Temporal and spatial evolution of maternal and neonatal mortality rates in Brazil, 1997–2012

Rodrigues, Nádia Cristina Pinheiro; Monteiro, Denise Leite Maia; Almeida, Andréa Sobral de; Barros, Mônica Barros de Lima; Neto, André Pereira; O’Dwyer, Gisele; Andrade, Mônica Kramer de Noronha; Flynn, Matthew; Lino, Valéria Teresa Saraiva

doi:10.1016/j.jped.2016.03.004

Cited by 34 publications

(19 citation statements)

References 11 publications

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“…Neonatal mortality also fell by 63.4%, from 33.4 to 8.2 deaths per 1000 between 1982 and 2015, therefore showing a slower rate of reduction than infant or under-5 mortality. Among neonatal deaths, the reduction was faster for late-neonatal (7–28 days) than for early-neonatal (0–6 days) mortality 5 . These findings are consistent with information on time trends in causes of death, which show a marked decline in infectious diseases, coupled with a relative increase in the proportion of deaths due to complications of prematurity 6 , 7 …”

Section: Introductionsupporting

confidence: 82%

Stillbirth, newborn and infant mortality: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

Menezes

Barros

Matijasevich

et al. 2019

International Journal of Epidemiology

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Background Infant-mortality rates have been declining in many low- and middle-income countries, including Brazil. Information on causes of death and on socio-economic inequalities is scarce. Methods Four birth cohorts were carried out in the city of Pelotas in 1982, 1993, 2004 and 2015, each including all hospital births in the calendar year. Surveillance in hospitals and vital registries, accompanied by interviews with doctors and families, detected fetal and infant deaths and ascertained their causes. Late-fetal (stillbirth)-, neonatal- and post-neonatal-death rates were calculated. Results All-cause and cause-specific death rates were reduced. During the study period, stillbirths fell by 47.8% (from 16.1 to 8.4 per 1000), neonatal mortality by 57.0% (from 20.1 to 8.7) and infant mortality by 62.0% (from 36.4 to 13.8). Perinatal causes were the leading causes of death in the four cohorts; deaths due to infectious diseases showed the largest reductions, with diarrhoea causing 25 deaths in 1982 and none in 2015. Late-fetal-, neonatal- and infant-mortality rates were higher for children born to Brown or Black women and to low-income women. Absolute socio-economic inequalities based on income—expressed in deaths per 1000 births—were reduced over time but relative inequalities—expressed as ratios of mortality rates—tended to remain stable. Conclusion The observed improvements are likely due to progress in social determinants of health and expansion of health care. In spite of progress, current levels remain substantially greater than those observed in high-income countries, and social and ethnic inequalities persist.

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Section: Introductionsupporting

confidence: 82%

Stillbirth, newborn and infant mortality: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

Menezes

Barros

Matijasevich

et al. 2019

International Journal of Epidemiology

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“…The punctual analysis of deaths by characterizing the territory in detail reveals areas with a higher concentration of deaths and indicates the presence of risk factors in certain localities (MacQuillan et al, 2017). Studies on the spatial analysis of infant mortality point to the usefulness of these approaches for the elaboration and development of policies aimed at coping with the determinants of these deaths, particularly those related to healthcare (Rodrigues et al, 2014;Faria, 2016;Rodrigues et al, 2016;Venâncio, Tuan, Vaz, & Nascimento, 2016;Leal et al, 2017). Likewise, the characterization of the epidemiological profile of infant deaths is recognized as an important tool for drawing strategies to deal with the problem, in particular, by investigating the events, because it allows a better understanding of the circumstances of their occurrence (Vanderlei & Navarrete, 2013).…”

Section: Discussionmentioning

confidence: 99%

Infant mortality: surveillance, epidemiological characteristics and spatial distribution pattern in Recife, Brazil

Canuto

Costa

Oliveira

et al. 2019

Acta Sci. Health Sci.

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To describe the occurrence and spatial distribution of infant deaths investigated by surveillance in Recife, state of Pernambuco, Brazil, in 2014. This is an exploratory ecological study investigating 183 infant deaths. Data from the confidential records of surveillance investigation of the infant death and the Mortality Information System were used. In order to detect spatial distribution patterns, the kernel estimation of infant, neonatal and post-neonatal mortality was used. Deaths were mainly of the neonatal type (n = 144; 78.69%), with gestational age below 37 weeks (n = 147; 80.3%) and birth weight lower than 2500 g (n = 143; 78.1%). The main causes of infant deaths were the disorders originating in the perinatal period, with emphasis on maternal hypertensive disorders (n = 31; 16.9%). The kernel map showed a higher density in 12 neighborhoods of the North (4), Northwest (2), West (3) and South (3) regions of the municipality. It was found a heterogeneous pattern in the occurrence and distribution of deaths in the territory; spatial clusters were observed in several areas of Recife with similar geographic spaces between types of death.

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“…Em setembro de 2000, na cidade de Nova Iorque, 191 países assinaram a "Declaração do Milênio das Nações Unidas" 5 , comprometendo-se com 8 objetivos de desenvolvimento e melhoria nas condições de saúde da população mundial, eram os objetivos do milênio. Dentre as metas deste compromisso havia a de trabalhar em direção à redução de 75% na taxa de mortalidade materna de 1990 até 2015 [4][5][6] . Estima-se que a razão de mortalidade materna (RMM) global passou de 385 por 100.000 nascidos vivos (NV) em 1990, para 216 por 100.000 NV em 2015, uma queda de 56,1% 3,6,7 .…”

Section: Introductionunclassified

“…Dentre as metas deste compromisso havia a de trabalhar em direção à redução de 75% na taxa de mortalidade materna de 1990 até 2015 [4][5][6] . Estima-se que a razão de mortalidade materna (RMM) global passou de 385 por 100.000 nascidos vivos (NV) em 1990, para 216 por 100.000 NV em 2015, uma queda de 56,1% 3,6,7 . No Brasil, a RMM em 1990 era de 143 óbitos materno por 100.000 NV, em 2015 alcançou 57,6 por 100.000 NV e em 2016 teve um discreto aumento alcançando 58, 4 por 100 000 NV [8][9][10] .…”

Section: Introductionunclassified

Estratégias de combate ao óbito materno no âmbito hospitalar

Luz¹,

Botelho²,

Andrade³

2017

PRMJ

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Temporal and spatial evolution of maternal and neonatal mortality rates in Brazil, 1997–2012

Abstract: Brazil's neonatal mortality rate has improved in recent times, but maternal mortality rates have stagnated, failing to meet the Millennium Development Goals. Public policies and intersectoral efforts may contribute to improvements in these health indicators.

Cited by 34 publications

References 11 publications

Stillbirth, newborn and infant mortality: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

Stillbirth, newborn and infant mortality: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015

Infant mortality: surveillance, epidemiological characteristics and spatial distribution pattern in Recife, Brazil

Estratégias de combate ao óbito materno no âmbito hospitalar

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