Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil

Garcia, Leandro Pereira; Fernandes, Camila Mariano; Traebert, Jefferson

Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil

dc.contributor.author	Garcia, Leandro Pereira
dc.contributor.author	Fernandes, Camila Mariano
dc.contributor.author	Traebert, Jefferson
dc.coverage.spatial	São Paulo	pt_BR
dc.date.accessioned	2019-08-12T13:05:00Z
dc.date.accessioned	2020-11-26T17:39:52Z
dc.date.available	2019-08-12T13:05:00Z
dc.date.available	2020-11-26T17:39:52Z
dc.date.issued	2019	pt_BR
dc.description.abstract	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.	pt_BR
dc.format.extent	194 - 200	pt_BR
dc.identifier.issn	2255-5536	pt_BR
dc.identifier.uri	https://repositorio.animaeducacao.com.br/handle/ANIMA/2664
dc.language.iso	en_US	pt_BR
dc.relation.ispartofseries	95	pt_BR
dc.rights	Attribution-NonCommercial-NoDerivs 3.0 Brazil
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/br/
dc.subject	Mortality	pt_BR
dc.subject	Newborn	pt_BR
dc.subject	Risk factors	pt_BR
dc.title	Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil	pt_BR
dc.type	Artigo de Periodico	pt_BR
local.affiliation.ies	Unisul
local.author.curso	Produção Científica	pt_BR
local.author.unidade	Ânima	pt_BR
local.rights.policy	Acesso aberto	pt_BR
local.subject.area	Ciências da Saúde	pt_BR
local.subject.areaanima	Ciências Humanas	pt_BR