Independent risk factors associated with infant deaths

Abstract

Objective: Identifying the independent risk factors associated with infant deaths registered in Brazilian public information systems. Methods: A cross-sectional study using secondary data recorded in public information systems for eleven years. The association of mortality rates was observed according to death periods using univariate and multivariate regression tests. Results: The infant mortality rate decreased by 20.7 % in the study period. The list of independent factors associated with infant deaths shows the necessity for measures to increase public actions aimed at the early onset of prenatal care, continuing until the postpartum, puerperal period and in the growth and development of the newborn. Conclusion: The independent risk factors for infant death were low birth weight, gestation duration of less than 37 weeks, multiple pregnancy, maternal educational level lower than eight years, Apgar score and less than seven antenatal pregnancy. ResumoObjetivo: Identificar os fatores de risco independentes associados aos óbitos infantis registrados nos sistemas informatizados públicos brasileiros. Métodos: Estudo transversal com dados secundários registrados no período de onze anos nos sistemas informatizados públicos. A associação das taxas de mortalidade foi verificada segundo períodos de óbito utilizando-se testes de regressão univariada e multivariada. Resultados: A mortalidade infantil apresentou redução de 20,7% no período estudado. A lista de fatores independentes associados aos óbitos infantis indica a necessidade de medidas para intensificar as ações públicas visando o início precoce da assistência pré-natal, no pós-parto, acompanhamento no puerpério, e o crescimento e desenvolvimento do recém-nascido. Conclusão: Os fatores de risco independentes para o óbito infantil foram: baixo peso ao nascer, duração da gestação inferior a 37 semanas, gravidez múltipla, escolaridade materna inferior a oito anos, boletim de Apgar e menos de sete consultas pré-natais.

O Processo De Análise Da Evitabilidade Dos Casos De Óbito Infantil E Fetal: Estudo De Caso Único

“…20 There is evidence of a relationship between the access to health care services and socioeconomic conditions, in which municipalities with fewer areas of poverty, tend to have better access to services, however, within a reality of inequalities and social inequities, there are other limitations that compromise the reach of health care. 21 The interference of social risk factors as determinants of infant and fetal mortality, also explored in several Brazilian studies, 1,7,9,[11][12][22][23] is similar to the results found by the Floripa for Life Committee. These studies indicate that more than half of the deaths occurred in the neonatal period and were associated with mothers under 20 years of age; maternal schooling less than seven years; family income of between R$954 and R$1,908 or less; mothers who were cared for in public hospitals; difficulty in starting prenatal care; less than six medical consultations, among others related to the time of referral and attendance.…”

Maternal and Child Risk Factors Associated With Neonatal Mortality

“…[8][9][10] An increase in neonatal mortality risk is also associated with newborn characteristics, such as birth weight, gestational age and Apgar, among others. 5,[10][11] In the city of Cuiaba, capital of Mato Grosso (MT) state, neonatal mortality has been little studied, despite the high rates of neonatal deaths -8.7/1,000 live births in 2007 and 8.2/1,000 live births in 2010. [12][13] This study is therefore justified as it aimed to investigate the maternal and child risk factors, present in the Live Birth and Death Declaration, which were associated with neonatal mortality in Cuiabá-MT.…”

Variáveis associadas à mortalidade infantil: uma revisão integrativa

“…Observou-se diversidade também nas categorias de número de consultas realizadas durante a gestação:< e > 4 consultas; 0 a 3, 4 a 6 e 7 ou mais consultas; < e > 6 consultas e < e > 7 consultas (CARNEIRO et al, 2012;HASSAN et al, 2012;LIMA et al, 2012;GRANZOTTO;FONSECA;LINDEMANN, 2012;MAIA;MENDES, 2012;RIBEIRO et al, 2014;SINGH et al, 2014;SATO, 2014;DEBELEW;AFEWORK;YALEW, 2014;PEREIRA et al, 2014;SILVA;MATHIAS, 2014;YEGO et al, 2014;SILVA;ALMEIDA;ALENCAR, 2014;DHADED et al, 2015;KAMAL, 2015;LIMA et al, 2017).…”