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Table 4 Seven-Day Neonatal Mortality during the Pre-ENC Compared to the Post-NRP Periods of the Study

From: Reduced perinatal mortality following enhanced training of birth attendants in the Democratic Republic of Congo: a time-dependent effect

 

Pre-ENCa

Post-NRPa

RR (95% CI) b

Seven-day neonatal mortality

50/1,823 (27)

100/6,035 (17)

0.60 (0.39, 0.93)

   Male

25/921 (27)

63/3,113 (20)

0.75 (0.45, 1.23)

   Female

25/892 (28)

36/2,917 (12)

0.44 (0.27, 0.72)

Birth attendant

   

   All birth attendants

49/1,774 (28)

98/6,014 (16)

0.59 (0.38, 0.91)

Physician

0/4 (0)

0/2 (0)

--

Nurse/midwife

14/319 (44)

32/1,774 (18)

0.41 (0.18, 0.92)

Traditional birth attendants

35/1,451 (24)

66/4,238 (16)

0.65 (0.37, 1.13)

   Family/unattended/other

1/49 (20)

2/21 (95)

4.67 (0.90, 24.20)

Location of birth

   

   Home/birth attendant home

35/1,433 (24)

59/4,046 (15)

0.60 (0.36, 0.99)

   Clinic

15/389 (39)

41/1,986 (21)

0.54 (0.26, 1.10)

   Hospital

0/1 (0)

0/3 (0)

--

Birth weight

   

   1500-1999 grams

14/42 (333)

21/87 (241)

0.72 (0.34, 1.52)

   2000-2499 grams

12/125 (96)

21/471 (45)

0.46 (0.25, 0.88)

   ≥2500 grams

24/1,645 (15)

56/5,471 (10)

0.70 (0.33, 1.50)

  1. aNumbers in cells represent the number of neonatal deaths in that category divided by the total number for which data was available. Neonatal mortality rate (deaths/1000 live births) is in parentheses. bRelative Risks (RR) and 95% confidence intervals (95% CI) are adjusted for cluster using GEE modeling. Abbreviations: ENR, Essential Newborn Care; GEE, generalized estimating equation; NPR, Neonatal Resuscitation Program.