Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil
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Data
2019
Tipo de documento
Artigo de Periodico
Título da Revista
ISSN da Revista
Título de Volume
Área do conhecimento
Ciências da Saúde
Modalidade de acesso
Acesso aberto
Editora
Autores
Garcia, Leandro Pereira
Fernandes, Camila Mariano
Traebert, Jefferson
Orientador
Coorientador
Resumo
Objectives: To analyze the risk factors for neonatal death in Florianópolis, the Brazilian city
capital with the lowest infant mortality rate.
Method: Data were extracted from a historical cohort with 15,879 live births. A model was used
that included socioeconomic, behavioral, and health service use risk factors, as well as the Apgar
score and biological factors. Risk factors were analyzed by hierarchical logistic regression.
Results: Based on the multivariate analysis, socioeconomic factors showed no association with
death. Insufficient prenatal consultations showed an OR of 3.25 (95% CI: 1.70---6.48) for death.
Low birth weight (OR 8.42; 95% CI: 3.45---21.93); prematurity (OR 5.40; 95% CI: 2.22---13.88);
malformations (OR 4.42; 95% CI: 1.37---12.43); and low Apgar score at the first (OR 6.65; 95%
CI: 3.36---12.94) and at the fifth (OR 19.78; 95% CI: 9.12---44.50) minutes, were associated with
death.
Conclusion: Differing from other studies, socioeconomic conditions were not associated with
neonatal death. Insufficient prenatal consultations, low Apgar score, prematurity, low birth
weight, and malformations showed an association, reinforcing the importance of prenatal access
universalization and its integration with medium and high-complexity neonatal care services.
Palavras-chave
Mortality, Newborn, Risk factors