Risk factors for perinatal mortality in an urban area of Southern Brazil, 1993

Autor: Ana M. B. Menezes, Fernando C. Barros, Cesar G. Victora, Elaine Tomasi, Ricardo Halpern, André L. B. Oliveira
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Předmět:
Zdroj: Revista de Saúde Pública, Vol 32, Iss 3, Pp 209-216
Druh dokumentu: article
ISSN: 0034-8910
1518-8787
Popis: INTRODUCTION: Although there was a considerable reduction in infant mortality in Pelotas, Rio Grande do Sul in the last decade, its perinatal causes were reduced only by 28%. The associated factors of these causes were analised. MATERIAL AND METHOD: All hospital births and perinatal deaths were assessed by daily visits to all the maternity hospitals in the city, throughout 1993 and including the first week of 1994. RESULTS: The perinatal mortality rate was 22.1 per thousand births. The multivariate analysis showed the following risk factors: low socioeconomic level, male sex and maternal age above 35 years . Among multigravidae women, the fetal mortality rate was significantly increased for mothers with a previously low birthweight and a previous stillbirth. For early neonatal mortality the risk was significantly increased by a smaller number of antenatal visits than 5 and low birthweight. CONCLUSIONS: Main risk factors for perinatal mortality: low socioeconomic level, maternal age above 35 years and male sex. For early neonatal mortality the risk was significantly increased by a smaller number of antenatal visits than 5 and low birthweight.
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