Fatores associados aos óbitos neonatais e pós-neonatais em Moçambique

Alberto, Serafim Adriano; Lima, Luciana Conceição de; Rodrigues, Roberto do Nascimento; Machado, Carla Jorge

doi:10.1590/s0102-30982011000100011

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…(20) Research data revealed maternal age between 35 and 39 years is a protective factor against infant mortality. Findings reported by Alberto et al, (21) showed that, in Mozambique, older maternal age is also a protective factor, whereas adolescent mothers are associated with infant mortality. Data from Brazil and Mozambique suggest mature mothers manage gestation better, since they tend to undergo prenatal care and are better at infant care provision.…”

Section: Discussionmentioning

confidence: 86%

Infant mortality in the Metropolitan Region of São Paulo: an ecological study

Nunes¹,

Sousa²,

Nascimento³

2021

Einstein (São Paulo)

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Objective: To determine the impact of risk factors on infant mortality in the Metropolitan Region of São Paulo according to maternal and neonate characteristics, as well as mode of delivery. Methods: An ecological, quantitative study based on secondary data retrieved from infant mortality and live birth data systems. Data from 39 municipalities located in the Metropolitan Region of São Paulo were analyzed. Newborn and maternal variables were extracted from the Information Technology Department of the Unified Health System. Absolute and relative frequencies were presented, as well as linear regression and Pearson´s correlation coefficient. Results: The following maternal profile prevailed from 2006 to 2016: 8 to 11 years of education (β=73.58; p=0.023), age between 30 and 34 years (β=19.04; p=0.015) and delivery by cesarean section (β=39.59; p=0.009) after full-term pregnancy (β=-14.20; p=0.324). Mortality rates decreased in neonates compared to other age groups (β=-25.30; p<0.001). Infant mortality rates tended to be higher among women experiencing pre-term (r=0.86; p<0.001) or post-term (r=0.95; p<0.001) gestation. Conclusion: Maternal age and level of education increased among women giving birth in the Metropolitan Region of São Paulo from 2006 to 2016. These were relevant factors for infant mortality rate reduction.

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Section: Discussionmentioning

confidence: 86%

Infant mortality in the Metropolitan Region of São Paulo: an ecological study

Nunes¹,

Sousa²,

Nascimento³

2021

Einstein (São Paulo)

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Temporal evolution of the risk factors associated with low birth weight rates in Brazilian capitals (1996-2011)

Buriol

Hirakata

Goldani

et al. 2016

Popul Health Metrics

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ObjectiveTo analyze the trend of low birth weight (LBW) and its determinants in Brazilian state capitals between 1996 and 2011. We intended to determine which variables are associated with LBW during the period studied.MethodsThis is a cross-sectional study that used data from the National Information System of Live Births from 26 state capitals and Brasilia (the federal capital), divided into five geographical regions. The Average Annual Percentage of Change (AAPC) was used to assess the possible time trend in the low birth weight rates for considering all regions together and each region separately, according to each variable, and the Poisson regression was calculated in order to demonstrate time trends in low birth weight and the impact of variables (age and educational maternal level, antenatal visits, type of delivery, and gestational age) during the period. All variables were analyzed together using the Poisson regression as well.ResultsFrom the total of 11,200,255 live births used in this study, there was a significant reduction in the number of live births, especially in the more developed regions. The low birth weight rate was 8 %, and it was stable during the period. Considering regional trends, the rate was higher in the Southeast and South regions, and significantly higher in the North, Northeast, and Central West regions. Improvements in maternal education and antenatal care coverage reduced the risk for low birth weight in all regions. Also, there was an increase in caesarean sections in all regions, with a small impact on low birth weight rates.ConclusionsImprovements in education and health care reduced the risk for low birth weight in all Brazilian regions during the period of study. Trends in low birth weight rates and the associated factors differ from region to region, showing different stages of demographic, epidemiological and developmental transition in Brazil. The present study was approved by the Research Ethics Committee at the Hospital de Clínicas de Porto Alegre (Protocol 120323).

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Fatores associados aos óbitos neonatais e pós-neonatais em Moçambique

Cited by 2 publications

References 6 publications

Infant mortality in the Metropolitan Region of São Paulo: an ecological study

Infant mortality in the Metropolitan Region of São Paulo: an ecological study

Temporal evolution of the risk factors associated with low birth weight rates in Brazilian capitals (1996-2011)

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