Mortalidade no primeiro dia de vida: tendências, causas de óbito e evitabilidade em oito Unidades da Federação brasileira, entre 2010 e 2015*

Teixeira, João Alexandre Mendes; Araújo, Waleska Regina Machado; Maranhão, Ana Goretti Kalume; Cortez-Escalante, Juan José; Rezende, Leandro F. M.; Matijasevich, Alícia

doi:10.5123/s1679-49742019000100006

Cited by 38 publications

(44 citation statements)

References 20 publications

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“…Some studies carried out in Brazil reveal that approximately 60% of fetal deaths and 70% of infant deaths occur due to avoidable causes, such as failures in healthcare provided to women during pregnancy and childbirth and to newborns (6)(7) . In a study that analyzed infant mortality in the first day of life in the country and in Federation Units, was identified a rate of almost 70% of avoidable deaths.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, two thirds of deaths in the first day of life could be avoided by adequate care to women during pregnancy and delivery, to the fetus and the newborn. This fact indicates the primary need for improvements in the quality of maternal and child care (7) . Public health policies can contribute to minimize the health risks of pregnant women and newborns and improve access to health care.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 70% of infant deaths occur due to avoidable causes, particularly through healthcare failures for pregnant women, childbirth and newborns (6)(7) . Stillbirth is also avoidable in most cases and its prevention is part of a new global strategy towards the healthcare of women, children and adolescents (8)(9)(10) .…”

Section: Introductionmentioning

confidence: 99%

“…Its objective was to classify deaths according to their preventability (12) . This classification indicates the predominance of avoidable deaths, especially those caused by inadequate care provided to the mother, either during pregnancy or childbirth, and to the newborn (7,13) .…”

Section: Introductionmentioning

confidence: 99%

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Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes

et al. 2020

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Objectives: to analyze social inequalities in spatial distribution of fetal and infant mortality by avoidable causes and identify the areas of greater risk of occurrence. Methods: avoidable deaths of fetal and infant residents of Recife/Brazil were studied. The rates of avoidable fetal and infant mortality were calculated for two five-year periods, 2006-2010 and 2011-2015. The scan statistics was used for spatial analysis and related to the social deprivation index. Results: out of the total 2,210 fetal deaths, 80% were preventable. Avoidable fetal mortality rates increased by 8.1% in the five-year periods. Of the 2,846 infant deaths, 74% were avoidable, and the infant mortality rate reduced by 0.13%. Conclusions: in the spatial analysis, were identified clusters with higher risk for deaths. The social deprivation index showed sensibility with areas of worse living conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes

et al. 2020

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“…Most childhood deaths are concentrated in the first year of life, especially in the first month (early and late neonatal mortality). There is high participation of perinatal causes, such as prematurity and anoxia, that highlight the importance of factors related to pregnancy, delivery, and the newborn in the field of perinatology, showing that there is still room for general preventive actions through quality health care (4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

Early neonatal mortality trend in adolescent pregnant women in the State of São Paulo, Brazil, from 1996 to 2017

et al. 2021

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Background: The Infant mortality rate indicates the quality of life of a population. Infant mortality has two important components: neonatal mortality, divided into early and late and post-neonatal mortality. The more developed a country is and the greater its population's well-being, the greater the weight of the neonatal component on infant mortality. In addition several factors may determine or be associated with the occurrence of infant deaths including maternal age. The teenage pregnancy rates in Latin America and the Caribbean remain the second highest in the world, In Brazil, between 2010 and 2015, for every thousand adolescents between 15 and 19 years old, about 69 became pregnant and gave birth to their babies. Thus, the objective of this study is to evaluate the trend of Early Neonatal Mortality Rates in children of pregnant adolescents, which occurred in the period 1996-2017, in the state of São Paulo, Brazil, according to the maternal age group. Methods: This is an ecological study of time series using official mortality data obtained from the Mortality Information System and live birth data obtained from the Live Birth Information System. Deaths of newborns aged between zero and six complete days were collected by place of residence. The trends in rates per 1,000 live births were calculated by Prais-Winsten regression, obtaining their annual percentage change (VPA) and the respective 95% confidence intervals, analyzed by age group. All analyzes were processed using the STATA 15.1 software.Results: In the state of São Paulo, between 1996 and 2017, 16,161 deaths were reported in children from zero to six days old and 2,320,584 live births in mothers aged 10-19 years, living in the state of São Paulo, Brazil. Of this total, it was observed that the early neonatal mortality rate decreased until the year 2005-2006, remained stationary after, and was higher in newborns of mothers aged 10-14 years (13.18 per 1,000) compared to mothers between 15-19 years (6.75 per 1,000). Conclusions:In conclusion, although the early neonatal mortality rate showed a significant decreasing trend until approximately 2005, it remained stables after that.

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Temporal Trend and Risk Factors for Respiratory Distress Syndrome–Associated Neonatal Mortality in Preterm Infants: A Population-Based Study in a Middle-Income Country

et al. 2022

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Objective This article aimed to report a temporal series of respiratory distress syndrome (RDS)-associated neonatal mortality rates in preterm live births in São Paulo state, Brazil, and to identify social, maternal, and neonatal characteristics associated with these deaths. Study Design This is a population-based study of all live births with gestational age (GA) between 22 and 36 weeks, birth weight ≥400 g, without congenital anomalies from mothers living in São Paulo state during 2004 to 2015. RDS-associated neonatal mortality was defined as death up to 27 days after birth with ICD-10 codes P22.0 or P28.0. RDS-associated neonatal mortality rate (annual percent change [APC] with 95% confidence intervals [95% CIs]) was analyzed by Prais–Winsten. Kaplan–Meier estimator identified the time after birth that the RDS-associated neonatal death occurred. Poisson's regression model compared social maternal and neonatal characteristics between preterm live births that survived the neonatal period and those with RDS-associated neonatal deaths, with results expressed in incidence rate ratio and 95% CI. Results A total of 645,276 preterm live births were included in the study, of which 612,110 survived and 11,078 had RDS-associated neonatal deaths. RDS-associated neonatal mortality rate was 17.17 per thousand preterm live births, with a decreasing annual trend (APC: −6.50%; 95% CI: −9.11 to −3.82%). The median time of these deaths was 48 hours after birth. The following risk factors for RDS-associated neonatal death were identified: maternal schooling ≤7 years (1.18; 1.09–1.29), zero to three prenatal care visits (1.25; 1.18–1.32), multiple pregnancy (1.24; 1.16–1.33), vaginal delivery (1.29; 1.22–1.36), GA 22 to 27 weeks (106.35; 98.36–114.98), GA 28 to 31 weeks (20.12; 18.62–21.73), male sex (1.16; 1.10–1.22), and 5-minute Apgar scores of 0 to 3 (6.74; 6.08–7.47) and 4 to 6 (3.97; 3.72–4.23). Conclusion During the study period, RDS-associated neonatal mortality rates showed significant reduction. The relationship between RDS-associated neonatal deaths and social, maternal, and neonatal factors suggests the need for perinatal strategies to reduce prematurity and to improve the initial management of preterm infants. Key Points

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Mortalidade no primeiro dia de vida: tendências, causas de óbito e evitabilidade em oito Unidades da Federação brasileira, entre 2010 e 2015*

Cited by 38 publications

References 20 publications

Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes

Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes

Early neonatal mortality trend in adolescent pregnant women in the State of São Paulo, Brazil, from 1996 to 2017

Temporal Trend and Risk Factors for Respiratory Distress Syndrome–Associated Neonatal Mortality in Preterm Infants: A Population-Based Study in a Middle-Income Country

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