{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T10:55:19Z","timestamp":1782125719292,"version":"3.54.5"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T00:00:00Z","timestamp":1575936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Data on stillbirths and neonatal morbidity and mortality in low\u2010middle income Pacific Island Nations such as Solomon Islands is limited, partly due to weak health information systems. We describe the perinatal mortality and clinical factors associated with poor newborn outcomes at four hospitals in Solomon Islands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a registry based retrospective cohort study at three provincial hospitals and the National Referral Hospital (NRH) from 2014\u20132016 inclusive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>23\u2009966 labour ward births and 3148 special care nursery (SCN) admissions were reviewed. Overall still birth rate was 29.2\/1000 births and the perinatal mortality rate was 35.9\/1000 births. PNMR were higher in provincial hospitals (46.2, 44.0 and 34.3\/1000) than at NRH (33.3\/1000). The commonest reasons for admission to SCN across the hospitals were sepsis, complications of prematurity and birth asphyxia. SCN mortality rates were higher in the 3 provincial hospitals than at NRH (15.9% (95\/598) vs. 7.9% (202\/2550), <jats:italic>P<\/jats:italic> value &lt;0.01). At NRH, the conditions with the highest case fatality rates were birth asphyxia (21.3%), congenital abnormalities (17.7%), and prematurity (15.1%). Up to 11% of neonates did not have a diagnosis recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The perinatal mortality rates are high and intrapartum complications, prematurity and sepsis are the main causes of morbidity and mortality for neonates at hospitals in Solomon Islands. Stillbirths account for 81% of perinatal deaths. These results are useful for planning for quality improvement at provincial level. Improved vital registration systems are required to better capture stillbirths and neonatal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14699","type":"journal-article","created":{"date-parts":[[2019,12,10]],"date-time":"2019-12-10T13:24:07Z","timestamp":1575984247000},"page":"607-614","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Cause\u2010specific neonatal morbidity and mortality in the Solomon Islands: An assessment of data from four hospitals over a three\u2010year period"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0022-1009","authenticated-orcid":false,"given":"Shidan","family":"Tosif","sequence":"first","affiliation":[{"name":"Centre for International Child Health, Murdoch Children's Research Institute, Royal Children's Hospital Melbourne University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annie","family":"Jatobatu","sequence":"additional","affiliation":[{"name":"Reproductive and Child Health Department Ministry of Health and Medical Services  Honiara Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Maepioh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology National Referral Hospital  Honiara Solomon Islands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami","family":"Subhi","sequence":"additional","affiliation":[{"name":"Centre for International Child Health, Murdoch Children's Research Institute, Royal Children's Hospital Melbourne University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate L","family":"Francis","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics Unit Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4637-1416","authenticated-orcid":false,"given":"Trevor","family":"Duke","sequence":"additional","affiliation":[{"name":"Centre for International Child Health, Murdoch Children's Research Institute, Royal Children's Hospital Melbourne University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,10]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Solomon Islands Population and Housing Census","author":"Solomon Islands National Statistical Office","year":"2009"},{"key":"e_1_2_7_3_1","volume-title":"Small Island Developing States","author":"United Nations Office of the High Representative for the Least Developed Countries Landlocked Developing Countries and Small Island Developing States","year":"2011"},{"key":"e_1_2_7_4_1","volume-title":"Small Island Developing States Health and WHO: Country Presence Profile","author":"Department of Country Cooperation and Collaboration with the United Nations System WHO"},{"key":"e_1_2_7_5_1","unstructured":"Western Pacific Region Health Information and Intelligence Platform.Millennium Development Goals Health Information & Intelligence Platform. 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