Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors
This study aimed to describe fetal, neonatal, and post-neonatal mortality and associated factors in participants of the 2015 Pelotas (Brazil) birth cohort. The child mortality sub-study followed up all deaths in the first year of life. Data were collected on intrauterine fetal deaths (weight ≥ 500g...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
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| Series: | Cadernos de Saúde Pública |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2019000905012&lng=en&tlng=en |
| _version_ | 1830429222955384832 |
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| author | Andrea Ramirez Varela Bruna Celestino Schneider Susana Bubach Mariangela Freitas Silveira Andréa Dâmaso Bertoldi Lina Sofia Moron Duarte Ana Maria B. Menezes Marlos R. Domingues Diego G. Bassani |
| author_facet | Andrea Ramirez Varela Bruna Celestino Schneider Susana Bubach Mariangela Freitas Silveira Andréa Dâmaso Bertoldi Lina Sofia Moron Duarte Ana Maria B. Menezes Marlos R. Domingues Diego G. Bassani |
| author_sort | Andrea Ramirez Varela |
| collection | DOAJ |
| description | This study aimed to describe fetal, neonatal, and post-neonatal mortality and associated factors in participants of the 2015 Pelotas (Brazil) birth cohort. The child mortality sub-study followed up all deaths in the first year of life. Data were collected on intrauterine fetal deaths (weight ≥ 500g and/or gestational age ≥ 20 weeks), neonatal deaths (< 28 days of life), and post-neonatal deaths (from 28 days to the end of the first year of life). Descriptive analyses using the Pearson chi-square test and a multinomial logistic regression to estimate the risk of fetal, neonatal, and post-neonatal deaths compared to live infants in the cohort (reference group) were performed. Data from 4,329 eligible births were collected, of which 54 died during the fetal period. Of the 4,275 eligible live births, 59 died in the first year of life. An association between fetal, neonatal, and post-neonatal deaths (OR = 15.60, 7.63, and 5.51 respectively) was found, as well as less than six prenatal consultations. Compared to live infants, fetal deaths were more likely to occur in non-white mothers, and neonatal deaths were 14.09 times more likely to occur in a preterm gestational age (< 37 weeks). Compared to live infants, infants that were born in a C-section delivery had 3.71 increased odds of post-neonatal death. Additionally, neonatal deaths were 102.37 times more likely to have a low Apgar score on the fifth minute after birth. These findings show the need for early interventions during pregnancy, ensuring access to adequate prenatal care. |
| first_indexed | 2024-12-21T01:28:46Z |
| format | Article |
| id | doaj.art-ec3805a2fe5845739edb1cdd0c222278 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-12-21T01:28:46Z |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-ec3805a2fe5845739edb1cdd0c2222782022-12-21T19:20:26ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-446435710.1590/0102-311x00072918S0102-311X2019000905012Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factorsAndrea Ramirez VarelaBruna Celestino SchneiderSusana BubachMariangela Freitas SilveiraAndréa Dâmaso BertoldiLina Sofia Moron DuarteAna Maria B. MenezesMarlos R. DominguesDiego G. BassaniThis study aimed to describe fetal, neonatal, and post-neonatal mortality and associated factors in participants of the 2015 Pelotas (Brazil) birth cohort. The child mortality sub-study followed up all deaths in the first year of life. Data were collected on intrauterine fetal deaths (weight ≥ 500g and/or gestational age ≥ 20 weeks), neonatal deaths (< 28 days of life), and post-neonatal deaths (from 28 days to the end of the first year of life). Descriptive analyses using the Pearson chi-square test and a multinomial logistic regression to estimate the risk of fetal, neonatal, and post-neonatal deaths compared to live infants in the cohort (reference group) were performed. Data from 4,329 eligible births were collected, of which 54 died during the fetal period. Of the 4,275 eligible live births, 59 died in the first year of life. An association between fetal, neonatal, and post-neonatal deaths (OR = 15.60, 7.63, and 5.51 respectively) was found, as well as less than six prenatal consultations. Compared to live infants, fetal deaths were more likely to occur in non-white mothers, and neonatal deaths were 14.09 times more likely to occur in a preterm gestational age (< 37 weeks). Compared to live infants, infants that were born in a C-section delivery had 3.71 increased odds of post-neonatal death. Additionally, neonatal deaths were 102.37 times more likely to have a low Apgar score on the fifth minute after birth. These findings show the need for early interventions during pregnancy, ensuring access to adequate prenatal care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2019000905012&lng=en&tlng=enMortalidade InfantilEstudos de CoortesFatores de Risco |
| spellingShingle | Andrea Ramirez Varela Bruna Celestino Schneider Susana Bubach Mariangela Freitas Silveira Andréa Dâmaso Bertoldi Lina Sofia Moron Duarte Ana Maria B. Menezes Marlos R. Domingues Diego G. Bassani Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors Cadernos de Saúde Pública Mortalidade Infantil Estudos de Coortes Fatores de Risco |
| title | Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors |
| title_full | Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors |
| title_fullStr | Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors |
| title_full_unstemmed | Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors |
| title_short | Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors |
| title_sort | fetal neonatal and post neonatal mortality in the 2015 pelotas brazil birth cohort and associated factors |
| topic | Mortalidade Infantil Estudos de Coortes Fatores de Risco |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2019000905012&lng=en&tlng=en |
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