Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017

This is an ecological and time-series study using secondary data on perinatal mortality and its components from 2008 to 2017 in Espírito Santo, Brazil. The data were collected from the Mortality Information System (SIM) and Live Births Information System (SINASC) of the Unified Health System Informa...

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Autores principales:	Italla Maria Pinheiro Bezerra, José Lucas Souza Ramos, Micael Colodetti Pianissola, Fernando Adami, João Batista Francalino da Rocha, Mariane Albuquerque Lima Ribeiro, Magda Ribeiro de Castro, Juliana da Fonsêca Bezerra, Fabiana Rosa Neves Smiderle, Luiz Vinicius de Alcantara Sousa, Carlos Eduardo Siqueira, Luiz Carlos de Abreu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	perinatal mortality fetal death early neonatal mortality infant mortality maternal and child health Medicine R
Acceso en línea:	https://doaj.org/article/08017709adf94c0c90ee44f99c7c96e7
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spelling	oai:doaj.org-article:08017709adf94c0c90ee44f99c7c96e72021-11-11T16:45:54ZPerinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 201710.3390/ijerph1821116711660-46011661-7827https://doaj.org/article/08017709adf94c0c90ee44f99c7c96e72021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11671https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601This is an ecological and time-series study using secondary data on perinatal mortality and its components from 2008 to 2017 in Espírito Santo, Brazil. The data were collected from the Mortality Information System (SIM) and Live Births Information System (SINASC) of the Unified Health System Informatics Department (DATASUS) in June 2019. The perinatal mortality rate (×1000 total births) was calculated. Time series were constructed from the perinatal mortality rate for the regions and Espírito Santo. To analyze the trend, the Prais–Winsten model was used. From 2008 to 2017 there were 8132 perinatal deaths (4939 fetal and 3193 early neonatal) out of a total of 542,802 births, a perinatal mortality rate of 15.0/1000 total births. The fetal/early neonatal ratio was 1.5:1, with a strong positive correlation early neonatal mortality rate, perinatal mortality rate, r (9) = 0.8893, with a significance level of <i>p</i> = 0.000574. The presence of differences in trends by health region was observed. Risk factors that stood out were as follows: mother’s age ranging between 10 and 19 or 40 and 49 years old, with no education, a gestational age between 22 and 36 weeks, triple and double pregnancy, and a birth weight below 2499 g. Among the causes of death, 49.70% of deaths were concentrated in category of the tenth edition of the International Classification of Diseases, fetuses and newborns affected by maternal factors and complications of pregnancy, labor, and delivery (P00–P04), and 11.03% were in the category of intrauterine hypoxia and birth asphyxia (P20–P21), both related to proper care during pregnancy and childbirth. We observed a slow reduction in the perinatal mortality rate in the state of Espírito Santo from 2008 to 2017.Italla Maria Pinheiro BezerraJosé Lucas Souza RamosMicael Colodetti PianissolaFernando AdamiJoão Batista Francalino da RochaMariane Albuquerque Lima RibeiroMagda Ribeiro de CastroJuliana da Fonsêca BezerraFabiana Rosa Neves SmiderleLuiz Vinicius de Alcantara SousaCarlos Eduardo SiqueiraLuiz Carlos de AbreuMDPI AGarticleperinatal mortalityfetal deathearly neonatal mortalityinfant mortalitymaternal and child healthMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11671, p 11671 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	perinatal mortality fetal death early neonatal mortality infant mortality maternal and child health Medicine R
spellingShingle	perinatal mortality fetal death early neonatal mortality infant mortality maternal and child health Medicine R Italla Maria Pinheiro Bezerra José Lucas Souza Ramos Micael Colodetti Pianissola Fernando Adami João Batista Francalino da Rocha Mariane Albuquerque Lima Ribeiro Magda Ribeiro de Castro Juliana da Fonsêca Bezerra Fabiana Rosa Neves Smiderle Luiz Vinicius de Alcantara Sousa Carlos Eduardo Siqueira Luiz Carlos de Abreu Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017
description	This is an ecological and time-series study using secondary data on perinatal mortality and its components from 2008 to 2017 in Espírito Santo, Brazil. The data were collected from the Mortality Information System (SIM) and Live Births Information System (SINASC) of the Unified Health System Informatics Department (DATASUS) in June 2019. The perinatal mortality rate (×1000 total births) was calculated. Time series were constructed from the perinatal mortality rate for the regions and Espírito Santo. To analyze the trend, the Prais–Winsten model was used. From 2008 to 2017 there were 8132 perinatal deaths (4939 fetal and 3193 early neonatal) out of a total of 542,802 births, a perinatal mortality rate of 15.0/1000 total births. The fetal/early neonatal ratio was 1.5:1, with a strong positive correlation early neonatal mortality rate, perinatal mortality rate, r (9) = 0.8893, with a significance level of <i>p</i> = 0.000574. The presence of differences in trends by health region was observed. Risk factors that stood out were as follows: mother’s age ranging between 10 and 19 or 40 and 49 years old, with no education, a gestational age between 22 and 36 weeks, triple and double pregnancy, and a birth weight below 2499 g. Among the causes of death, 49.70% of deaths were concentrated in category of the tenth edition of the International Classification of Diseases, fetuses and newborns affected by maternal factors and complications of pregnancy, labor, and delivery (P00–P04), and 11.03% were in the category of intrauterine hypoxia and birth asphyxia (P20–P21), both related to proper care during pregnancy and childbirth. We observed a slow reduction in the perinatal mortality rate in the state of Espírito Santo from 2008 to 2017.
format	article
author	Italla Maria Pinheiro Bezerra José Lucas Souza Ramos Micael Colodetti Pianissola Fernando Adami João Batista Francalino da Rocha Mariane Albuquerque Lima Ribeiro Magda Ribeiro de Castro Juliana da Fonsêca Bezerra Fabiana Rosa Neves Smiderle Luiz Vinicius de Alcantara Sousa Carlos Eduardo Siqueira Luiz Carlos de Abreu
author_facet	Italla Maria Pinheiro Bezerra José Lucas Souza Ramos Micael Colodetti Pianissola Fernando Adami João Batista Francalino da Rocha Mariane Albuquerque Lima Ribeiro Magda Ribeiro de Castro Juliana da Fonsêca Bezerra Fabiana Rosa Neves Smiderle Luiz Vinicius de Alcantara Sousa Carlos Eduardo Siqueira Luiz Carlos de Abreu
author_sort	Italla Maria Pinheiro Bezerra
title	Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017
title_short	Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017
title_full	Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017
title_fullStr	Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017
title_full_unstemmed	Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017
title_sort	perinatal mortality analysis in espírito santo, brazil, 2008 to 2017
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/08017709adf94c0c90ee44f99c7c96e7
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Perinatal Mortality Analysis in Espírito Santo, Brazil, 2008 to 2017

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