Please select the eligibility criteria that correspond to the clinical trial below.
Title: Newborn Infection Control and Care Initiative for Health Facilities to Accelerate Reduction of Newborn Mortality
Brief Summary: Newborn mortality continues to be unacceptably high in Cambodia, despite reductions in maternal and under five year old mortality. Evidence exists that a large proportion of newborn mortality globally and in Cambodia is attributable to infections and sepsis. The study proposes a package intervention to address infection control in the perinatal period in facilities and to improve the timeliness of referral of newborns with suspected infections to appropriate health facilities for treatment through upgrading of hygiene practices in facilities and linking of community based volunteers with health facilities and families in the community setting.

By delivering a coordinated intervention that combines improved education for health center midwives, village health care workers, and mothers of newborns, along with improved care coordination with increase in number of interactions (points of contact) between mothers and health care personnel, the investigators will see improved knowledge of newborn danger signs among mothers and health care workers, more rapid case detection of significant newborn illnesses, and more rapid and appropriate referral of ill newborns.

The investigators also hypothesize that the common causes of newborn sepsis in Cambodia are different from those reported in Western cultures, and that Staphylococcus aureus will be a common pathogen as described in neighboring Laos. The investigators will evaluate the causes of newborn sepsis in the subset of infants referred to Takeo Provincial Hospital.


Options:
A: Inclusion Criteria:

* Health Centers: historically, a health center which providing services for more than 20 births per month
* Individuals: women in the last trimester of pregnancy with any ethnicity, age is equal or older than 18 years, and pregnancy results in a live birth.

Exclusion Criteria:

* Birth of baby with known congenital malformation
* Inability to obtain informed consent or adhere to protocol
B: Inclusion Criteria:

* Delivered between 0600 and 0000
* Admitted to Memorial Hermann postpartum unit
* Patient managed by the University of Texas Physicians Group and/or obstetrics-gynecology residents

Exclusion Criteria:

- None
C: Inclusion Criteria:

* pregnant women (gestational week 35-36)

Exclusion Criteria:

* women with known physical, psychological and/or social illness/problem that result in hospitalization more than 50 hours after delivery
* women with known pregnancy related illness that result in hospitalization more than 50 hours after delivery
* Women not understanding or speaking Danish
* women expecting multiple babies
* women having decided not to breastfeed
* women expecting to deliver at another hospital than the one she has been visiting during pregnancy
D: Inclusion Criteria:

* Postpartum 6-72 hours from delivery, aged 18-50, receipt of prenatal care through the Magee-Womens Hospital outpatient clinic and UPMC for You Medicaid insurance.

Exclusion Criteria:

* Delivery less than 24 weeks, fetal or neonatal death, non-English speaking, no text-enabled phone

Answer: A