Case-control study on infant mortality in Southern Brazil

Mendes, Karina Giane; Olinto, Maria Teresa Anselmo; Costa, Juvenal Soares Dias da

doi:10.1590/s0034-89102006000200009

Cited by 19 publications

(13 citation statements)

References 19 publications

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“…A mortalidade neonatal ocorrida no período precoce sugere causas de óbitos associadas principalmente à precária assistência ofertada às mães durante o pré-natal e o parto, bem como a atenção não adequada aos recém-nascidos nas salas de parto e unidades neonatais, dependendo assim de estratégias principalmente no campo perinatal, com ações dirigidas ao desenvolvimento e fortalecimento dos serviços de saúde materno-infantil 1,7,8,13,14,15,16 .…”

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Determinantes da mortalidade neonatal: estudo caso-controle em Fortaleza, Ceará, Brasil

et al. 2012

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(OR = 0.23;, time spent from home to the hospital ≥ 30 minutes (OR = 3.12; (OR = 14.75; prematurity (OR = 3.41; IntroduçãoA partir da década de 90, em virtude da redução do componente pós-neonatal da mortalidade infantil, aumentou o peso relativo às mortes ocorridas no período neonatal. Na segunda metade da década de 90, a taxa de mortalidade neonatal, em torno de 20 óbitos por mil nascidos vivos, passou a representar mais de 60% da mortalidade infantil 1,2,3 . Percebeu-se uma maior concentração desses óbitos nos primeiros dias de vida, refletindo a relação entre a assistência de saúde prestada à gestante nos períodos pré-parto e parto como também ao recém-nascido imediatamente após o nascimento na sala de parto e nas unidades neonatais 1,4 .Em relação à mortalidade neonatal precoce em crianças com peso inferior a 2.000g, apresenta valores 10 a 20 vezes maiores em estudos brasileiros, quando comparada a países desenvolvidos como a Inglaterra. Esses dados indicam uma maior dificuldade de acesso a leitos de berçários de risco ou tratamento intensivo neonatal, ou mesmo a insatisfatória qualidade da assistên-cia 1 . Vários estudos descreveram os determinantes associados à morte neonatal precoce, como prematuridade, baixo peso ao nascer e intercorrências na gestação e parto, porém estes fatores se articulam de forma complexa, sendo influenciados pelas características biológicas materna e do recém-nascido, condições sociais e da atenção ofertada pelos serviços de saúde 5,6,7,8,9 .ARTIGO ARTICLE Nascimento RM et al.

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Section: Discussionunclassified

Determinantes da mortalidade neonatal: estudo caso-controle em Fortaleza, Ceará, Brasil

et al. 2012

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“…Eloundou and Bobossi-Serengbe, 10 . Mendes et al in Brazil 25 found that preterm neonates were fifty times more at risk of dying than term neonates. Satoshi et al in Japan 26 and Velaphi et al in South Africa 27 found that low birth weight was a risk factor for mortality.…”

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Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

Mah-Mungyeh¹,

Chiabi²,

Tchokoteu³

et al. 2015

Afr H. Sci.

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Background: The fourth Millennium Development Goals targets reduction by 2/3 the mortality rate of under-fives by 2015. This reduction starts with that of neonatal mortality representing 40% of childhood mortality. In Cameroon neonatal mortality was 31‰ in 2011. Objectives: We assessed the trends, associated factors and causes of neonatal deaths at the Yaounde Gynaeco-Obstetric and Pediatric Hospital. Methods: The study was a retrospective chart review. Data was collected from the hospital records, and included both maternal and neonatal variables from 1st January 2004 to 31st December 2010. Results: The neonatal mortality was 10%. Out-borns represented 49.3% of the deceased neonates with 11.3% born at home. The neonatal mortality rate followed a downward trend dropping from12.4% in 2004 to 7.2% in 2010. The major causes of deaths were: neonatal sepsis (37.85%), prematurity (31.26%), birth asphyxia (16%), and congenital malformations (10.54%). Most (74.2%) of the deaths occurred within the first week with 35% occurring within 24hours of life. Mortality was higher in neonates with birth weight less than 2500g and a gestational age of less than 37 weeks. In the mothers, it was high in single parenthood , primiparous and in housewives and students. Conclusion: There has been a steady decline of neonatal mortality since 2004. Neonatal sepsis, prematurity, birth asphyxia and congenital malformations were the major causes of neonatal deaths. Neonatal sepsis remained constant although at lower rates over the study period.

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“…Low birth weight and prematurity have been identified as risk factors for neonatal mortality by many other researchers 9,11,12,21,23,24 . Mendes et al in Brazil 25 found that preterm neonates were fifty times more at risk of dying than term neonates. Satoshi et al in Japan 26 and Velaphi et al in South Africa 27 found that low birth weight was a risk factor for mortality.…”

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confidence: 99%

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

Mah¹,

Chiabi²,

Tchokoteu³

et al. 2014

Afr H. Sci.

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Background: The fourth Millennium Development Goals targets reduction of the mortality rate of under-fives by 2/3 by the year 2015. This reduction starts with that of neonatal mortality representing 40% of childhood mortality. In Cameroon neonatal mortality was 31% in 2011. Objectives: We assessed the trends, associated factors and causes of neonatal deaths at the Yaounde Gynaeco-Obstetric and Pediatric Hospital. Methods: The study was a retrospective chart review. Data was collected from the hospital records, and included both maternal and neonatal variables from 1 st January 2004 to 31 st December 2010. Results: The neonatal mortality was 10%. Out-borns represented 49.3% of the deceased neonates with 11.3% born at home. The neonatal mortality rate followed a downward trend dropping from 12.4% in 2004 to 7.2% in 2010. The major causes of deaths were: neonatal sepsis (37.85%), prematurity (31.26%), birth asphyxia (16%), and congenital malformations (10.54%). Most (74.2%) of the deaths occurred within the first week with 35% occurring within 24hours of life. Mortality was higher in neonates with birth weight less than 2500g and a gestational age of less than 37 weeks. In the mothers, it was high in single parenthood , primiparous and in housewives and students.. Conclusion: There has been a steady decline of neonatal mortality since 2004. Neonatal sepsis, prematurity, birth asphyxia and congenital malformations were the major causes of neonatal deaths. Neonatal sepsis remained constant although at lower rates over the study period.

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Case-control study on infant mortality in Southern Brazil

Cited by 19 publications

References 19 publications

Determinantes da mortalidade neonatal: estudo caso-controle em Fortaleza, Ceará, Brasil

Determinantes da mortalidade neonatal: estudo caso-controle em Fortaleza, Ceará, Brasil

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

Neonatal mortality in a referral hospital in Cameroon over a seven year period: trends, associated factors and causes.

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