PMID- 35994837
OWN - NLM
STAT- MEDLINE
DCOM- 20221011
LR  - 20230901
IS  - 1476-5616 (Electronic)
IS  - 0033-3506 (Linking)
VI  - 211
DP  - 2022 Oct
TI  - Early arrivals: association of maternal obstetric factors with preterm births and 
      their survival in India.
PG  - 37-46
LID - S0033-3506(22)00200-1 [pii]
LID - 10.1016/j.puhe.2022.07.005 [doi]
AB  - OBJECTIVES: Preterm birth (PTB) increases the risk of various acute and chronic 
      morbidities and premature mortality in children under 5 years of age. The present 
      study examines the association between different maternal obstetric factors and 
      PTB. In addition, this study estimates the risk of neonatal mortality among 
      children born preterm. STUDY DESIGN: Retrospective two-stage stratified sample 
      design. METHODS: The weighted prevalence of PTB was estimated using data on 
      148,746 most recent institutional births from the National Family Health Survey 
      (NFHS)-4, 2015-16. The Poisson regression model was used to investigate the 
      association between maternal obstetric factors and PTB. Using Cox's proportional 
      hazard model, the risk of neonatal mortality among PTBs was estimated. RESULTS: 
      Maternal obstetric factors, such as minimal antenatal care, delivery 
      complications, history of previous caesarean delivery and delivery at private 
      health facilities, were significantly associated with an increased risk of PTB. 
      The survival probability of preterm babies sharply declined in the first week of 
      life and thereafter was found to stabilise. The risk of mortality in the first 28 
      days of life increased 2.5-fold if the baby was born preterm. Optimising 
      antenatal care was found to lower the likelihood of PTB and improve their chances 
      of survival. CONCLUSION: Antenatal care services and delivery care practices in 
      private facilities were strongly associated with the incidence and survival of 
      PTB. Evaluating associations of history of caesarean births on future pregnancies 
      can help understand their deleterious effects on PTB. Affordable, accessible and 
      available antenatal care services, in both public and private facilities, can 
      increase the survival rates of PTBs.
CI  - Copyright (c) 2022 The Royal Society for Public Health. Published by Elsevier Ltd. 
      All rights reserved.
FAU - Jana, A
AU  - Jana A
AD  - International Institute for Population Sciences (IIPS), Mumbai, Maharashtra, 
      400088, India. Electronic address: arupjana@iips.net.
FAU - Banerjee, K
AU  - Banerjee K
AD  - Narsee Monjee Institute of Management Studies, Mumbai, Maharashtra, 400056, 
      India. Electronic address: kajori.b2012@gmail.com.
FAU - Khan, P K
AU  - Khan PK
AD  - International Institute for Population Sciences (IIPS), Mumbai, Maharashtra, 
      400088, India. Electronic address: pijush.pkk@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20220819
PL  - Netherlands
TA  - Public Health
JT  - Public health
JID - 0376507
SB  - IM
CIN - Public Health. 2023 Sep;222:e18. PMID: 36334951
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Infant Mortality
MH  - Infant, Low Birth Weight
MH  - Infant, Newborn
MH  - Pregnancy
MH  - *Premature Birth/epidemiology
MH  - Prenatal Care
MH  - Retrospective Studies
MH  - Risk Factors
OTO - NOTNLM
OT  - Antenatal care
OT  - Caesarean delivery
OT  - Maternal obstetric factors
OT  - Neonatal mortality
OT  - Preterm birth
EDAT- 2022/08/23 06:00
MHDA- 2022/10/12 06:00
CRDT- 2022/08/22 18:15
PHST- 2021/12/01 00:00 [received]
PHST- 2022/06/12 00:00 [revised]
PHST- 2022/07/06 00:00 [accepted]
PHST- 2022/08/23 06:00 [pubmed]
PHST- 2022/10/12 06:00 [medline]
PHST- 2022/08/22 18:15 [entrez]
AID - S0033-3506(22)00200-1 [pii]
AID - 10.1016/j.puhe.2022.07.005 [doi]
PST - ppublish
SO  - Public Health. 2022 Oct;211:37-46. doi: 10.1016/j.puhe.2022.07.005. Epub 2022 Aug 
      19.