ArticlePloS one2015
High Incidence of Neonatal Danger Signs and Its Implications for Postnatal Care in Ghana: A Cross-Sectional Study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Community- based maternal and newborn interventions in Africa: Systematic review.Journal of clinical nursing · 2021Pooled it
- Women's knowledge towards neonatal danger signs and its associated factors in Ethiopia: a systematic review and meta-analysis.BMC pediatrics · 2020Pooled it
- Evaluation of a package of continuum of care interventions for improved maternal, newborn, and child health outcomes and service coverage in Ghana: A cluster-randomized trial.PLoS medicine · 2021Trial
- Maternal knowledge of neonatal danger signs and associated factors among postpartum mothers attending public health facilities in Adama town, Ethiopia.BMC pregnancy and childbirth · 2026Article
- Determinants of counseling on neonatal danger signs among women in Somalia: a multilevel mixed-effects logistic regression analysis of the 2020 SDHS.Frontiers in pediatrics · 2026Article
- Fathers' knowledge of neonatal danger signs and its associated factors in Northwest Ethiopia: a community-based cross-sectional study.BMJ open · 2024Article
- The receipt of health information on neonatal dangers signs during the immediate postpartum period and its determinants in Ethiopia: a multilevel mixed-effects logistic regression analysis of the 2016 Ethiopian demographic health survey report.BMC pregnancy and childbirth · 2024Article
- Early postnatal care uptake and its associated factors following childbirth in East Africa-a Bayesian hierarchical modeling approach.Frontiers in public health · 2024Article
- Determinants of maternal knowledge on neonatal danger signs and care-seeking practices in a rural area of southeastern Ethiopia.International health · 2022Article
- Utilization of Postnatal Care Service in Indonesia and its Association with Women's Empowerment: An Analysis of 2017 Indonesian Demographic Health Survey Data.Maternal and child health journal · 2022Article
- Mothers experience on neonatal danger signs and associated factors in northwest Ethiopia: a community based cross-sectional study.The Pan African medical journal · 2022Article
- Evidence from 2016 Ethiopian demographic and health survey data: association between post health education maternal knowledge and neonatal danger signs.BMC pregnancy and childbirth · 2021Article
- Postnatal care utilisation among women in rural Ghana: analysis of 2014 Ghana demographic and health survey.BMC pregnancy and childbirth · 2021Article
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- Knowledge of neonatal danger signs, care seeking practice and associated factors among postpartum mothers at public health facilities in Ambo town, Central Ethiopia.BMC research notes · 2019Article
- Women's overall satisfaction with health facility delivery services in Ghana: a mixed-methods study.Tropical medicine and health · 2019Article
- Postnatal care could be the key to improving the continuum of care in maternal and child health in Ratanakiri, Cambodia.PloS one · 2018Article
- Low level of knowledge about neonatal danger signs and its associated factors among postnatal mothers attending at Woldia general hospital, Ethiopia.Maternal health, neonatology and perinatology · 2018Article
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Corrections and comments
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Authors and funding
14 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReducing neonatal mortality is a major public health priority in sub-Saharan Africa. Numerous studies have examined the determinants of neonatal mortality, but few have explored neonatal danger signs which potentially cause morbidity. This study assessed danger signs observed in neonates at birth, determined the correlations of multiple danger signs and complications between neonates and their mothers, and identified factors associated with neonatal danger signs.
methodsA cross-sectional study was conducted in three sites across Ghana between July and September in 2013. Using two-stage random sampling, we recruited 1,500 pairs of neonates and their mothers who had given birth within the preceding two years. We collected data on their socio-demographic characteristics, utilization of maternal and neonatal health services, and experiences with neonatal danger signs and maternal complications. We calculated the correlations of multiple danger signs and complications between neonates and their mothers, and performed multiple logistic regression analysis to identify factors associated with neonatal danger signs.
resultsMore than 25% of the neonates were born with danger signs. At-birth danger signs in neonates were correlated with maternal delivery complications (r = 0.20, p < 0.001), and neonatal complications within the first six weeks of life (r = 0.19, p < 0.001). However, only 29.1% of neonates with danger signs received postnatal care in the first two days, and 52.4% at two weeks of life. In addition to maternal complications during delivery, maternal age less than 20 years, maternal education level lower than secondary school, and fewer than four antenatal care visits significantly predicted neonatal danger signs.
conclusionsOver a quarter of neonates are born with danger signs. Maternal factors can be used to predict neonatal health condition at birth. Management of maternal health and close medical attention to high-risk neonates are crucial to reduce neonatal morbidity in Ghana.
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