal Mortality in First and Higher Order Births: A Population- Based Study. Epidemiology, 21(1), 118–123. https://doi.org/10.1097/EDE.0b013e3181c297af.Impact
Bamji, M. S., Murthy, P. V. V. S., Williams, L., & Rao, M. V. V. (2008). Maternal nutritional status & practices & perinatal , neonatal mortality in rural Andhra Pradesh , India. Indian J Med Res, January, 44–51.
Berhan, Y. (2014). Predictors of Perinatal Mortality Associated with Placenta Previa and Placental Abruption : An Experience from a Low. Journal of Pregnancy, 2014, 307043. https://doi.org/10.1155/2014/307043
Canning, D., Finlay, J. E., & Emre, O. (2011). The association of maternal age with infant mortality , child anthropometric failure , diarrhoea and anaemia for first births : evidence from 55 low- and middle-income countries. BMJ Open, 2, e000226. https://doi.org/10.1136/bmjopen-2011-000226
Cavallin, F., Bonasia, T., Yimer, D. A., Manenti, F., Putoto, G., & Trevisanuto, D. (2020). Risk factors for mortality among neonates admitted to a special care unit in a low-resource setting. BMC Pregnancy and Childbirth, 20(1), 1–8. https://doi.org/10.1186/s12884-020-03429-2
Chiera, B., & Pradono, J. (2016). Low birth weights and risk of neonatal mortality in Indonesia. Health Science Journal of Indonesia, 7(2), 113–117. https://doi.org/10.22435/hsji.v7i2.5587.113-117
Ensor, T., Cooper, S., Davidson, L., Fitzmaurice, A., & Graham, W. J. (2010). The impact of economic recession on maternal and infant mortality : lessons from history. BMC Public Health, 10, 727. https://doi.org/10.1186/1471-2458-10-727
Getiye, Y., & Fantahun, M. (2017). Factors associated with perinatal mortality among public health deliveries in Addis Ababa, Ethiopia, an unmatched case control study. BMC Pregnancy and Childbirth, 17(1), 1–7. https://doi.org/10.1186/s12884-017-1420-7
Gilboa, S., Salemi, J., Nembhard, W., Fixler, D., & Correa, A. dolfo. (2016). Children and Adults in the United States , 1999 to 2006. Circulation, 122(22), 2254–2263. https://doi.org/10.1161/CIRCULATIONAHA.110.947002.Mortality
Grandi, C., Tapia, J. L., & Cardoso, V. C. (2015). Impact of maternal diabetes mellitus on mortality and morbidity of very low birth weight infants : a multicenter Latin America study. Jornal de Pediatria, 91(3), 234–241. https://doi.org/10.1016/j.jped.2014.08.007
Jehan, I., Harris, H., Salat, S., Zeb, A., Mobeen, N., Pasha, O., Mcclure, E. M., Moore, J., Wright, L., & Goldenberg, R. L. (2009). Neonatal mortality, risk factors and causes : a prospective population-based cohort study in urban Pakistan. Bull World Health Organ, 87(June 2008), 130–138. https://doi.org/10.2471/BLT.08.050963
Kemenkes RI. (2018). InfoDATIN: Kelainan bawaan. In Pusat Data dan Informasi Kemeterian Kesehatan RI.
Kementrian Kesehatan RI. (2020). Pedoman Pelayanan Antenatal Terpadu Eedisi Ketiga (3rd ed.). Kementerian Kesehatan RI.
Khanam, R., Ahmed, S., Creanga, A. A., Begum, N., Koffi, A. K., Mahmud, A., Rosen, H., & Baqui, A. H. (2017). Antepartum complications and perinatal mortality in rural Bangladesh. BMC Pregnancy and Childbirth, 17(1), 1–8. https://doi.org/10.1186/s12884-017-1264-1
Leak, P., Yamamoto, E., Noy, P., Keo, D., Krang, S., Kariya, T., Saw, Y. M., Siek, M., & Hamajima, N. (2021). Factors Associated with Neonatal Mortality Iin a Tertiary Hospital in Phnom Penh, Cambodia. Nagoya J Med Sci, 83(1), 113–124. https://doi.org/10.18999/nagjms.83.1.113
Ndayisenga, T. (2016). Maternal and Newborn Risk Factors associated With Neonatal Mortality in Gitwe District Hospital in Ruhango District , Rwanda. Int J Med. Public Health, 6(2), 98–102. https://doi.org/10.5530/ijmedph.2016.2.9
Nuccio, E., & Chonchol, M. (2016). Kidney Disease and Maternal and Fetal Outcomes in Pregnancy. 66(1), 55–59. https://doi.org/10.1053/j.ajkd.2014.11.019
PERKI. (2022). Mengenal Penyakit Jantung Bawaan Lebih Dalam – Perhimpunan Dokter Spesialis Kardiovaskular Indonesia. https://inaheart.org/news/mengenal-penyakit-jantung-bawaan-lebih-dalam/
Titaley, C. R., Dibley, M. J., Agho, K., Roberts, C. L., & Hall, J. (2008). Determinants of neonatal mortality in Indonesia. BMC Public Health, 15, 1–15. https://doi.org/10.1186/1471-2458-8-232
Vicente, P., Almeida, B., Barreto, M. L., Barros, F., & Victora, C. (1915). Reproductive , maternal , neonatal and child health in the 30 years since the creation of the Unified Health System ( SUS ). 1915–1928. https://doi.org/10.1590/1413-81232018236.03942018