Mortality in the first 24h of very low birth weight preterm infants in the Northeast of Brazil

Castro, Eveline Campos Monteiro de; Leite, Álvaro Jorge Madeiro; Guinsburg, Ruth

doi:10.1016/j.rppede.2015.12.008

Cited by 18 publications

(22 citation statements)

References 21 publications

(37 reference statements)

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“…Another reason could be that most cases were referral with complications. However, in Brazil, RDS was not significantly associated with preterm mortality during the neonatal period [18]. This might be explained by advancement of medical facilities and preterm care in their hospital as well as surfactant administration and proper close monitoring of preterm babies.…”

Section: Discussionmentioning

confidence: 88%

Mortality rate and associated factors among preterm babies born in Moshi, north – Tanzania: A prospective cohort study

Chengo

Mowo

Tarimo

et al. 2019

Preprint

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Introduction Globally, approximately 15 million babies are born before term each year. Of these, more than 1 million die within the first 28 days of their life. Understanding the mortality rate and its predictors during neonatal period among preterm babies is crucial to help designing interventions to avert the situation. This study aimed to determine the neonatal mortality rate and associated factors among preterm babies born in Moshi Municipality, Tanzania. Methodology A prospective cohort study was conducted in three hospitals in Moshi Municipality from December 2016 to May 2017. All live births at gestational age of <37 weeks and those of <24 hours were studied. Babies who died prior to gestation age assessment and those whose mother did not consent were excluded. Cox regression model was used to estimate maternal and fetal factors associated with neonatal mortality. A p-value of <0.05 was considered statistically significant. Results A total of 311 of preterm babies were recruited from 265 mothers and were followed for 28 days. The neonatal mortality rate was 6.5deaths per 1,000 preterm live births (95% CI: 4.83-8.61). It was higher among extremely preterm babies compared to very preterm ones (HR: 38.24; 95% CI: 16.62-87.96) versus (HR: 8.01; 95% CI: 3.96-16.20) respectively. Apgar score of <7 at 1st minute (HR: 14.03; 95% CI: 7.27-27.06), respiratory distress syndrome (HR: 8.14; 95% CI: 4.27-15.54) and antepartum hemorrhage (HR: 3.32; 95% CI: 1.49-7.39) were significantly associated with neonatal mortality. Conclusion Preterm birth complication is the major cause of neonatal death in the study setting. Interventions to address the identified risk factors may reduce neonatal mortality among preterm babies.

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Section: Discussionmentioning

confidence: 88%

Mortality rate and associated factors among preterm babies born in Moshi, north – Tanzania: A prospective cohort study

Chengo

Mowo

Tarimo

et al. 2019

Preprint

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“…Quanto mais precoce o óbito do RN, mais atrelado está às condições antenatais, do trabalho de parto e parto (Castro et al, 2016 (Baqui et al, 2016).…”

Section: Mortalidade No Primeiro Dia De Vidaunclassified

“…A taxa de mortalidade no primeiro dia de vida foi maior em meninos, nascidos de gravidezes múltiplas e de raça/cor Indígena. Outros estudos em diferentes regiões brasileiras também encontraram mais risco de óbito no primeiro dia de vida (Castro et al, 2016) e no período neonatal (Lansky et al, 2014) em meninos. Esse achado pode ser explicado pela maior frequência de anomalias congênitas, baixo índice de Apgar aos cinco minutos de vida, maior necessidade de ventilação auxiliar e síndrome do desconforto respiratório em meninos do que em meninas (Alkema et al, 2014).…”

Section: Posiçãounclassified

“…A adequada atenção à mulher no parto, ao feto e ao recém-nascido é necessária para atenuar as dificuldades relacionadas à transição para a vida extrauterina, facilitar a adaptação cardiorrespiratória, a estabilidade clínica e reduzir a mortalidade no primeiro dia de vida (Lawn et al, 2005). Melhor infraestrutura hospitalar com suporte de recursos tecnológicos e treinamento de recursos humanos mostraram-se fatores importantes de proteção ao óbito no primeiro dia de vida (OR ajustado=0,34, IC95%: 0,17-0,71) em estudo realizado no Nordeste do Brasil com recém-nascidos, pré-termos, de muito baixo peso em 2007 (Castro et al, 2016).…”

Section: Posiçãounclassified

“…As mortes no primeiro dia de vida correspondem a 25-45% daquelas em período neonatal (Lawn et al, 2005), cujo risco é trinta vezes maior em países de baixa renda, comparado aos países de alta renda (Oza et al, 2014). Os óbitos ocorridos no primeiro dia de vida estão associados, principalmente, com a assistência prestada às gestantes e aos recém-nascidos durante os períodos de pré-parto, intraparto e pós-parto (Castro et al, 2016). A prevenção desses óbitos, portanto, consiste no acesso a cuidados de alta qualidade durante o pré-natal, parto e imediatamente após o nascimento (Baqui et al, 2016).…”

Section: Introductionunclassified

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Mortalidade no primeiro dia de vida no Brasil: causas e prevenção

Teixeira¹

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Factors associated with low fifth minute Apgar score in term and preterm singleton live births in a Ghanaian hospital

Abukari

Awuni

Yakubu

et al. 2021

Journal of Neonatal Nursing

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Background: Apgar score remains the most effective measure of newborn health outcomes in the first few minutes of delivery and it is useful in diagnosing perinatal asphyxia and metabolic acidosis.Methods: This retrospective cross-sectional study was conducted at the Baptist Medical Centre in the North East Region of Ghana. For the period January 1 to December 31 2018, we extracted information on 3011 women who delivered at the facility from birth records. Binary logistic regression models were used to determine the factors associated with low fifth minute Apgar score, preterm low fifth minute Apgar score, and term low fifth minute Apgar score.Results :Nearly half of the participants had experienced 2 to 5 pregnancies (47.1%) and had given birth to 2 to 5 children (47.7%). Most of the women delivered at 37 weeks gestation or more (87.6%), attended 1 to 4 antenatal care visits (53.2%), and received 1 to 3 doses of sulfadoxine-pyrimethamine (70.9%). The majority of the newborns weighed 2.5kg or more at birth (90.7%), were delivered through the vagina (79.8%), and a little over half of them (51.40%) were males. After adjusting for potential confounders, we found evidence that multigravid women were 0.67 (95% CI 0.49 -0.90) times less likely to deliver a child with low fifth minute Apgar score while delivery at less than 37 weeks gestation, birth weight of less than 2.5kg, and caesarean delivery were associated with increased odds of low fifth minute Apgar score. For infants born at term, being born to a multigravid mother was protective against low fifth minute Apgar score while delivery through caesarean section increased the odds of low fifth minute Apgar score among this group of newborns. Among preterm infants, our study found strong evidence that those born with low birth weight (<2.5kg) had about 4 times the odds of suffering low fifth minute Apgar score compared to those with normal birth weight. Conclusion:In designing interventions to improve the survival and the Apgar score of newborns, measures to properly diagnose and prevent preterm delivery and low birth weight should be of great concern.

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Mortality in the first 24h of very low birth weight preterm infants in the Northeast of Brazil

Cited by 18 publications

References 21 publications

Mortality rate and associated factors among preterm babies born in Moshi, north – Tanzania: A prospective cohort study

Mortality rate and associated factors among preterm babies born in Moshi, north – Tanzania: A prospective cohort study

Mortalidade no primeiro dia de vida no Brasil: causas e prevenção

Factors associated with low fifth minute Apgar score in term and preterm singleton live births in a Ghanaian hospital

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