This study was a secondary analysis of data from the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial, a cluster-randomized community-based trial among pregnant women and their infants, to examine care during institutional and non-institutional deliveries in rural Zimbabwe and associated birth outcomes. Findings indicate that premature onset of labor, rather than maternal choice, may be the reason for many non-institutional deliveries in low-resource settings, initiating a cascade of events resulting in a two-fold higher risk of stillbirth and neonatal mortality amongst children born outside health institutions. Interventions for primary prevention of preterm delivery will be crucial in reducing neonatal mortality in Zimbabwe.

https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-022-05282-x

References

  1. Goudar SS, Goco N, Somannavar MS, Kavi A, Vernekar SS, Tshefu A, et al. Institutional deliveries and stillbirth and neonatal mortality in the global Network's maternal and newborn health registry. Reprod Health. 2020;17(3):179.

  2. Gladstone MJ, Chandna J, Kandawasvika G, Ntozini R, Majo FD, Tavengwa NV, et al. Independent and combined effects of improved water, sanitation, and hygiene (WASH) and improved complementary feeding on early neurodevelopment among children born to HIV-negative mothers in rural Zimbabwe: substudy of a cluster-randomized trial. PLoS Med. 2019;16(3):e1002766–6.

  3. Papageorghiou AT, Ohuma EO, Altman DG, Todros T, Cheikh Ismail L, Lambert A, et al. International standards for fetal growth based on serial ultrasound measurements: the fetal growth longitudinal study of the INTERGROWTH-21st project. Lancet. 2014;384(9946):869–79.

Categories

Maternal & Infant Health  Maternal Health  Neonatal Health  Maternal/Fetal health during pregnancy  Newborn and Infants  

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