title: Neonatal mortality of low-birth-weight infants in Bangladesh.
abstract: OBJECTIVE
  To ascertain the role of low birth weight (LBW) in neonatal mortality in a periurban setting in Bangladesh.
  
  
  METHODS
  LBW neonates were recruited prospectively and followed up at one month of age. The cohort of neonates were recruited after delivery in a hospital in Dhaka, Bangladesh, and 776 were successfully followed up either at home or, in the event of early death, in hospital.
  
  
  RESULTS
  The neonatal mortality rate (NMR) for these infants was 133 per 1000 live births (95% confidence interval: 110-159). The corresponding NMRs (and confidence intervals) for early and late neonates were 112 (91-136) and 21 (12-33) per thousand live births, respectively. The NMR for infants born after fewer than 32 weeks of gestation was 769 (563-910); and was 780 (640-885) for infants whose birth weights were under 1500 g. Eighty-four per cent of neonatal deaths occurred in the first seven days; half within 48 hours. Preterm delivery was implicated in three-quarters of neonatal deaths, but was associated with only one-third of LBW neonates.
  
  
  CONCLUSIONS
  Policy-relevant findings were: that LBW approximately doubles the NMR in a periurban setting in Bangladesh; that neonatal mortality tends to occur early; and that preterm delivery is the most important contributor to the NMR. The group of infants most likely to benefit from improvements in low-cost essential care for the newborn accounted for almost 61% of neonatal mortalities in the cohort.
authors.affiliation: Department of Community Medicine, Dhaka Medical College, Bangladesh.
authors.forename: S
authors.initials: S
authors.lastname: Yasmin
authors.forename: D
authors.initials: D
authors.lastname: Osrin
authors.forename: E
authors.initials: E
authors.lastname: Paul
authors.forename: A
authors.initials: A
authors.lastname: Costello
mesh_terms: D001459:Bangladesh / Q000453:epidemiology; D015331:Cohort Studies; D006801:Humans; D007226:Infant Mortality / Q000639:trends*; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D012923:Social Class; D013383:Suburban Population