Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil

Abstract

Differing from other studies, socioeconomic conditions were not associated with neonatal death. Insufficient prenatal consultations, low Apgar score, prematurity, low birth weight, and malformations showed an association, reinforcing the importance of prenatal access universalization and its integration with medium and high-complexity neonatal care services.

Early Neonatal Near Miss in a University Hospital: Comparative Cross-Sectional Study

“…21 In contrast, some studies do not confirm the association after multivariate analysis, probably because prematurity and low birth weight are quite prevalent among twins. 22,23 The greater the number of prenatal visits, the higher the probability of receiving essential care to carry the pregnancy to term with desirable maternal and perinatal outcomes. 24 Research conducted in public maternity hospitals in São Paulo and Rio de Janeiro evaluated factors related to neonatal near misses and deaths and identified failures in prenatal care in 80.8% of cases.…”

“…24 In this study, a high proportion of mothers had zero or up to three prenatal visits in 2012, which corroborates the information that flaws persist in prenatal care, such as insufficient number of visits, assistance delay, and inadequate care, which have an impact on the morbidity and mortality of the mother-child dyad. 25 Low birth weight is a known risk factor for early neonatal death in both population-based and hospital-based studies, 2,21,26 even in cities with a low infant mortality rate, 23 which is why this variable is used as a criterion to identify neonatal be appropriate to compare hospitals of different complexities or located in cities where the coverage, completeness, and reliability of information systems are insufficient without additional care. 5,11 We overcame the problem by comparing the same hospital at different times.…”

“…21 In contrast, some studies do not confirm the association after multivariate analysis, probably because prematurity and low birth weight are quite prevalent among twins. 22 , 23 …”

“…Low birth weight is a known risk factor for early neonatal death in both population-based and hospital-based studies, 2 , 21 , 26 even in cities with a low infant mortality rate, 23 which is why this variable is used as a criterion to identify neonatal near misses. 9 , 11 In this study, the proportion of early neonatal near misses with very low birth weight in 2012 was more than twice that of 2016.…”

Morbidade E Mortalidade Infantil Com Foco Nas Causas Perinatais No Nordeste Brasileiro

“…Distribuição da morbidade infantil com variação dos estados (2013-2017), no Nordeste do Brasil. Natal-RN, 2020. da assistência ofertada durante o pré-natal, puerpério, e durante as consultas de puericultura.Estudo realizado em Florianópolis-SC com o objetivo de analisar os fatores de risco para o óbito neonatal, observou um total de 86 mortes neonatais dentre uma amostra de 15879 crianças, sendo a taxa de mortalidade de 5,4 por mil nascidos vivos9 .Sergipe, com uma população de 154 recém-nascidos e avaliou a preponderância da morbidade de acordo com diferentes fatores e sistemas e as que mais contribuíram para as internações hospitalares foram: no sistema respiratório, a presença da Atenção Integrada às Doenças Prevalentes na Infância (AIDPI) foi criada com a finalidade de reduzir os índices de morbidade e mortalidade infantil. Isso é feito por meio da melhora da qualidade do atendimento prestado por profissionais de saúde, especialmente nos serviços de atenção básica.…”