Fetal, neonatal, and post-neonatal mortality in the 2015 Pelotas (Brazil) birth cohort and associated factors

Bibliographic Data

ID5166270
AuthorsAndrea Ramírez-Varela (0000-0003-2685-9617, Universidade Federal de Pelotas), Bruna Celestino Schneider (0000-0002-1035-0106, Universidade Federal de Pelotas), Susana Bubach (0000-0002-7190-5275, Universidade Federal de Pelotas, Brazil; Universidade Federal do Espírito Santo, Brazil), Mariela Felisbino Da Silveira (0000-0002-2861-7139, Universidade Federal de Pelotas), Andréa Dâmaso Bertoldi (0000-0002-4680-3197, Universidade Federal de Pelotas), Lina Sofia Moron Duarte (0000-0002-5044-7252, Universidade Federal de Pelotas), Ana M B Menezes (0000-0002-2996-9427, Universidade Federal de Pelotas), Marlos R Domingues (0000-0002-2503-2944, Universidade Federal de Pelotas), Diego G Bassani (0000-0001-6704-3820, Universidade Federal de Pelotas)
Year2019
Volume35
Issue7
Pagese00072918
Publication date2019-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00072918
PMID31411283
OpenAlexW2967775346
SCIELO_PIDS0102-311X2019000905012
LanguageEN
Citations received5
References cited29

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

Apgar score · Birth weight · Cohort · Cohort study · Fetus · Gestational age · Obstetrics · Pregnancy · Global Maternal and Child Health · Injury Epidemiology and Prevention · Internal Medicine · Maternal and Neonatal Healthcare · Medicine · Pediatrics