ArticleBMJ open2017
Use of antiseptic for cord care and its association with neonatal mortality in a population-based assessment in Bihar State, India.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 11 citations in OpenAlex.
- Exploring the shift in newborn care practices among mothers and grandmothers in rural Odisha, India - a qualitative study.BMC pediatrics · 2024Article
- Distinct mortality patterns at 0-2 days versus the remaining neonatal period: results from population-based assessment in the Indian state of Bihar.BMC medicine · 2019Article
- Identification of factors associated with stillbirth in the Indian state of Bihar using verbal autopsy: A population-based study.PLoS medicine · 2017Article
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4 authors at 1 institution in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesDry cord care is recommended for all births by the Health Ministry in India. We report prevalence of antiseptic cord care in the context of neonatal mortality in the Indian state of Bihar.
designPopulation-based cross-sectional study with multistage stratified random sampling.
settingHouseholds in 1017 clusters in Bihar.
participantsA representative sample of 12 015 women with a live birth in the last 12 months were interviewed from all 38 districts of Bihar (90.7% participation) in 2014. PRIMARY AND SECONDARY OUTCOME MEASURES: Use of antiseptic cord care at birth and its association with neonatal mortality using multiple logistic regression.
resultsTopical application of any material on cord was reported by 6534 women (54.4%; 95% CI 53.5% to 55.3%). Antiseptic cord care prevalence was 49.7% (95% CI 48.8% to 50.6%), the majority of which was gentian violet (76.4%). The odds of antiseptic use for cord care were higher in facility births (OR 1.46; 95% CI 1.27 to 1.69) and for deliveries by a qualified health provider (OR 1.44; 95% CI 1.26 to 1.66), but were lower for births that occurred before the expected delivery date (OR 0.77; 95% CI 0.61 to 0.96). A total of 256 (2.1%) newborns died during the neonatal period. The odds of neonatal death were significantly higher for live births with no reported antiseptic use (OR 1.53; 95% CI 1.18 to 1.99), and this association persisted when live births in health facilities were considered separately.
conclusionsEven though dry cord care is recommended by health authorities in India, half the women in this study reported use of antiseptic for cord care mainly with gentian violet; and its use had beneficial effect on neonatal mortality. These findings suggest that the application of readily available gentian violet for cord care in less developed settings should be assessed further for its potential beneficial influence on neonatal mortality.
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