Mortalidade infantil por causas evitáveis em municípios de fronteira e não fronteira

Martins, Paulo Cezar Rodrigues; Pontes, Elenir Rose Jardim Cury

doi:10.1590/1414-462x202028020096

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…The avoidable early deaths found in the study reflect health inequities, which are attributed to socioeconomic, biological and care inequalities (36) . The proportion of avoidable deaths represented by adequate care for women during pregnancy, childbirth, the fetus and the newborn indicates that there are important care failures in the conduct of a healthy birth (36) .…”

Section: Discussionmentioning

confidence: 76%

Avoidable deaths in the first 24 hours of life: health care reflexes

et al. 2022

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Objectives: to analyze the risks of deaths in the first 24 hours of life and their preventable causes. Methods: cross-sectional study carried out in Pernambuco, Northeast of Brazil, between 2000-2019, with mortality and live birth data. The avoidability was analyzed through the Brazilian List of Avoidable Causes of Deaths due to Interventions of the Unified Health System. For the statistical analyses, Pearson’s chi-squared test and relative and attributable risks were used. Results: 13,601 deaths were registered, of which 10,497 (77.19%) were from preventable causes. Of the total, 5,513 (40.53%) were reducible through adequate care for women during pregnancy. The lower the gestational age, birth weight and education level, the higher the relative and attributable risk of death in the first 24 hours of life. Conclusions: most of the deaths were considered avoidable and with high relative and attributable risks. These early deaths suggest care failures and the need to reinforce prevention and treatment measures.

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Section: Discussionmentioning

confidence: 76%

Avoidable deaths in the first 24 hours of life: health care reflexes

et al. 2022

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“…Demographic, economic and cultural characteristics in border municipalities can directly lead to the probability that a child reaching his first year of life is greater than that of the group of non-border municipalities [ 39 ] Infant mortality is considered a proxy for development, as it is directly associated with indicators such as the Municipal Human Development Index (HDI-M) and the Gini Index [ 40 ] with inequalities in mortality being directly connected with differences in these indicators.…”

Section: Discussionmentioning

confidence: 99%

Changes in the Infant Mortality Rate in Twin Towns of Brazil: An Ecological Study

Oliveira

Wendland

2022

Children

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Background: The infant mortality rate (IMR) is a proxy of the living and health conditions of a given population, which allows us to assess the risk of death for children under one year. Although there is, in general, a reduction in infant mortality in Brazil little is known about this indicator in the regions and cities located on the international borders of the Brazilian territory and the changes that occurred in the face of the migratory impact of the Americas in the period from 1996 to 2020. The objectives of this study are to assess IMR in Brazilian Twin Cities (municipalities that are located on the border with a large influx of people) and its social determinants over time. Methods: This is an ecological study, whose units of analysis were the Brazilian Twin Cities, between 1996 and 2020, based on data on births and deaths in children under one year, available in the public vital information system in Brazil. Data were identified by the city in which the infant death occurred in addition to the mother’s primary city of residence. Correlation measurements were performed to test the associations of the IMR means between the independent variables. Results: The Twin Cities (Bonfim, Tabatinga, Pacaraima, Porto Murtinho, Cáceres, Foz do Iguaçu, Santo Antônio do Sudoeste e Dionísio Cerqueira) had higher numbers of infant deaths per place of occurrence than the number of deaths per place of maternal residence. The Northern Twin Cities exhibited the highest IMRs. Cities in the Midwest region showed variability. In the South region, most cities showed low rates. A positive correlation was identified with the Gini index with r = 0.67 and a negative correlation with the Municipal Human Development Index indicator of r= −0.70. Conclusions: The averages of IMRs in the Twin Cities were higher than in their States. In recent years, there has been an upward trend in infant mortality in these cities.

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“…In addition, a further study observed that prematurity, regional inequalities, inadequate maternal care during pregnancy, infectious diseases (e.g., congenital syphilis, congenital rubella, and cytomegalovirus), labor complications, and alcohol use during pregnancy are factors that increase infant mortality rates [28][29][30][31] . In this perspective, high infant mortality rates reflect the poor health conditions of the population 28 Recently, Reis et al concluded that estimates of the incidence of infant mortality rate due to CAs and of rates of CA at birth using time and spatial series can help the specialized team to identify local causes, appropriate conditions for interventions, as well as the cost-benefits of the interventions 30 . In this sense, IMR due to CA and the rates for live births with CAs impact quality of life and increase the costs of specialized care for those affected and their families 31 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of fetal and neonatal mortality due to congenital anomalies in the state of Maranhão, Brazil, from 2001–2016

Reis¹,

Kaizer²,

Schüler‐Faccini³

2021

CBR

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Introduction:The infant mortality rate (IMR) is an important health indicator directly associated with living conditions, prenatal care coverage, social development conditions, and parental education, among others. Worldwide, the infant mortality rate was 29/1000 live births in 2017. Therefore, this study aimed to evaluate the fetal and infant mortality rates due to congenital anomalies (CA) in Maranhão from 2001 to 2016. Methods: Data were obtained from the SINASC, and SIM databases. We used simple linear regression, Poisson distribution, and ANOVA (Bonferroni's post hoc test). We analyzed the public data (2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016) of 1934858 births and determined the fetal, neonatal, perinatal, and post-neonatal mortality rates associated with CA by mesoregions. Results:The IMR in Maranhão was 17.01/1000 live births (95%CI, 13.30-20.72) and CA was the cause of death in 13.3% of these deaths. Mortality due to CA (per 1000 live births) was 0.76 (95%CI, 0.74-0.85) for fetal mortality rate and 2.27 (95%CI, 1.45-3.10) for infant mortality rate. Geographic and temporal variations were observed with a slight increase in recent years for deaths attributable to CA, and in the northern part of Maranhão. Conclusions:Mortality rates due to CA in Maranhão increased over the period 2001-2016 possibly as a result of improved maternal-infant health conditions eliminating other causes of death. Therefore, efforts to improve early diagnosis and better treatment of congenital anomalies should be considered to reduce its impact on child mortality.

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Mortalidade infantil por causas evitáveis em municípios de fronteira e não fronteira

Cited by 6 publications

References 16 publications

Avoidable deaths in the first 24 hours of life: health care reflexes

Avoidable deaths in the first 24 hours of life: health care reflexes

Changes in the Infant Mortality Rate in Twin Towns of Brazil: An Ecological Study

Prevalence of fetal and neonatal mortality due to congenital anomalies in the state of Maranhão, Brazil, from 2001–2016

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