Preterm birth and neonatal mortality in a rural Bangladeshi cohort: implications for health programs

摘要: To estimate the burden of prematurity, determine gestational age (GA)-specific neonatal mortality rates and provide recommendations for country programs. Prospective data on pregnancy, childbirth, GA newborn collected by trained community health workers from 10 585 mother–newborn pairs in a community-based study. A total 19.4% infants were preterm; 13.5% late preterm (born between 34 36 weeks gestation), 3.3% moderate at 32 to 33 weeks) 2.6% extremely 28 31 gestation). Preterm babies experienced 46% all deaths; 40% deaths preterm, 20% very infants. The population attributable fraction premature was 0.16 0.07 moderately 0.10 preterm. In settings where majority births occur home successful referral is challenge, may be an important target group home-based or first-level facility-based management.