Neonatal mortality and leading causes of deaths: a descriptive study in China, 2014-2018.
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ABSTRACT: Objective
The present study estimated the national and urban-rural levels and causes of neonatal deaths in China annually between 2014 and 2018 to provide data support for the further end of preventable neonatal deaths for China and other low-income and middle-income countries.Methods
The study was based on data from the National Maternal and Child Health Surveillance System. All neonates of surveillance districts (gestational week: ?28?weeks) who died after delivery have been involved in the study. The mortality rate and the leading causes of death for neonates were analysed.Results
The neonatal mortality rate (NMR) of China has steadily decreased from 5.9 deaths per 1000 live births in 2014 to 3.9 deaths per 1000 live births in 2018. The NMR in 2018 of urban and rural areas was 2.2 deaths per 1000 live births and 4.7 deaths per 1000 live births, respectively. The leading preventable causes of neonatal deaths are the same in the urban and rural areas were same, which were preterm birth, intrapartum complications and pneumonia. Mortality rates of these three causes fell significantly between 2014 and 2018 but contributed to a higher proportion of deaths in rural areas than urban areas. The proportion of preventable deaths accounted for 74.6% in 2018.Conclusions
The NMR of China has decreased steadily from 2014 to 2018. However, the inequality between urban and rural areas still exists. The goal of government interventions should be to reduce the health inequality of neonates and further take targeted measures to eliminate preventable neonatal death.
SUBMITTER: Liu Y
PROVIDER: S-EPMC7868219 | biostudies-literature | 2021 Feb
REPOSITORIES: biostudies-literature
Publications
Neonatal mortality and leading causes of deaths: a descriptive study in China, 2014-2018.
Liu Yuxi Y Kang Leni L He Chunhua C Miao Lei L Qiu Xiaoqiong X Xia Weipeng W Zhu Jun J Liang Juan J Li Qi Q Wang Yanping Y Liu Hanmin H
BMJ open 20210204 2
<h4>Objective</h4>The present study estimated the national and urban-rural levels and causes of neonatal deaths in China annually between 2014 and 2018 to provide data support for the further end of preventable neonatal deaths for China and other low-income and middle-income countries.<h4>Methods</h4>The study was based on data from the National Maternal and Child Health Surveillance System. All neonates of surveillance districts (gestational week: ≥28 weeks) who died after delivery have been in ...[more]
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