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Magnitude and determinants of neonatal and post-neonatal mortality in Goiânia, Goiás, Brazil: a retrospective cohort study, 2012 / Magnitud y determinantes de la mortalidad neonatal y postneonatal en Goiânia, Goiás, Brasil: studio de cohorte retrospectivo, 2012 / Magnitude e determinantes da mortalidade neonatal e pós-neonatal em Goiânia, Goiás: um estudo de coorte retrospectivo, 2012
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-1191
Responsible library:
BR1.1
ABSTRACT
Objective. To estimate magnitude and determinants of neonatal and post-neonatal mortality rates in Goiânia, Brazil, 2012. Methods. Retrospective cohort study, using linkage of Live Births Information System and Mortality Information System. It has been used logistic regression to evaluate neonatal e post-neonatal death associated factors. Results. Neonatal mortality (0-27 days of life) was 9.4; and post-neonatal (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 CI95% 7.48;22.96), 19-34-week pregnancy (OR=6.25 CI95% 2.26;17.29), weight at birth <1,500g (OR=62.42 CI95% 22.72;171.48) and cesarean delivery (OR=0.54 CI95% 0.37;0.79). For post-neonatal period they were 0-3 prenatal appointments (OR=4.16 CI95% 1.51;11.43) and weight at birth <1.500g (OR=18.74 CI95% 4.04;87.00). Conclusion:
Low number of prenatal care visits, premature delivery and low weight at birth were the main determinants of neonatal and post-neonatal mortality.RESUMO
Objetivo. Estimar a magnitude e determinantes da mortalidade infantil neonatal e pós-neonatal em Goiânia, Brasil, em 2012. Métodos. Estudo de coorte retrospectiva, utilizando relacionamento entre o Sistema de Informações sobre Nascidos Vivos e o Sistema de Informações sobre Mortalidade. Aplicou-se regressão logística para avaliar os fatores associados ao óbito neonatal e pós-neonatal. Resultados. A mortalidade neonatal (0-27 dias de vida) foi de 9,4; e a pós-neonatal (28-364 dias de vida), de 3,0 óbitos/1000 nascidos vivos. Os fatores associados à mortalidade neonatal foram 0-3 consultas de pré-natal (OR=13,10 IC95% 7,48;22,96); gestações de 19-34 semanas (OR=6,25 IC95% 2,26;17,29); peso ao nascer <1.500g (OR=62,42 IC95% 22,72;171,48); e parto cesáreo (OR=0,54 IC95% 0,37;0,79). Associaram-se à mortalidade no período pós-neonatal 0-3 consultas de pré-natal (OR=4,16 IC95% 1,51;11,43); e peso ao nascer <1.500g (OR=18,74 IC95% 4,04;87,00). Conclusão. Baixo número de consultas, prematuridade e baixo peso foram os principais fatores de risco da mortalidade neonatal e pós-neonatal.
Full text:
Available
Collection:
Preprints
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 6: Information systems for health
Database:
SciELO Preprints
Type of study:
Etiology study
/
Observational study
/
Risk factors
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Year:
2020
Document type:
Preprint
