Neonatal near miss and mortality

Factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil

Bibliographic Data

ID5270943
AuthorsPauline Lorena Kale (0000-0001-5439-9158, Universidade Federal do Rio de Janeiro), Maria Helena Prado De Mello-Jorge (Universidade de São Paulo), Kátia Silveira Da Silva (0000-0002-1960-8855, Fundação Oswaldo Cruz), Sérgio C Fonseca (0000-0001-5493-494X, Universidade Federal Fluminense)
Year2017
Volume33
Issue4
Pagese00179115-e00179115
Publication date2017-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00179115
PMID28538795
OpenAlexW2617914016
SCIELO_PIDS0102-311X2017000405002
LanguageEN
Citations received10
References cited31

We aimed to evaluate factors associated with cases of neonatal near miss and neonatal deaths at six public maternity hospitals in São Paulo and Rio de Janeiro States, Brazil, in 2011. A prospective hospital-based birth cohort investigated these outcomes among live births with life-threatening conditions. Associations were tested using multinomial logistic regression models with hierarchical levels. High rates of near miss were observed for maternal syphilis (52.2‰ live births) and lack of prenatal care (80.8‰ live births). Maternal black skin color (OR = 1.9; 95%CI: 1.2-3.2), hemorrhage (OR = 2.2; 95%CI: 1.3-3.9), hypertension (OR = 3.0; 95%CI: 2.0-4.4), syphilis (OR = 3.3; 95%CI: 1.5-7.2), lack of prenatal care (OR = 5.6; 95%CI: 2.6-11.7), cesarean section and hospital, were associated with near miss; while hemorrhage (OR = 4.6; 95%CI: 1,8-11.3), lack of prenatal care (OR = 17.4; 95%CI: 6.5-46.8) and hospital, with death. Improvements in access to qualified care for pregnant women and newborns are necessary to reduce neonatal life-threatening conditions

Cohort study · Congenital syphilis · Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Infant mortality · Logistic regression · Neonatal mortality · Obstetrics · Population · Pregnancy · Prenatal care · Prospective cohort study · Syphilis · Demography · Global Maternal and Child Health · Injury Epidemiology and Prevention · Maternal and Neonatal Healthcare · Medicine · Surgery · Pediatrics

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