ArticlePloS one2017
Effect of Puerperal Infections on Early Neonatal Mortality: A Secondary Analysis of Six Demographic and Health Surveys.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Maternal Disease With Group B Streptococcus and Serotype Distribution Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Pooled it
- Towards a consensus definition of maternal sepsis: results of a systematic review and expert consultation.Reproductive health · 2017Pooled it
- Self-care practices for puerperal sepsis prevention and their determinants among postpartum women: a community-based cross-sectional study in Halaba Town, Central Ethiopia.Primary health care research & development · 2026Article
- Knowledge of puerperal sepsis, self-care practices of puerperal sepsis prevention and associated factors among postpartum women in the Gurage zone, Central Ethiopia: Multicenter study.SAGE open medicine · 2025Article
- Early neonatal mortality and determinants in Ethiopia: multilevel analysis of Ethiopian demographic and health survey, 2019.BMC pediatrics · 2024Article
- Impact of postpartum maternal fever or hypothermia on newborn and early infant illness and death in Southwestern Uganda.BMC pregnancy and childbirth · 2024Article
- Antimicrobial stewardship and targeted therapies in the changing landscape of maternal sepsis.Journal of intensive medicine · 2024Review
- Reported self-care practice toward prevention of puerperal sepsis and associated factors among postnatal mothers: Community-based cross-sectional study.SAGE open medicine · 2024Article
- Perinatal outcomes among births to women with infection during pregnancy.Archives of disease in childhood · 2021Article
- Article
- Predictive model for bacterial late-onset neonatal sepsis in a tertiary care hospital in Thailand.BMC infectious diseases · 2020Article
- Meta-analysis approach on iron fortification and its effect on pregnancy and its outcome through randomized, controlled trials.Journal of family medicine and primary care · 2020Review
- Factors and Causes of Puerperal Sepsis in Kilimanjaro, Tanzania: A Descriptive Study among Postnatal Women who Attended Kilimanjaro Christian Medical Centre.The East African health research journal · 2020Article
- Identifying Factors Associated with Neonatal Mortality in Sub-Saharan Africa using Machine Learning.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2020Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 5 countries.
Funding
Abstract
backgroundAround 1.5 million annual neonatal deaths occur in the first week of life, and infections represent one of the major causes in developing countries. Neonatal sepsis is often strictly connected to infection of the maternal genital tract during labour.
methodsThe association between signs suggestive of puerperal infection and early neonatal mortality (<7 days of life) was performed using Demographic and Health Surveys (DHS) data of six countries, conducted between 2010 and 2013. The population attributable fraction (PAF) was generated using the estimates on early neonatal mortality of a 1990-2013 systematic analysis for the Global Burden of Disease Study.
resultsSigns of puerperal infection ranged from 0.7% in the Philippines to 16.4% in Honduras. Infection was associated with a 2.1 adjusted Risk Ratio (95% CI: 1.4-3.2) of early neonatal mortality. Around five percent of all deaths in the first week of life were attributable to signs suggestive of puerperal infections and varied from 13.9% (95% CI: 1.0-26.6) in Honduras to 3.6% (95% CI: 1.0-8.5) in Indonesia.
conclusionsTargeted interventions should be addressed to contain the burden of puerperal infections on early neonatal mortality. Consideration of the PAF will help in the discussion of the benefits of antenatal and perinatal measures.
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