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产前和产后护理对低收入和中低收入国家的新生儿死亡有何影响?来自孟加拉国的证据。

What impact does antenatal and postnatal care have on neonatal deaths in low- and lower-middle-income countries? Evidence from Bangladesh.

作者信息

Akter Tasnima, Dawson Angela, Sibbritt David

机构信息

a Faculty of Health , University of Technology Sydney , Ultimo , New South Wales , Australia.

出版信息

Health Care Women Int. 2017 Aug;38(8):848-860. doi: 10.1080/07399332.2017.1332063. Epub 2017 May 17.

Abstract

We investigated the contribution of antenatal and postnatal care in reducing the risk of neonatal deaths in Bangladesh. The effects of these services were examined using adjusted Cox regression models and secondary data with 7,314 live-born infants. We observed that neonatal mortality was significantly decreased for newborns whose mothers' attended antenatal care services but postnatal care did not show any effect. Health promotion programs offering antenatal care in Bangladesh and other low- and lower-middle-income countries may build awareness about these practices. Further research is required to examine the reasons for the lack of impact of postnatal care on mortality.

摘要

我们调查了产前和产后护理对降低孟加拉国新生儿死亡风险的作用。利用调整后的Cox回归模型和7314名活产婴儿的二手数据,对这些服务的效果进行了研究。我们观察到,母亲接受了产前护理服务的新生儿的新生儿死亡率显著降低,但产后护理没有显示出任何效果。在孟加拉国以及其他低收入和中低收入国家提供产前护理的健康促进项目可能会提高人们对这些做法的认识。需要进一步研究以探究产后护理对死亡率缺乏影响的原因。

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