Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019
Introduction. The birth of premature babies is a public health problem with a high impact on infant morbidity and mortality. About 40% of mortality in children under five years occurs in the first month of life. Objective. To identify the association between maternal sociodemographic factors, premat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Instituto Nacional de Salud
2023-09-01
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| Series: | Biomédica: revista del Instituto Nacional de Salud |
| Subjects: | |
| Online Access: | https://revistabiomedica.org/index.php/biomedica/article/view/6863 |
| _version_ | 1827786623841992704 |
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| author | Javier Torres-Muñoz Daniel Alberto Cedeño Jennifer Murillo Sofía Torres-Figueroa Julián Torres-Figueroa |
| author_facet | Javier Torres-Muñoz Daniel Alberto Cedeño Jennifer Murillo Sofía Torres-Figueroa Julián Torres-Figueroa |
| author_sort | Javier Torres-Muñoz |
| collection | DOAJ |
| description | Introduction. The birth of premature babies is a public health problem with a high impact on infant morbidity and mortality. About 40% of mortality in children under five years occurs in the first month of life.
Objective. To identify the association between maternal sociodemographic factors, premature birth, and mortality in newborns under 37 weeks in Santiago de Cali, 2017-2019.
Materials and methods. We conducted a descriptive, cross-sectional study. We evaluated the records of Cali’s Municipal Public Health Office. We calculated the crude and adjusted odd ratios and confidence intervals (95%) using the logistic regression model, data processing in Stata 16, and georeferencing the cases in the QGIS software.
Results. From 2017 to 2019, premature babies in Cali corresponded to 11% of births. Poor prenatal care increased 3.13 times the risk of being born before 32 weeks (adjusted OR = 3.13; 95% CI = 2.75 - 3.56) and 1.27 times among mothers from outside the city (adjusted OR = 1.27; 95% CI = 1.15-1.41). Mortality was 4.29 per 1,000 live births. The mortality risk in newborns weighing less than 1,000 g increased 3.42 times (OR = 3.42; 95% CI = 2.85-4.12), delivery by cesarean section in 1.46 (OR = 1.46; CI 95% = 1.14-1.87) and an Apgar score – five minutes after birth– lower than seven in 1.55 times (OR = 1.55; CI 95% = 1.23-1.96).
Conclusions. We found that less than three prenatal controls, mothers living outside Cali, afro-ethnicity, and cesarean birth were associated with prematurity of less than 32 weeks. We obtained higher mortality in newborns weighing less than 1,000 g. |
| first_indexed | 2024-03-11T16:36:53Z |
| format | Article |
| id | doaj.art-2d88913036b6401291e6efcde1567140 |
| institution | Directory Open Access Journal |
| issn | 0120-4157 2590-7379 |
| language | English |
| last_indexed | 2024-03-11T16:36:53Z |
| publishDate | 2023-09-01 |
| publisher | Instituto Nacional de Salud |
| record_format | Article |
| series | Biomédica: revista del Instituto Nacional de Salud |
| spelling | doaj.art-2d88913036b6401291e6efcde15671402023-10-23T14:10:24ZengInstituto Nacional de SaludBiomédica: revista del Instituto Nacional de Salud0120-41572590-73792023-09-01433385.9510.7705/biomedica.68638318Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019Javier Torres-Muñoz0https://orcid.org/0000-0002-7190-4707Daniel Alberto Cedeño1https://orcid.org/0000-0003-1734-2229Jennifer Murillo2https://orcid.org/0000-0002-1710-7133Sofía Torres-Figueroa3https://orcid.org/0000-0001-6921-2771Julián Torres-Figueroa4https://orcid.org/0009-0006-6163-800XINSIDE Research Group, Departmento de Pediatría, Universidad del Valle, Cali, Colombia,Universidad del Valle, Departmento de Pediatría, Cali, ColombiaINSIDE Research Group, Departmento de Pediatría, Universidad del Valle, Cali, Colombia,INSIDE Research Group, Departmento de Pediatría, Universidad del Valle, Cali, Colombia; Facultad de Ciencias de la Salud, Universidad ICESI, Cali, ColombiaINSIDE Research Group, Departmento de Pediatría, Universidad del Valle, Cali, Colombia; Facultad de Ciencias de la Salud, Universidad ICESI, Cali, ColombiaIntroduction. The birth of premature babies is a public health problem with a high impact on infant morbidity and mortality. About 40% of mortality in children under five years occurs in the first month of life. Objective. To identify the association between maternal sociodemographic factors, premature birth, and mortality in newborns under 37 weeks in Santiago de Cali, 2017-2019. Materials and methods. We conducted a descriptive, cross-sectional study. We evaluated the records of Cali’s Municipal Public Health Office. We calculated the crude and adjusted odd ratios and confidence intervals (95%) using the logistic regression model, data processing in Stata 16, and georeferencing the cases in the QGIS software. Results. From 2017 to 2019, premature babies in Cali corresponded to 11% of births. Poor prenatal care increased 3.13 times the risk of being born before 32 weeks (adjusted OR = 3.13; 95% CI = 2.75 - 3.56) and 1.27 times among mothers from outside the city (adjusted OR = 1.27; 95% CI = 1.15-1.41). Mortality was 4.29 per 1,000 live births. The mortality risk in newborns weighing less than 1,000 g increased 3.42 times (OR = 3.42; 95% CI = 2.85-4.12), delivery by cesarean section in 1.46 (OR = 1.46; CI 95% = 1.14-1.87) and an Apgar score – five minutes after birth– lower than seven in 1.55 times (OR = 1.55; CI 95% = 1.23-1.96). Conclusions. We found that less than three prenatal controls, mothers living outside Cali, afro-ethnicity, and cesarean birth were associated with prematurity of less than 32 weeks. We obtained higher mortality in newborns weighing less than 1,000 g.https://revistabiomedica.org/index.php/biomedica/article/view/6863obstetric labor, prematuresocial determinants of healthdeveloping countriescolombia |
| spellingShingle | Javier Torres-Muñoz Daniel Alberto Cedeño Jennifer Murillo Sofía Torres-Figueroa Julián Torres-Figueroa Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019 Biomédica: revista del Instituto Nacional de Salud obstetric labor, premature social determinants of health developing countries colombia |
| title | Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019 |
| title_full | Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019 |
| title_fullStr | Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019 |
| title_full_unstemmed | Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019 |
| title_short | Sociodemographic determinants and mortality of premature newborns in a medium and low-income population in Colombia, 2017-2019 |
| title_sort | sociodemographic determinants and mortality of premature newborns in a medium and low income population in colombia 2017 2019 |
| topic | obstetric labor, premature social determinants of health developing countries colombia |
| url | https://revistabiomedica.org/index.php/biomedica/article/view/6863 |
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