scholarly journals Analysis of infant mortality caused by sudden infant death syndrome in the Russian Federation

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
A Panchina
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Live Birth ◽  
Russian Federation ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Infant Mortality Rate ◽  
Sudden Infant ◽  
Live Births ◽  
The Russian Federation

Abstract Background Sudden infant death syndrome (SIDS) is one of the leading causes of infant death and it caused the death of 40 thousand babies around the world in 2017. In the Russian Federation, there are no large and long-term studies of the epidemiology of SIDS. Methods A descriptive study of infant mortality associated with SIDS in the regions of the Russian Federation in 2019 according to the Federal State Statistics Service. Results In 2019, SIDS caused the death of 259 children and ranked 7th in the structure of infant mortality. The infant mortality rate due to SIDS was 0.17 per 1000 live births (median for the regions of the Russian Federation - 0.13, IR 0.0 - 0.27). The infant mortality rate due to SIDS among the rural population was 0.27 per 1000 live birth in the relevant area, among the urban population - 0.14, among boys - 0.20, among girls - 0.15 per 1000 live birth of the corresponding sex. From 2008 to 2019, the indicator in the Russian Federation decreased by 56% (in 2008 - 0.39 per 1000 live birth). The highest infant mortality rate due to SIDS in 2019 was recorded in the Far Eastern Federal District (0.31 per 1000 live births), the lowest was in the Central FD (0.10). SIDS was not recorded in 28 constituent entities, in 4 of them there was not a single case for the period from 2013 to 2019. In 21 regions, the infant mortality rate was higher than 0.27 per 1000 per live birth. The relative risk of SIDS was quite variable across the regions of the Russian Federation. Conclusions The analysis revealed the scatter of the infant mortality rate due to SIDS among the regions of the Russian Federation. It is necessary to study the problem of SIDS at the state level to explain the results. Key messages The development and implementation of programs for the prevention of SIDS should be based on the study of the epidemiology of this pathology in each region separately and in the country as a whole. Significant differences in the infant mortality rate due to SIDS among the regions of Russian Federation require detailed study.

scholarly journals A new record linkage for assessing infant mortality rates in Ontario, Canada

2019 ◽  
Vol 111 (2) ◽  
pp. 278-285 ◽  
Author(s):  
Deshayne B. Fell ◽  
Alison L. Park ◽  
Ann E. Sprague ◽  
Nehal Islam ◽  
Joel G. Ray
Keyword(s):  
Infant Mortality ◽  
Live Birth ◽  
Infant Death ◽  
Mortality Rates ◽  
Vital Statistics ◽  
Infant Mortality Rate ◽  
Income Quintile ◽  
Alternative Source ◽  
Live Births ◽  
Birth Records

Abstract Objective Infant mortality statistics for Canada have routinely omitted Ontario—Canada’s most populous province—as a high proportion of Vital Statistics infant death registrations could not be linked with their corresponding Vital Statistics live birth registrations. We assessed the feasibility of linking an alternative source of live birth information with infant death registrations. Methods All infant deaths occurring before 365 days of age registered in Ontario’s Vital Statistics in 2010–2011 were linked with birth records in the Canadian Institute for Health Information’s hospitalization database. Crude birthweight-specific and gestational age-specific infant mortality rates were calculated, and rates examined according to maternal and infant characteristics. Results Of 1311 infant death registrations, only 47 (3.6%) could not be linked to a hospital birth record. The overall crude infant mortality rate was 4.7 deaths per 1000 live births (95% CI, 4.4 to 4.9), the same as previously reported for the rest of Canada in 2011. Infant mortality was higher in women < 20 years (5.8 per 1000 live births) and ≥ 40 years (5.9 per 1000 live births), and lowest among those aged 25–29 years (3.9 per 1000 live births). Infant mortality was notably higher in the lowest (5.1 per 1000 live births) residential income quintile than the highest (3.4 per 1000 live births). Conclusion Use of birth hospitalization records resulted in near-complete linkage of all Vital Statistics infant death registrations. This approach could enhance the conduct of representative surveillance and research on infant mortality when direct linkage of live birth and infant death registrations is not achievable.

scholarly journals The Challenge of Infant Mortality: Have We Reached a Plateau?

2009 ◽  
Vol 124 (5) ◽  
pp. 670-681 ◽  
Author(s):  
Marian F. MacDorman ◽  
T.J. Mathews
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Infant Death ◽  
Low Birthweight ◽  
Ethnic Disparities ◽  
Mortality Rates ◽  
Infant Mortality Rate ◽  
Racial And Ethnic Disparities ◽  
Live Births ◽  
The U.S

Objectives. Infant mortality is a major indicator of the health of a nation. We analyzed recent patterns and trends in U.S. infant mortality, with an emphasis on two of the greatest challenges: ( 1) persistent racial and ethnic disparities and ( 2) the impact of preterm and low birthweight delivery. Methods. Data from the national linked birth/infant death datasets were used to compute infant mortality rates per 100,000 live births by cause of death (COD), and per 1,000 live births for all other variables. Infant mortality rates and other measures of infant health were analyzed and compared. Leading and preterm-related CODs, and international comparisons of infant mortality rates were also examined. Results. Despite the rapid decline in infant mortality during the 20th century, the U.S. infant mortality rate did not decline from 2000 to 2005, and declined only marginally in 2006. Racial and ethnic disparities in infant mortality have persisted and increased, as have the percentages of preterm and low birthweight deliveries. After decades of improvement, the infant mortality rate for very low birthweight infants remained unchanged from 2000 to 2005. Infant mortality rates from congenital malformations and sudden infant death syndrome declined; however, rates for preterm-related CODs increased. The U.S. international ranking in infant mortality fell from 12th place in 1960 to 30th place in 2005. Conclusions. Infant mortality is a complex and multifactorial problem that has proved resistant to intervention efforts. Continued increases in preterm and low birthweight delivery present major challenges to further improvement in the infant mortality rate.

scholarly journals Morbidence of pregnant anemia and its impact on infant mortality

2019 ◽  
Vol 10 (1) ◽  
pp. 43-48
Author(s):  
Dmitry O. Ivanov ◽  
Vadim K. Iurev ◽  
Kseniia G. Shevtsova ◽  
Karina E. Moiseeva ◽  
Shalva D. Kharbedia ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Pregnant Women ◽  
Russian Federation ◽  
Federal District ◽  
Infant Mortality Rate ◽  
Successful Outcome ◽  
North West ◽  
The North ◽  
The Russian Federation

An important role in the normal development of the fetus and the successful outcome of pregnancy is played by the state of health of pregnant women. One of the significant factors of perinatal risk is anemia of pregnant women. In order to assess the level and dynamics of the incidence of anemia in pregnant women, official statistical reports and publications of the Federal State Statistics Service for 2005-2017 and Central Research Institute for Organization and Informatization of Health of the Ministry of Health of the Russian Federation for 2012-2018 were analyzed. Using a trend analysis using a trend method, a prognosis was made for the incidence of anemia in pregnant women up to 2021 in the Russian Federation as a whole and separately in the North-West Federal District. In order to assess the impact of the predictor “anemia of pregnant women” on the infant mortality rate, data from primary medical documentation was copied to 250 children who died before the age of 1 year in the North-West Federal District. It has been established that the incidence of anemia in pregnant women in the North-West Federal District significantly exceeds the average level in the Russian Federation. Provided that factors affecting the course of pregnancy remain unchanged, the incidence of anemia in pregnant women by 2021 on average in the Russian Federation will decrease to 32.2% of the number of women who have completed pregnancy, and in the North-West Federal District will increase to 37.5%. During pregnancy, the incidence of anemia in women whose child died before the age of 1 year in the North-West Federal District amounted to 44.16 ± 0.39% of the number of women who completed the pregnancy, which significantly exceeded the average figure in the district, which in 2017 was equal to 35.90 ± 0.35% (p < 0.05). A direct correlation has been established between the predictor “anemia in pregnant women” and the infant mortality rate.

The modern problem of infant mortality in the Russian Federation, an integrated approach to reduction on the example of the Republic of Ingushetia

2020 ◽  
pp. 44-48
Author(s):  
H. U. Ugurchieva ◽  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Russian Federation ◽  
National Health System ◽  
Integrated Approach ◽  
Well Being ◽  
Infant Mortality Rate ◽  
Important Indicator ◽  
The Russian Federation ◽  
The Republic

Infant mortality is an important indicator of the social well-being of society and reflects the state of the national health system as a whole. According to official statistics, the infant mortality rate in the Russian Federation has reached a significant decrease in recent years, but in comparison with the leading countries of the world it still remains high. The study found that in the Russian Federation infant mortality has a territorial differentiation, which indicates different policies of the executive authorities of the regions in the direction related to the reduction of infant mortality. The review article contains data on the dynamics of infant mortality in the Republic of Ingushetia and other republics of the North Caucasus Federal District. A significant decrease in the infant mortality rate in the Republic of Ingushetia is shown as a result of the effective interaction of state authorities at all levels. The need for an integrated approach in the system of management decisions for the development of the perinatal service in the regions of the Russian Federation has been proved.

scholarly journals A hazai csecsemőhalandóságban 2019-ben tapasztalt emelkedés lehetséges okainak vizsgálata

2021 ◽  
Vol 162 (21) ◽  
pp. 830-838
Author(s):  
Andrea Valek ◽  
József Vitrai ◽  
Lilla Erdei ◽  
Gabriella Branyiczkiné Géczy ◽  
Bea Pászthy ◽  
...  
Keyword(s):  
Infant Mortality ◽  
Infant Death ◽  
Sudden Infant Death ◽  
Perinatal Period ◽  
Infant Mortality Rate ◽  
Hospital Environment ◽  
Sudden Infant ◽  
Infant Deaths ◽  
Central Statistical ◽  
Professional Assessment

Összefoglaló. Bevezetés: Magyarországon a csecsemőhalandóság 2014 óta folyamatosan javult, azonban 2019-ben az előző évi adathoz képest 11%-kal magasabb érték mutatkozott. Célkitűzés: A vizsgálat célja a 2019. évi kedvezőtlenebb csecsemőhalálozási mutató lehetséges összetevőinek feltárása. Módszer: A 2018. és 2019. évi csecsemőhalálozási adatokat hasonlítottuk össze a csecsemő kora, a halál oka és a gyógyintézeti, illetve nem gyógyintézeti elhalálozás szerint. A vizsgálathoz a Központi Statisztikai Hivatal adatait használtuk. A trendvizsgálatnál 2010-től elemeztük az adatokat. A nem gyógyintézeti haláleseteket 10 évre összevonva járásonként térképesen ábrázoltuk. Eredmények: 2018-ban 304, 2019-ben 335 csecsemő halt meg Magyarországon, a csecsemőhalálozási arányszám 3,4 ezrelékről 3,8 ezrelékre emelkedett. A 2019. évi érték az előző évtizedek trendjére illesztett görbe alapján megfelelt a várható értéknek. 2019-ben a 0–27 napos csecsemőhalálozás alig változott a 2018. évihez képest, a 28–364 napos korban bekövetkezett halálesetek száma viszont növekedett. A vizsgált évben 59%-kal emelkedett a nem gyógyintézeti csecsemőhalálozás. A 2019. évi csecsemőhalálozás növekedéséért 74%-ban a nem gyógyintézeti esetek voltak felelősek. A nem gyógyintézeti halálozás döntő többsége késői csecsemőkorban következett be. A járásonkénti, 10 évre összevont, nem intézményben elhunyt csecsemők számában és 1000 élve születésre vonatkozó arányában ötszörös területi különbségek mutatkoztak. A halálokok közül a perinatalis szakban keletkező bizonyos állapotok miatt meghalt csecsemők száma emelkedett a leginkább, a nem gyógyintézeti halálozás esetében pedig a hirtelen csecsemőhalál szindrómában meghaltaké. Következtetés: 2019-ben kiugróan magas volt a nem gyógyintézeti, késői csecsemőhalálozás száma és részaránya, ezen esetek feltűnő regionális halmozódást mutattak. A csecsemőhalandóság csökkentésének hatásos eszköze lehetne a jövőben minden egyes csecsemőhalál részletes szakmai értékelése. Orv Hetil. 2021; 162(1): 830–838. Summary. Introduction: In Hungary, infant mortality has been steadily declining since 2014, but in 2019 it increased by 11% compared to 2018.Objective: The aim of our study is to explore the possible components of the above increase. Method: Ten-year trends of infant mortality were analized and compared by age, cause, place of deaths (hospital or non-hospital environment) and location, using Central Statistical Office data. Results: There were 304 infant deaths in Hungary in 2018 and 335 in 2019. Infant mortality rate rose from 3.4‰ to 3.8‰, however, it was in line with the expected value based on the curve fitted to the trend of previous decades. In 2019, 0–27-day infant mortality basically did not change compared to 2018, while the number of deaths at 28–364 days of age increased. Non-hospital infant mortality increased by 59% in 2019 and these cases accounted for 74% of the total increase in infant mortality; the vast majority of these deaths occurred in late infancy. There were fivefold regional differences in the number of non-hospital infant deaths. Among the causes of death, the conditions related to the perinatal period and sudden infant death syndrome increased the most. Conclusion: In Hungary, the number and proportion of non-hospital infant mortality was remarkably high in 2019 compared to previous years. These cases showed a striking regional accumulation. An effective tool for reducing infant mortality could be an appropriate professional assessment of each infant death in the future. Orv Hetil. 2021; 162(21): 830–838.

scholarly journals DYNAMICS OF THE INFANT MORTALITY RATE IN THE REPUBLIC OF SAKHA (YAKUTIA)

2019 ◽  
Vol 21 (2) ◽  
pp. 85-88
Author(s):  
D. O. Ivanov ◽  
Vasily I. Orel ◽  
V. G. Chasnyk ◽  
A. V. Kim ◽  
M. E. Okhlopkov ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Russian Federation ◽  
Neonatal Period ◽  
Infant Mortality Rate ◽  
Social Changes ◽  
The Russian Federation ◽  
The Republic ◽  
Child Mortality Rate ◽  
Demographic Policy

The infant mortality included in the structure of the mortality of children population is considered to be one of the major demographic factors most clearly reflecting the country’s level of the development and on-going economic and social changes. The infant mortality rate is a key index of the development of the health system. The significance of the infant mortality rate is determined by its high contribution to the child mortality rate in general. So the share of deaths among children aged 0-14 years in infants of the first year of life amounts of 55% to 65%. 40% of newborns died in the early neonatal period and 30% babies - in the post-neonatal period. In accordance with the Concept of the demographic policy of the Russian Federation for the period up to 2025 approved by the decree of the President of the Russian Federation dated 09.10.07 No. 315, one of the most important tasks of the demographic policy in the country is the reduction of the infant mortality rate at least by two times. The correct and timely analysis of the infant mortality rate allows developing a set of specific measures to reduce the morbidity and mortality rate of children, to assess the effectiveness of measures to describe and to plan the work for the protection of motherhood and childhood in general. In the article there is presented the analysis of the underlying causes and dynamics of the infant mortality in the Republic of Sakha (Yakutia) over the period of the implementation of major projects in the field of health. The development and implementation of a three-level system of medical care for pregnant women and mothers in the Republic of Sakha (Yakutia) was the key to the reducing this index.

scholarly journals Main indicators in the assessment of child health in the fi rst year of life in Krasnoyarsk Territory

2021 ◽  
pp. 96-103
Author(s):  
E.I. Ahmedova ◽  
◽  
A.Yu. Senchenko ◽  
T.E. Taranushenko ◽  
◽  
...  
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Russian Federation ◽  
Federal District ◽  
Perinatal Period ◽  
Absolute Number ◽  
Infant Mortality Rate ◽  
Mortality And Morbidity ◽  
The Russian Federation

The aim of the research is to analyze indicators and structure of infant mortality in Krasnoyarsk Territory for the period from 2014 to 2018. Material and methods. Th e article studies indicators of population mortality and fertility, infant mortality in Krasnoyarsk Territory for fi ve-year period from 2014 to 2018. Th e analysis of the results obtained is carried out in comparison with other constituent entities of the Russian Federation and with the country in general. Newborns morbidity rates in Krasnoyarsk Territory over a five-year period were studied in comparison with the data for the Russian Federation during 2017 and 2018. Results. The study revealed the excess of mortality over births in the region by 2018, with the coeffi cient 0.7 for 1000 population. It was found that in the period from 2014 to 2018 there is a decrease in infant mortality rate in the Russian Federation by 31.1 %; by 21.8 % in the Siberian Federal District; by 33.7 % (from 8.8 to 5.5 for 1000 alive births) in Krasnoyarsk Territory. The main causes of infant mortality in the territory are: conditions occurring in perinatal period, external causes and congenital anomalies (malformations). Decrease of infant mortality in the territory is primarily determined by the decrease in the number of deaths among children under 1 year of age due to the above-mentioned causes. Despite the annual decrease in infant mortality rate, on average, every third death occurs in the first 28 days of a child’s life. When studying the morbidity of newborns, one can mark a steady decline of the indicator both in the Russian Federation and in Krasnoyarsk Territory. At the same time, every year more than 80 % of absolute number of sick newborns falls on full-term babies. Conclusion. Th e results obtained during the study indicate a decrease in infant mortality rate over the study period. Th e study of indicators of infant mortality and morbidity in newborn children is fundamental in the fi eld of maternal and child health. Pediatricians need to pay special attention when examining newborns and children of the first year of life; they should timely identify pathological conditions and diseases, which will help reduce the risk of complications, chronic diseases, and, deaths.

scholarly journals The Role of Respiratory Infection in Sudden Infant Death Syndrome (SIDS)

2016 ◽  
Vol 22 (1) ◽  
pp. 15-20 ◽  
Author(s):  
David T. Mage ◽  
Maria L. Latorre ◽  
Alejandro G. Jenik ◽  
E. Maria Donner
Keyword(s):  
Birth Order ◽  
Respiratory Infection ◽  
Live Birth ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Age Distribution ◽  
Sudden Infant Death ◽  
Physiological Model ◽  
Mortality Data ◽  
Sudden Infant

Abstract Introduction: The Sudden Infant Death Syndrome (SIDS) is not likely to be explained by a currently measureable presence in all cases and absence in controls, as otherwise it would have been solved already. Indeed, any proposed physiological model for SIDS causation must explain the constant mathematical and statistical properties of SIDS age and gender. We have shown previously that SIDS are characterized by a common 4-parameter lognormal age distribution sparing neonatal infants, by a nominal 50% male excess, and by a higher rate in winter than summer. We test now whether SIDS is closely related to a fulminating prodromal Acute Respiratory Infection (ARI) by a common increasing rate with the infants increasing Live Birth Order (LBO), all remaining the same, independent of the change in preferred sleeping positions of the infants, prone or supine. Methods: We use U.S. published infant mortality data from wonder.cdc.gov and other countries (Colombia, U.K., Europe, Australasia) to make comparisons between the two causes of death (ARI and SIDS) to evaluate how closely ARI resembles the characteristics of SIDS. Results: Gender: SIDS male excess 50%, ARI male excess 50%; Ages: SIDS 90% post-neonatal, ARI 96% post-neonatal; Seasonality: SIDS and ARI are higher in winter than summer; Live birth order: SIDS and ARI rates increase with increasing LBO with similar mathematical relationship. Conclusion: Our results show that all SIDS are very likely relatable to a single cause tied to a fulminating prodromal ARI in a physiologically anemic infant who is genetically (X-link recessive) susceptible to cerebral anoxia. An alternative cause of all SIDS death by a collection of subsets of different causes, such as brainstem-related respiratory abnormalities and cardiac QT abnormalities, is not supported because they cannot all have the same age-gender-seasonal-familial-distributions of SIDS, required by Cramér’s Theorem.

scholarly journals Infant mortality: comparison between two birth cohorts from Southeast and Northeast, Brazil

2004 ◽  
Vol 38 (6) ◽  
pp. 773-779 ◽  
Author(s):  
Valdinar S Ribeiro ◽  
Antônio A M Silva ◽  
Marco A Barbieri ◽  
Heloisa Bettiol ◽  
Vânia M F Aragão ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Protective Factor ◽  
Infant Mortality Rate ◽  
Northeast Brazil ◽  
Birth Cohorts ◽  
Neonatal Mortality Rate ◽  
Live Births

OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only, and a dwelling with 5 or more residents was a protective factor (RR=0.53). In Ribeirão Preto, maternal smoking was associated with infant mortality (RR=2.64). CONCLUSIONS: In addition to socioeconomic inequalities, differences in access to and quality of medical care between cities had an impact on infant mortality rates.

scholarly journals THE DYNAMICS OF CHANGES IN STRUCTURE INDICES OF INFANT MORTALITY IN ST. PETERSBURG DURING 2005-2017 YEARS

2019 ◽  
Vol 21 (3) ◽  
pp. 157-160
Author(s):  
A. S. Simakhodsky ◽  
L. D. Sevostianova ◽  
U. V. Gorelik ◽  
N. P. Akincheva ◽  
U. V. Kolechko
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Infant Mortality Rate ◽  
High Tech ◽  
Structural Components ◽  
Long Period ◽  
The Russian Federation ◽  
Structure Indices ◽  
The Individual ◽  
The City

The review presents the literature data and, revealed by authors, the patterns of changes in the dynamics of the infant mortality rate and its structure over a long period (2005-2017) in St. Petersburg. This index is one of the lowest in the Russian Federation. There are analyzed changes in the individual components of the structure of the infant mortality rate, related both to objective and subjective factors. In the city of St. Petersburg there was shown a persistent decline in the infant mortality rate due to the implementation of federal and city programs, closely correlated with structural components. The authors believe the positive dynamics of structural components in St. Petersburg to indicate the organization of all types of specialized and high-tech medical care for newborns.

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