Risk factors for perinatal mortality in an urban area of Southern Brazil, 1993

Menezes, Ana Maria B.; Barros, Fernando C.; Victora, César G.; Tomasi, Elaine; Halpern, Ricardo; Oliveira, André L. B.

doi:10.1590/s0034-89101998000300002

Cited by 13 publications

(13 citation statements)

References 12 publications

(8 reference statements)

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“…The IMR for children born to older mothers and mothers belonging to the skilled manual worker class were higher in adjusted analysis, a result similar to that reported in other studies (27,32). English children born in the unskilled worker class presented a higher risk of death during the first year of life, with the risk persisting along the first 10 years of life (11).…”

Section: Discussionsupporting

confidence: 87%

Factors associated with infant and adolescent mortality

Oliveira

Bettiol

Gutierrez

et al. 2007

Braz J Med Biol Res

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Few studies have described factors associated with infant and adolescent mortality since birth. We report here mortality during a 20-year period in a birth cohort from Ribeirão Preto in order to identify birth variables that influenced mortality among infants and children between 10 and 19 years of age, the main causes of death, and the influence of social inequality at birth on death. Mothers were interviewed shortly after delivery. Social, biological and demographic information was collected, and mortality up to 19 years of age was investigated in registry systems. Of the 6748 liveborn singletons born in the municipality from 1978 to 1979, 343 died before or when 19 years of age were completed. Most of the cohort mortality (74.9%) occurred during the first year of life and 19.6% occurred from 10 to 19 years. Mortality was higher among boys. Preterm birth (hazard ratio, HR = 7.94) and low birth weight (HR = 10.15) were strongly associated with infant mortality. Other risk factors for infant mortality were: maternal age ≥35 years (HR = 1.74), unskilled manual occupation of family head (HR = 2.47), and for adolescent mortality: unskilled manual occupation of family head (HR = 9.98) and male sex (HR = 6.58). "Perinatal conditions" were the main causes of deaths among infants and "external causes" among adolescents, especially boys. Socioeconomic factors at birth, represented by occupation, influenced adolescent mortality due to external causes, which was higher among boys (7:1). The influence of social inequality at birth on death, measured by occupation, was greater in adolescence than in infancy.

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Section: Discussionsupporting

confidence: 87%

Factors associated with infant and adolescent mortality

Oliveira

Bettiol

Gutierrez

et al. 2007

Braz J Med Biol Res

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“…These findings confirmed previous Menezes et al (1996, 1998), César et al (1997 and Passebon et al (2006) researches, about the risk of illness and death in the first year of life.…”

Section: Methodssupporting

confidence: 92%

Education and Health: Epidemiological Indicators Can Improve the Continuing Education Process

Faustini¹,

Stobäus²,

Mosquera³

2014

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In the field of Health Education, understanding human development is essential, taking into account a set of actions that can promote the protection and care to a better child development, so we researched about the evolution in epidemiological indicators related to child development, through literature review and systematic data collected on public system, in Rio Grande do Sul, a state in south Brazil. For this, we do a review that brought together elements of updated on epidemiological and social indicators: changes in the understanding of the processes health and disease, various public health policies that influence personal and social behaviors, especially for parents and caregivers of children. The findings allow seeing that data about child with low birth weight are inversely proportional to the number of years of parents study, mainly from 8 years of schooling; that actions of Health Education can be aimed at doctors, caregivers and pregnant; and that reference systems ensure correct referrals. As ultimate implications, we suggest public policies that enable reduce neonatal mortality by investing in access more the formal Education, encouraging at least the completion of elementary education. We can also encourage medical continuing processes that can observe continually the data that are contained in several public data systems.

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“…8,10,12 The predominance of males for both admissions (58%) and deaths (63%) in our study raises the issues of biological vulnerability of male neonates as it is found universally in other studies. [13][14][15][16] Prematurity and low birthweight continue to be the major public health problems observed in our setting as is the case in many other developing countries. [17][18][19][20] Prematurity and its sequaelae are the main cause for hospital admission (23.5%) and neonatal deaths (43%) in Empangeni Hospital.…”

Section: Discussionmentioning

confidence: 99%

“…28 A study from Brazil showed that low socio-economic level of mothers, sex of the baby (male) and maternal age above 35 years were risk factors for high perinatal or neonatal mortality. 14 Improving the survival of low birthweight neonates is a particular challenge for us in South Africa, and in other resource poor countries. Even in developed countries, efforts to lower the rate of preterm labour and delivery have not been very successful.…”

Section: Discussionmentioning

confidence: 99%

Causes of neonatal admissions and deaths at a rural hospital in KwaZulu-Natal, South Africa

Hoque¹,

Haaq

Islam

2011

Southern African Journal of Epidemiology and Infection

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One of the Millennium Development Goals (MDG-4) is to reduce child mortality by up to two-thirds by 2015. In most developing countries, a higher proportion of neonatal deaths are observed. We quantify the causes of neonatal morbidity and mortality at a rural hospital. A retrospective review of consecutive neonatal admissions to Empangeni Hospital, between January and December 2005, was conducted. Of 1,573 admissions, male babies made up 57.8% of admissions and 63% of the deaths. The most common causes of admission were birth asphyxia (38.2%), prematurity (23.5%), and infection (21%). The average length of stay was 9.2 days (SD 12 days). The overall mortality rate was 13.8% but higher (23.4%) among the referred babies. Admission and death rates of low birthweight babies (<2,500g) were 53% and 84%, respectively. Two-thirds (67.7%) of those babies who died were born preterm. Over half (56.6%) of the deaths took place within the first three days of life. Logistic regression showed that extremely low birthweight (OR=13.923, 95% CI:5.759; 33.656), male sex of the babies (OR=1.633, 95% CI:1.132; 2.356), and preterm delivery (OR=2.975, 95% CI: 1.296; 6.836) were significant predictors of neonatal death. A substantial proportion of neonatal mortality occurs in the hospital neonatal unit. Asphyxia, prematurity, low birthweight and neonatal infection are the leading cause of neonatal hospitalisation and deaths. Several simple and effective interventions exist to minimise neonatal admissions and deaths in South Africa.Peer reviewed.

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Risk factors for perinatal mortality in an urban area of Southern Brazil, 1993

Cited by 13 publications

References 12 publications

Factors associated with infant and adolescent mortality

Factors associated with infant and adolescent mortality

Education and Health: Epidemiological Indicators Can Improve the Continuing Education Process

Causes of neonatal admissions and deaths at a rural hospital in KwaZulu-Natal, South Africa

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