scholarly journals Maternal characteristics and the risk of neonatal mortality in Brazil between 2006 and 2016

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Pedro Henrique Costa ◽  
Luciana Correia Alves ◽  
Carlos Eduardo Beluzo ◽  
Natalia Martins Arruda ◽  
Rodrigo Campos Bresan ◽  
...  
Keyword(s):  
Information System ◽  
Neonatal Mortality ◽  
Neonatal Period ◽  
Public Health Care ◽  
Maternal Characteristics ◽  
Neonatal Deaths ◽  
The Public ◽  
Infant Deaths ◽  
Demographic Profiles ◽  
Pregnancy And Childbirth

Neonatal deaths account for more than 60% of infant deaths and are a major concern in Brazil. The reduction of the occurrence of these events appears to be more challenging than post-neonatal deaths, as such a reduction depends more on factors related to the pregnancy and childbirth than sanitary and health conditions. The aim of the present study was to evaluate the influence of maternal factors (schooling, marital status, and age) on the risk of neonatal mortality in Brazil between 2006 and 2016. Data were collected from the Brazilian Institute of Geography and Statistics as well as two information systems of the public health-care system: Mortality Information System and Live Birth Information System. The total valid sample size was 28,362,359 children. Visualization and classification methods were performed. The results revealed a considerably higher risk of neonatal deaths when the mothers were unmarried, had a low level of schooling, and were outside the 20-34-year-old age group. Different demographic profiles in Brazil exert an influence on neonatal health. The identification of the risk factors of neonatal mortality can assist in ensuring pregnancy, delivery, and a neonatal period of greater quality.

scholarly journals Hubungan Kelengkapan Kunjungan ANC, Umur Ibu Hamil dan Konsumsi Fe <90 Tablet dengan Kematian Neonatal

2021 ◽  
pp. 218-222
Author(s):  
Kukuh Purwo Saputro ◽  
Mexitalia Setiawati ◽  
Suhartono Suhartono ◽  
Dwi Sutiningsih
Keyword(s):  
Observational Study ◽  
Neonatal Mortality ◽  
Random Sampling ◽  
Neonatal Period ◽  
Simple Random Sampling ◽  
Case Control ◽  
Maternal Factors ◽  
Neonatal Deaths ◽  
Infant Deaths ◽  
Factors Associated

Background: Neonatal deaths are those that occur in the neonatal period when the baby is born up to 28 days (0-28 days). Neonatal mortality contributes to 56% of infant deaths due to complications such as BBLR, asphyxia, and infections that should be prevented by taking into account the condition of the mother before and during pregnancy because it will determine the condition of the baby being born. This study aimed to determine maternal factors associated with neonatal mortality.Methods: The design of an analytic observational study using a case-control. The population of the study was infants born in Banjarnegara District in 2018. The sample of the study was 65 cases and 65 controls taken by simple random sampling. The data were analyzed univariate and bivariate.Result: The results showed a significant relationship between the completeness of the ANC visit (p = 0.029; OR = 3.6 (95% CI = 1.222-10.595)) and the consumption of Fe <90 tablets (p = 0.0001; OR = 4, 1 (95% CI = 1,942-8,816)) with neonatal mortality. There was no relationship between the age of pregnant women <20 years old and >35 years old with neonatal mortality.Conclusion: The conclusion of this study is the variables that are statistically related to neonatal mortality are completeness of ANC visit and consumption of Fe <90 tablets.

scholarly journals Quality of children's death records for regionalized spaces: a methodological route

2021 ◽  
Vol 24 ◽  
Author(s):  
Neir Antunes Paes ◽  
Carlos Sérgio Araújo dos Santos ◽  
Tiê Dias de Farias Coutinho
Keyword(s):  
Information System ◽  
Rural Areas ◽  
Vital Statistics ◽  
Operating Costs ◽  
Missing Information ◽  
Unknown Variable ◽  
Neonatal Deaths ◽  
Infant Deaths ◽  
Information Index

ABSTRACT: Objectives: To propose a methodological path to investigate the coverage and information filling of maternal-infant deaths recorded in the Ministry of Health's Mortality Information System for regional spaces. Methods: Four steps were proposed: 1) Assessment of the completeness of the maternal and child variables, which was measured using the deterministic linkage technique between the Mortality Information System (Sistema de Informações sobre Mortalidade – SIM) and the Live Birth Information System (Sistema de Informações sobre Nascidos Vivos – SINASC); 2) Application of the multiple imputation technique to achieve the total filling of the missing information of the variables; 3) Estimation of death coverage; 4) The Unknown Variable Information Index (Índice de Informação Desconhecida da Variável – IIDV) was measured, which represents the combined effect of data completeness and coverage of deaths. The proposal of the methodological path was exemplified for neonatal deaths in the municipalities of Paraíba that are part of the new classification proposed by the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística – IBGE), as adjacent rural areas, in three triennium periods from 2009 to 2017. Results: The percentage of matching records was 45%. Most of the variables had a percentage of non-completion below 10% and around 17% for the mother's education. Coverages ranged from 75 to 83%. The IIDV for all variables was between 21 and 36% after the linkage. Conclusion: The path of the methodological proposal proved to be effective, which can be replicated to other regions, and can be extended to other categories of deaths such as post-neonatal. The combination of the proposed procedures demands low operating costs and their uses are relatively simple to be applied by the managers and technicians of the vital statistics information systems.

scholarly journals Infection remains a leading cause of neonatal mortality among infants delivered at a tertiary hospital in Karachi, Pakistan

2014 ◽  
Vol 8 (11) ◽  
pp. 1470-1475 ◽  
Author(s):  
Muhammad Ayaz Mustufa ◽  
Razia Korejo ◽  
Anjum Shahid ◽  
Sadia Nasim
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Distress Syndrome ◽  
Very Low Birth Weight ◽  
Neonatal Period ◽  
Healthcare Facility ◽  
Normal Birth Weight ◽  
Neonatal Deaths ◽  
Normal Birth

Introduction: The current cohort study was conducted to determine the frequency and compare the mortality rate with associated characteristics among low birth weight and normal birth weight infants during the neonatal period at a tertiary healthcare facility, Karachi. Methodology: Close-ended structured questionnaires were used to collect information from the parents of 500 registered neonates at the time of birth. Follow-ups by phone on the 28th day of life were done to determine the mortality among low birth weight and normal birth weight babies during the neonatal period. Results: The neonatal mortality rate ranged from as low as 2.4% in the normal birth weight and 16.4% in the low birth weight categories to as high as 96% in the very low birth weight category. Respiratory distress syndrome (24.2%) and sepsis (18.2%) were reported as the leading causes of neonatal deaths. The babies’ lengths of stay ranged from 2 to 24 hours, and around 90% of neonatal deaths were reported in the first seven days of life. More than 6% of neonates died at home, and 7.6% of the deceased babies did not visit any healthcare facility or doctor before their death. In the 12–15 hours before their deaths, 13.6% of the deceased babies had been unattended. Around 90% of the deceased babies were referred from a doctor or healthcare facility. Conclusions: The present estimates of neonatal mortality are very high among low birth weight and very low birth weight categories. Infectious diseases, including respiratory distress syndrome (24.2%) and sepsis (18.2%), were leading causes of neonatal deaths.

Neonatal Mortality Rate in Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital in Missan Province From 2011 to 2014

2016 ◽  
Vol 12 (27) ◽  
pp. 55
Author(s):  
Esraa Abd Al-Muhsen Ali
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Teaching Hospital ◽  
Causes Of Death ◽  
Neonatal Period ◽  
Birth Asphyxia ◽  
Neonatal Care ◽  
Neonatal Mortality Rate ◽  
Neonatal Deaths ◽  
Neonatal Care Unit

Background: The neonatal mortality rate is a key outcome indicator for newborn care and directly reflects prenatal, natal, and postnatal care. Early neonatal deaths are more closely associated with pregnancy-related factors and maternal health, whereas late neonatal deaths are associated more with factors in the newborn‘s environment. Objectives: To estimate the neonatal mortality rate in Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital in Missan Province during period (2011-2014). To determine the most common causes of death in the neonatal period. Patients and methods: A hospital-based study was done depending on data collected from records of the Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital in Missan Province to calculate the number of deaths within the neonatal period (0-28 days) that was conducted from 2011 to 2014. The other line of data was collected from Obstetrical Ward by calculating number of live births for the same period. Then Neonatal Mortality Rate is calculated and conducted for each year according to the method recommended by WHO. Results: The neonatal mortality rates were 12.15, 13.51, 16.37 and16.11 in 2011 to 2014 respectively in which there was an increment in mortality rate. The main causes of death were respiratory distress syndrome, birth asphyxia and congenital anomalies. Conclusion: Neonatal mortality rate was high in the Aseptic Neonatal Care Unit of Al-Sadder Teaching Hospital, but it was less than the previous period in Iraq since 1990. These results suggest, that to decrease neonatal mortality, improved health service quality is crucial.

Simian Neonatology: III. The Causes of Neonatal Mortality

1973 ◽  
Vol 10 (1) ◽  
pp. 37-44 ◽  
Author(s):  
R. A. Price ◽  
Miriam R. Anver ◽  
R. D. Hunt
Keyword(s):  
Neonatal Mortality ◽  
Premature Infants ◽  
Inflammatory Disease ◽  
Causes Of Death ◽  
Neonatal Period ◽  
Inflammatory Diseases ◽  
Disease Process ◽  
Neonatal Deaths ◽  
Major Disease

The causes of death were studied in 82 perinatal and neonatal monkeys. Forty-three of the 82 neonatal deaths were caused by inflammatory diseases (mainly pneumonia), intrauterine distress, and trauma. In 28 of the 82 monkeys, a major disease process could not be demonstrated. Intrauterine distress and antepartum death with maceration were commoner causes of death in premature infants; trauma and inflammatory disease occurred more often in mature infants. Forty-nine of the 82 neonatal deaths occurred before the second day of life. During the last 3 weeks of the neonatal period, the majority of deaths were caused by infection.

scholarly journals Analysis of factors associated with early neonatal deaths through linkage between SIM and SINASC, in Sergipe, Brazil

2021 ◽  
Vol 10 (16) ◽  
pp. e171101623676
Author(s):  
Thais Serafim Leite de Barros Silva ◽  
Sérgio de Brito Barbosa ◽  
Lara Benario de Lisboa Santos ◽  
Rayssa da Nóbrega Didou ◽  
Júlia Maria Gonçalves Dias ◽  
...  
Keyword(s):  
Information System ◽  
Congenital Malformations ◽  
Neonatal Period ◽  
Secondary Data ◽  
Single Women ◽  
Multiple Pregnancies ◽  
Neonatal Deaths ◽  
Factors Associated ◽  
Survivor Group ◽  
Early Neonatal Deaths

In Brazil, more than 70% of neonatal deaths are concentrated in the early neonatal period, with about 41.2% of them occurring in the first 24 hours of life. Thus, the objective of this study was to carry out an analysis of factors associated with early neonatal deaths that occurred in Sergipe, Brazil, through the linkage of records in the information systems: Live Birth Information System (SINASC) and Mortality Information System (SIM). This study was carried out in Sergipe, Brazil, in which an analysis was made of secondary data on children born and early neonatal deaths in Sergipe between 2006 and 2019 registered in the SINASC and in the SIM. A linkage was carried out between the databases, identifying 484,629 live births, 480,784 survivors and 3,845 who died with less than 7 days of life, with a low percentage of ignored data or absent. Maternal age was similar between groups. However, the newborns who died had lower weight, gestational age and Apgar in the first and fifth minutes than the survivor group. Regarding the newborn, there were more deaths in males and in congenital malformations. As for information about the mother and pregnancy, there were more deaths in single women, multiple pregnancies, lower gestational ages and vaginal delivery. There was an association between neonatal deaths and lower Apgar in the first and fifth minutes, lower weights, lower gestational ages, male gender, congenital malformations, women with multiple pregnancies, vaginal births and single mothers.

scholarly journals Verbal autopsy of neonatal and infant deaths from Bhavnagar rural and comparison with recent data

2020 ◽  
Vol 8 (1) ◽  
pp. 351
Author(s):  
Rajesh B. Patel ◽  
Hinal A. Sinol ◽  
Sonal V. Jindal ◽  
Jayendra R. Gohil
Keyword(s):  
Verbal Autopsy ◽  
Vaginal Discharge ◽  
Neonatal Period ◽  
Perinatal Care ◽  
Neonatal Resuscitation ◽  
Birth Asphyxia ◽  
Hyaline Membrane Disease ◽  
Neonatal Deaths ◽  
Infant Deaths ◽  
Hyaline Membrane

Background: Infant deaths from Bhavnagar rural areas were studied by using a verbal autopsy tool.Methods: Community visit based retrospective study of Bhavnagar rural by WHO verbal autopsy questionnaire.Results: Of the 92 deaths analyzed, 59 % (early), 12% (late), and 29% were during the post neonatal period. Male deaths were 55 (60%). The most common immediate causes were infection (39%), birth asphyxia (23%), and hyaline membrane disease (15%). Underlying causes were: maternal illness with feeding problem (45%), prematurity (26%), meconium aspiration syndrome (9%), and congenital/genetic anomalies (10%). Infant and neonatal deaths were seen more with illiteracy of mother, age of mother (25-29 years), third parity, anemia, and vaginal discharge; and non-breastfed, low birth weight and preterm. Birth asphyxia and hyaline membrane disease were during early, and meningitis and pneumonia were after the neonatal period. Verbal autopsy was accurate in 18/23 (78%) of the facility-based deaths where the cause of death was available. Ethics approval was obtained.Conclusions: Reproductive health education to adolescent girls and mothers, regarding the treatment of fever, vaginal discharge; and breastfeeding counselling with vitamin B12 should be used as more infant deaths are associated with anemia of mother. Health workers should be skilled in neonatal resuscitation, prematurity management, and referral, after stabilization, identification of congenital anomaly, antenatal screening by USG, and neonatal metabolic screen. Recent 2018 data obtained from Bhavnagar District Health Authority shows that over a period of eight years, institutional deliveries have increased and home deliveries, early neonatal deaths, HMD, and septicemia have decreased. Perinatal care should be check-list based, monitored, and mentored.

scholarly journals Causes of Preterm and Low Birth Weight Neonatal Mortality in a Rural Community in Kenya: Evidence From Verbal and Social Autopsy

2020 ◽  
Author(s):  
Beatrice Olack ◽  
Nicole Santos ◽  
Mary Inziani ◽  
Vincent Moshi ◽  
Polycarp Oyoo ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Neonatal Mortality ◽  
Distress Syndrome ◽  
Neonatal Period ◽  
Preterm Neonates ◽  
Neonatal Deaths ◽  
Social Autopsy

Abstract BackgroundUnder-five mortality in Kenya has declined over the past two decades. However, the reduction in the neonatal mortality rate has remained stagnant. In a country with weak civil registration and vital statistics systems, there is an evident gap in documentation of mortality and its causes among low birth weight (LBW) and preterm neonates. We aimed to establish causes of neonatal LBW and preterm mortality in Migori County, among participants of the PTBI-K (Preterm Birth Initiative-Kenya) study.MethodsThis was a cross sectional study whereby Verbal and social autopsy (VASA) interviews were conducted with caregivers of deceased LBW and preterm neonates delivered within selected 17 health facilities in Migori County, Kenya. The probable cause of death was assigned using the WHO International Classification of Diseases (ICD-10). ResultsBetween January 2017 to December 2018, 3175 babies were born preterm or LBW, and 162 (5.1%) died in the first 28 days of life in 17 participating health facilities in the PTBI-K project. VASA was conducted among 88 (53.7%) neonatal deaths. Almost half (38, 43.2%) of the deaths occurred within the first 24 hours of life. Birth asphyxia (45.5%), neonatal sepsis (26.1%), respiratory distress syndrome (12.5%) and hypothermia (11.0%) were the leading causes of death. In the early neonatal period, majority (54.3%) of the neonates succumbed to asphyxia while in the late neonatal period majority (66.7%) succumbed to sepsis. Delay in seeking medical care was reported for 4 (5.8%) of the neonatal deaths. ConclusionDeaths among LBW and preterm neonates occur early in life due to preventable causes. This calls for enhanced intrapartum and immediate postpartum care interventions targeting asphyxia, sepsis, respiratory distress syndrome and hypothermia.

scholarly journals Causes of preterm and low birth weight neonatal mortality in a rural community in Kenya: evidence from verbal and social autopsy

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beatrice Olack ◽  
Nicole Santos ◽  
Mary Inziani ◽  
Vincent Moshi ◽  
Polycarp Oyoo ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Neonatal Mortality ◽  
Distress Syndrome ◽  
Neonatal Period ◽  
Preterm Neonates ◽  
Neonatal Deaths ◽  
Social Autopsy

Abstract Background Under-five mortality in Kenya has declined over the past two decades. However, the reduction in the neonatal mortality rate has remained stagnant. In a country with weak civil registration and vital statistics systems, there is an evident gap in documentation of mortality and its causes among low birth weight (LBW) and preterm neonates. We aimed to establish causes of neonatal LBW and preterm mortality in Migori County, among participants of the PTBI-K (Preterm Birth Initiative-Kenya) study. Methods Verbal and social autopsy (VASA) interviews were conducted with caregivers of deceased LBW and preterm neonates delivered within selected 17 health facilities in Migori County, Kenya. The probable cause of death was assigned using the WHO International Classification of Diseases (ICD-10). Results Between January 2017 to December 2018, 3175 babies were born preterm or LBW, and 164 (5.1%) died in the first 28 days of life. VASA was conducted among 88 (53.7%) of the neonatal deaths. Almost half (38, 43.2%) of the deaths occurred within the first 24 h of life. Birth asphyxia (45.5%), neonatal sepsis (26.1%), respiratory distress syndrome (12.5%) and hypothermia (11.0%) were the leading causes of death. In the early neonatal period, majority (54.3%) of the neonates succumbed to asphyxia while in the late neonatal period majority (66.7%) succumbed to sepsis. Delay in seeking medical care was reported for 4 (5.8%) of the neonatal deaths. Conclusion Deaths among LBW and preterm neonates occur early in life due to preventable causes. This calls for enhanced implementation of existing facility-based intrapartum and immediate postpartum care interventions, targeting asphyxia, sepsis, respiratory distress syndrome and hypothermia.

VP21 Economic Burden Of Pertussis Treatment In Brazil, 2014

2019 ◽  
Vol 35 (S1) ◽  
pp. 80-80
Author(s):  
Ângela Bagattini ◽  
Gabriela Policena ◽  
Louise Russell ◽  
Cristiana Toscano
Keyword(s):  
Public Health ◽  
Information System ◽  
Economic Burden ◽  
Age Groups ◽  
Professional Services ◽  
Public Health Care ◽  
National Guidelines ◽  
The Public ◽  
Medical Visits ◽  
Hospitalization Costs

IntroductionDespite availability of a cheap, widely accessible vaccine, pertussis remains an important cause of morbidity and mortality in children worldwide. A resurgence of pertussis in Brazil peaked at 8,815 cases in 2014. We estimate the economic burden of pertussis hospitalizations and outpatient cases in Brazil in 2014.MethodsTaking the Brazilian public health system (SUS) perspective we obtained numbers of hospitalizations from the National Hospitalization Information System (SIH) for discharge diagnosis ICD10:A37 and numbers of confirmed outpatient cases from the surveillance information system (SINAN). We estimated costs per case for seven age groups (<1, 1-4, 5-9, 10-19, 20-39, 40-64, and 65+ years). Hospitalization costs were obtained from SIH, which reimburses direct medical (hospital stay, healthcare professional services, and physical therapy) and non-medical costs (parent/caregiver stay accompanying a hospitalized child). Cost of outpatient management was estimated from national guidelines (diagnostic exams, medical visits, and medications) and national pricing lists. Total economic burden was derived by multiplying costs/case by numbers of hospitalized and outpatient cases, respectively, and converted to US Dollars (USD) (December 2014: 1 BRL = USD 0.39).ResultsA total of 8,815 pertussis cases occurred in Brazil in 2014; 55.9 percent were hospitalized. Total cost to the public health care system was USD 2.6 million, 95 percent for hospitalizations. Cost/case was highest at the extremes of age for both hospitalized <1y, BRL 1,378.54 (USD 537); 65y+, BRL 1,875.00 (USD 731) and outpatient cases BRL 41 (USD 16) for <4y and 20y + . Children <4 years accounted for 95.4 percent of hospitalizations, 51.2 percent of outpatient cases, and 95.4 percent of total costs. Children <1 year accounted for 88.1 percent of hospitalizations, 29.1 percent of outpatient cases, and 89.3 percent of total costs.ConclusionsPertussis economic burden in an outbreak year was largely due to hospitalizations in children <1y. Additional prevention strategies are required targeting this population.

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