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Table 4 Seven-Day Neonatal 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
Seven-day neonatal mortality 50/1,823 (27) 100/6,035 (17) 0.60 (0.39, 0.93)
   Male 25/921 (27) 63/3,113 (20) 0.75 (0.45, 1.23)
   Female 25/892 (28) 36/2,917 (12) 0.44 (0.27, 0.72)
Birth attendant    
   All birth attendants 49/1,774 (28) 98/6,014 (16) 0.59 (0.38, 0.91)
Physician 0/4 (0) 0/2 (0) --
Nurse/midwife 14/319 (44) 32/1,774 (18) 0.41 (0.18, 0.92)
Traditional birth attendants 35/1,451 (24) 66/4,238 (16) 0.65 (0.37, 1.13)
   Family/unattended/other 1/49 (20) 2/21 (95) 4.67 (0.90, 24.20)
Location of birth    
   Home/birth attendant home 35/1,433 (24) 59/4,046 (15) 0.60 (0.36, 0.99)
   Clinic 15/389 (39) 41/1,986 (21) 0.54 (0.26, 1.10)
   Hospital 0/1 (0) 0/3 (0) --
Birth weight    
   1500-1999 grams 14/42 (333) 21/87 (241) 0.72 (0.34, 1.52)
   2000-2499 grams 12/125 (96) 21/471 (45) 0.46 (0.25, 0.88)
   ≥2500 grams 24/1,645 (15) 56/5,471 (10) 0.70 (0.33, 1.50)
  1. aNumbers in cells represent the number of neonatal deaths in that category divided by the total number for which data was available. Neonatal mortality rate (deaths/1000 live 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.