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Table 3 Perinatal 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
Perinatal mortality 94/1,867 (50) 250/6,185 (40) 0.80 (0.66, 0.97)
   Male 52/948 (55) 152/3,202 (47) 0.87 (0.69, 1.09)
   Female 42/909 (46) 95/2,976 (32) 0.69 (0.48, 0.99)
Birth attendant    
   All birth attendants 91/1,816 (50) 246/6,162 (40) 0.80 (0.66, 0.97)
Physician 1/5 (200) 0/2 (0) --
Nurse/midwife 25/330 (76) 85/1,827 (47) 0.61 (0.36, 1.04)
Traditional birth attendants 65/1,481 (44) 161/4,333 (37) 0.85 (0.66, 1.09)
   Family/unattended/other 3/51 (59) 4/23 (174) 2.96 (0.77, 11.29)
Location of birth    
   Home/birth attendant home 64/1,462 (44) 155/4,142 (37) 0.85 (0.66, 1.11)
   Clinic 29/403 (72) 94/2,039 (46) 0.64 (0.42, 0.98)
   Hospital 1/2 (500) 1/4 (250) 0.50 (0.08, 3.13)
Birth weight    
   1500-1999 grams 22/50 (440) 40/106 (377) 0.86 (0.57, 1.29)
   2000-2499 grams 19/132 (144) 59/509 (116) 0.81 (0.53, 1.22)
   ≥2500 grams 50/1,671 (30) 143/5,558 (26) 0.86 (0.66, 1.12)
  1. aNumbers in cells represent the number of perinatal deaths in that category divided by the total number for which data was available. Perinatal mortality rate (deaths/1000 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.