252922 Preventing Neonatal and Perinatal Mortality

Monday, October 31, 2011: 11:25 AM

Waldemar Carlo, MD FAAP , Division of Neonatology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL
There are about 3.7 million neonatal deaths per year worldwide. The major causes of neonatal mortality are asphyxia at birth, low birth weight/prematurity, and infection. Each of these causes account for about 1 million neonatal deaths per year. In addition, there are about 3 million stillbirths per year, with at least half being intrapartum deaths. Neonatal deaths occur mostly in Asia (2.1 million) and Africa (1.2 million). Effective interventions and percentages of deaths averted include postnatal care (16-42%), childbirth/antepartum care (20-36%), and antenatal care (4-14%). The Global Network tested the WHO Essential Newborn Care package of childbirth/intrapartum and postnatal care (universal precautions, routine neonatal care, thermoregulation, breastfeeding, kangaroo skin-to-skin care, care of the small baby, common illnesses) in both community-based and first-level facility-based intervention studies including almost 200,000 births. Perinatal mortality was decreased in both studies. If extrapolated worldwide, this intervention may save about 1 million lives per year.

Learning Areas:
Clinical medicine applied in public health
Public health or related public policy

Learning Objectives:
List the major causes of neonatal mortality worldwide. Describe the interventions with the strongest potential to reduce neonatal and perinatal mortality worldwide.

Keywords: Maternal and Child Health, Infant Mortality

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Previous experience in this area
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.