Magnitude and determinants of neonatal and postneonatal mortality in Goiânia, Goiás, Brazil: a retrospective cohort study, 2012.

Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil Pub Date : 2020-11-16 eCollection Date: 2020-01-01 DOI:10.1590/S1679-49742020000500008

Caio Átila Saloio, Otaliba Libânio de Morais Neto, Dayanne Augusta Gonçalves, Hugo Estevam Marques Bessa, Jadson Pinheiro Coelho Júnior, May Socorro Martinez Afonso, Simone Resende de Carvalho

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引用次数: 3

Abstract

Objective: To estimate magnitude and determinants of neonatal and postneonatal mortality rates in Goiânia, Brazil, 2012.

Methods: This was a retrospective cohort study based on data linkage of the Live Birth Information System and the Mortality Information System. Logistic regression was used to evaluate factors associated with neonatal and postneonatal death.

Results: Neonatal mortality (0-27 days of life) was 9.4 deaths per 1,000 live births; while postneonatal mortality (28-364 days of life) was 3.0 deaths per 1,000 live births. Neonatal mortality associated factors were: 0-3 prenatal care visits (OR=13.10 - 95%CI 7.48;22.96), 19-34-week pregnancy (OR=6.25 - 95%CI 2.26;17.29), birth weight <1,500g (OR=62.42 - 95%CI 22.72;171.48) and cesarean delivery (OR=0.54 - 95%CI 0.37;0.79). Postneonatal mortality associated factors were: 0-3 prenatal care visits (OR=4.16 - 95%CI 1.51;11.43) and birth weight <1.500g (OR=18.74 - 95%CI 4.04;87.00).

Conclusion: A low number of prenatal care visits, premature childbirth and low birth weight were the main risk factors for neonatal and postneonatal mortality.

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2012年巴西goi尼亚Goiás新生儿和新生儿后期死亡率的大小和决定因素:一项回顾性队列研究

目的:估计2012年巴西goi尼亚新生儿和新生儿后期死亡率的大小和决定因素。方法:采用基于活产信息系统和死亡率信息系统数据链接的回顾性队列研究。采用Logistic回归评价与新生儿和新生儿后期死亡相关的因素。结果:新生儿死亡率(0-27天)为每1,000活产9.4例死亡;新生儿后期死亡率(28-364天)为每1 000例活产死亡3.0人。新生儿死亡相关因素为:产前护理0 ~ 3次(OR=13.10 ~ 95%CI 7.48;22.96)、妊娠19 ~ 34周(OR=6.25 ~ 95%CI 2.26;17.29)、出生体重。结论:产前护理次数少、早产和出生体重低是新生儿及新生儿后期死亡的主要危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil

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