Perinatal mortality and socio-spatial inequalities

Martins, Eunice Francisca; Rezende, Edna Maria; Almeida, Maria Cristina de Mattos; Lana, Francisco Carlos Félix

doi:10.1590/s0104-11692013000500008

Cited by 19 publications

(13 citation statements)

References 14 publications

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“…We could identify an association between increased maternal education and decreased PNM in a study conducted in Belo Horizonte in 2013. 22 These data coincide with the results of this study, showing that in the regions where there are higher PNM rates, there are also mothers with fewer years of schooling (including those that only reached the lower elementary school level). Some Brazilian studies confirm that low maternal education is related to higher PNM rates.…”

Section: Discussionsupporting

confidence: 89%

“…Some Brazilian studies confirm that low maternal education is related to higher PNM rates. 3,[22][23][24] Mothers with fewer years of schooling possibly have worse socioeconomic conditions, and an increased vulnerability to risk situations that interfere with fetal and infant health. These data corroborate the results found in this study, making it necessary to improve the situation of these women in order to reduce health inequalities.…”

Section: Discussionmentioning

confidence: 99%

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Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Venancio

Tuan

Vaz

et al. 2016

Rev Bras Ginecol Obstet

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To identifying spatial patterns in the distribution of perinatal mortality in the state of São Paulo from 2003 to 2012. An ecological and exploratory study with data on perinatal mortality rates of every thousand live births, which were registered on the digital database containing 645 municipalities in the state of São Paulo within the periods of 2003 to 2007 and 2008 to 2012. The spatial analysis provided Moran's index (MI) and thematic maps of rates, and the Moran maps of both periods were drawn. The average rates were compared by Student's test. The TerraView 4.2.2 software (INPE, S. José dos Campos, Brazil) was also used. There were 49,485 perinatal deaths during the first period, at a rate of 17.90 deaths/1,000 live births (standard deviation [SD] = 7.0; MI = 0.14; = 0.01), and 44,582 perinatal deaths during the second period, at a rate of 16.40 deaths/1,000 live births (SD = 11.14; MI = 0.04; = 0.03). These rates are statistically different ( < 0.01). There was a decrease in these rates in 413 municipalities when comparing the two periods. The Moran map has identified 35 municipalities that require special attention, which are located in the Eastern, Southwestern, Western and Northwestern regions of São Paulo state. The study provides municipal managers with subsidies so they can minimize these rates by implementing public policies and taking better care of pregnant women and newborns.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Venancio

Tuan

Vaz

et al. 2016

Rev Bras Ginecol Obstet

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“…The use of corticosteroids and surfactant resulted in reduced mortality (25) . A study carried out in Belo Horizonte, Brazil, identified the death rates due to asphyxia / hypoxia and unspecified fetal death were increasing with the increase in the risk area, i.e., it was verified that the perinatal deaths were distributed differently regarding space and social vulnerabilities and that, therefore, tackling this complex problem requires the establishment of intersectional partnerships (26) .…”

Section: Discussionmentioning

confidence: 99%

Óbitos fetais e neonatais de filhos de pacientes classificadas com near miss

et al. 2017

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How to cite this article: Nardello DM, Guimarães AMDN, Barreto IDC, Gurgel RQ, Ribeiro ERO, Gois CFL. ABSTRACT Objective: identify the epidemiological aspects of early fetal and neonatal deaths in children of patients classifi ed with near miss and the factors associated with this outcome. Method: a cross-sectional study of 79 women identifi ed with near miss and their newborns. The variables were analyzed using Fisher's exact test. Risk factors were estimated based on unadjusted and adjusted odds ratios, and by means of multiple correspondence analysis, with signifi cance for p <0.05. Results: hypertensive disorders totaled 40.5%; Of these, 58.3% had adverse fetal and neonatal outcome. The newborns admitted to the Neonatal Intensive Care Unit proved to be signifi cant for the outcome (70.8%), gestational age <32 weeks (41.6%), birth weight <2500 (66.7%), neonatal asphyxia (50%) and early respiratory discomfort (72.2%). Conclusion: prematurity, neonatal asphyxia, and early respiratory distress were signifi cant characteristics for the outcome among newborns. Descriptors: Pregnancy Complications; Near Miss; Fetal Death; Perinatal Death; Epidemiology. RESUMO Objetivo: identifi car os aspectos epidemiológicos dos óbitos fetais e neonatais precoces em fi lhos de pacientes classifi cadas com near miss e os fatores associados a este desfecho. Método: estudo transversal realizado com 79 mulheres identifi cadas com near miss e seus recém-nascidos. As variáveis foram analisadas utilizando-se o teste Exato de Fisher. Os fatores de risco foram estimados com base nas razões de chances não ajustadas e ajustadas, e por meio de análise de correspondência múltipla, com signifi cância para p < 0,05. Resultados: as desordens hipertensivas totalizaram 40,5%; destas, 58,3% tiveram desfecho fetal e neonatal adverso. Mostraram-se signifi cantes para o desfecho os recém-nascidos admitidos na Unidade Terapia Intensiva Neonatal (70,8%), idade gestacional < 32 semanas (41,6%), peso ao nascer < 2500 (66,7%), asfi xia neonatal (50%) e desconforto respiratório precoce (72,2%). Conclusão: prematuridade, asfi xia neonatal e desconforto respiratório precoce constituíram características signifi cantes para o desfecho entre os recém-nascidos. Descritores: Complicações na Gravidez; Near Miss; Morte Fetal; Morte Perinatal; Epidemiologia. RESUMEN Objetivo: identifi car los aspectos epidemiológicos de los óbitos fetales y neonatales precoces en hijos de pacientes clasifi cados con near miss y los factores asociados a este desenlace. Método: estudio transversal realizado con 79 mujeres identifi cadas con near miss y sus recién nacidos. Las variables fueron analizadas utilizando la prueba Exacta de Fisher. Los factores de riesgo fueron estimados con base en las razones de posibilidades no ajustadas y ajustadas, y por intermedio de análisis de correspondencia múltiple, con signifi cación para p < 0,05. Resultados: los desórdenes hipertensivos totalizaron el 40,5%; de los cuales el 58,3% tuvieron desenlace fetal y neonatal adverso. Se han mostrado signi...

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“…There is evidence that low education may be associated with neonatal mortality. Mothers who have this condition are more vulnerable to situations of risk, which can negatively affect the health of the newborn (4,9) .…”

Section: Discussionmentioning

confidence: 99%

Epidemiological profile of newborns´ mothers admitted to a public neonatal unit

Ferraresi¹,

Arrais²

2017

Rev Rene

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Objective: to identify the epidemiological profile newborns´ mothers hospitalized in a public neonatal unit. Methods: this is a descriptive and cross-sectional study of 57 mothers and 58 infants who were admitted to the neonatal unit. Results: it was observed that most of the women had unfavorable sociodemographic conditions, had intercurrences during pregnancy and although most of them had performed the recommended number of prenatal consultations, the hospitalization of the newborn in a specialized unit leads to questioning the quality of this care. Conclusion: a risk profile for admission of newborns in a specialized unit was identified, since most of the women had unfavorable sociodemographic conditions and presented intercurrences during pregnancy. Descriptors: Intensive Care Units, Neonatal; Maternal and Child Health; Health Profile.Objetivo: identificar o perfil epidemiológico de mães de recém-nascidos internados em uma unidade neonatal pública. Métodos: estudo descritivo e transversal, realizado com 57 mães e 58 bebês que ficaram internados na unidade neonatal. Resultados: observou-se que a maioria das mulheres tinha condições sociodemográficas desfavoráveis, apresentou intercorrências na gestação e, apesar da maior parte ter realizado o número preconizado de consultas de pré-natal, o internamento do recém-nascido em Unidade especializada leva ao questionamento da qualidade dessa assistência. Conclusão: identificou-se perfil de risco para admissão de recém-nascidos em Unidade especializada, pois a maioria das mulheres tinha condições sociodemográficas desfavoráveis e apresentou intercorrências na gestação.

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Perinatal mortality and socio-spatial inequalities

Cited by 19 publications

References 14 publications

Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Óbitos fetais e neonatais de filhos de pacientes classificadas com near miss

Epidemiological profile of newborns´ mothers admitted to a public neonatal unit

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