Top Abstract Purchase Related
Home
>
Node
>
Subnode

Maternal and neonatal characteristics and early neonatal mortality in greater metropolitan São Paulo, Brazil

Silva, Z.P.d.; Almeida, M.ár.F.d.; Ortiz, L.ís.P.íc.; Alencar, G.P.; Alencar, A.P.; Schoeps, D.; Minuci, E.G.; Novaes, H.M.D.

Cadernos de Saude Publica 25(9): 1981-1989

2009

ISSN/ISBN: 1678-4464
PMID: 19750385
DOI: 10.1590/s0102-311x2009000900012
Document Number: 209936
The objective was to describe maternal and neonatal characteristics and early neonatal mortality rate according to place of delivery in Greater Metropolitan São Paulo, Brazil. The study linked the databases on live births and early neonatal deaths with the national hospital registry. Place of delivery was identified through certificates of live birth. There were a total of 154,676 live births: 98.7% in-hospital; 0.3% home deliveries, and 1% in other health services. Deliveries in birthing centers and small hospital units were associated with low obstetric risk and a low proportion of preterm and low birth weight infants, and as a result these services showed the lowest early neonatal mortality rate. Compared to hospital maternity ward deliveries, the early neonatal mortality rate was 4.7 times higher for home deliveries and 9.6 higher for emergency room deliveries. There is a high rate of hospital delivery care in São Paulo, but there is still a small portion of accidental home births and deliveries occurring in inappropriate health services, probably as a result of obstetric emergencies and difficulties in accessing hospital services.

Document emailed within 0-6 h
Secure & encrypted payments

Carvalho, L.Eduardo.Campos.de.; Osis, M.José.Duarte.; Cecatti, Jé.Guilherme.; Bento, S.Ferreira.; Manfrinati, Márcia.B. 2007: Voluntary surgical sterilization in Greater Metropolitan Campinas, São Paulo State, Brazil, before and after legal regulation of the procedure Cadernos de Saude Publica 23(12): 2906-2916
Lassi, Z.S.; Bhutta, Z.A. 2015: Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes Cochrane Database of Systematic Reviews 3: Cd007754
Thigpen, J.L. 1988: Neonatal mortality: early prediction using a neonatal status score Neonatal Network: Nn 6(6): 33-39
Jiang, J-Horng.; Chiu, N-Chang.; Huang, F-Yang.; Kao, H-An.; Hsu, C-Hsin.; Hung, H-Yang.; Chang, J-Hsing.; Peng, C-Chih. 2004: Neonatal sepsis in the neonatal intensive care unit: characteristics of early versus late onset Journal of Microbiology Immunology and Infection 37(5): 301-306
Lepage, P.; Dabis, F.; Hitimana, D.G.; Msellati, P.; Van Goethem, C.; Stevens, A.M.; Nsengumuremyi, F.; Bazubagira, A.; Serufilira, A.; De Clercq, A. 1991: Perinatal transmission of HIV-1: lack of impact of maternal HIV infection on characteristics of livebirths and on neonatal mortality in Kigali, Rwanda Aids 5(3): 295-300
Moyer, C.A.; Dako-Gyeke, P.; Adanu, R.M. 2013: Facility-based delivery and maternal and early neonatal mortality in sub-Saharan Africa: a regional review of the literature African Journal of Reproductive Health 17(3): 30-43
Symposium 1944: Factors in the reduction of neonatal mortality. I. The lessons to be learned from a study of infant deaths by Edith L. Potter. II. Care of the parturient woman in relation to neonatal mortality by Earl C. Sage. III. The care of the fetus during labor by Richard Torpin. IV. Immediate care of the newborn in relation to neonatal mortality by Ralph M. Tyson Journal American Medicine Assoc 124(6): 336-355
Mallick, A.Kumar.; Sarkar, U.Kumar. 2010: One year experience of neonatal mortality and morbidity in a state level neonatal intensive care unit and its comparison with national neonatal-perinatal database Journal of the Indian Medical Association 108(11): 738-9 742
Rodrigues, A.Verônica.; de Siqueira, A.A.Franco. 2003: An analysis of the implementation of Committees on Maternal Mortality in Brazil: a case study of the São Paulo State Committee Cadernos de Saude Publica 19(1): 183-189
Acuin, C.S.; Khor, G.L.; Liabsuetrakul, T.; Achadi, E.L.; Htay, T.T.; Firestone, R.; Bhutta, Z.A. 2011: Maternal, neonatal, and child health in southeast Asia: towards greater regional collaboration Lancet 377(9764): 516-525
Ahmed, S.; Tholandi, M.; Pedrana, A.; Zazri, A.; Parmawaty, N.; Rahmanto, A.; Sethi, R. 2019: Changes in obstetric case fatality and early newborn mortality rates in hospitals after the implementation of the Expanding Maternal and Neonatal Survival program in Indonesia: Results from a health information system International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics 144 Suppl. 1: 13-20
Carson, C. 2015: Ntcheu Integrated Maternal Health Project- Tackling maternal and neonatal morbidity and mortality: a two-branched approach African Journal of Midwifery and Women's Health 9(2): 50-51
Carson, C. 2015: Ntcheu Integrated Maternal Health Project- Tackling maternal and neonatal morbidity and mortality: a two-branched approach African Journal of Midwifery and Women's Health 9(2): 50-51
De Oliveira, G.S.; Lima, M.C.B.d.M.; Lyra, C.él.d.O.; Oliveira, A.G.R.d.C.; Ferreira, M.A.F. 2013: The spatial inequality of neonatal mortality in Brazil: 2006 to 2010 Ciencia and Saude Coletiva 18(8): 2431-2441
Cecatti, Jé.G.; Correa-Silva, Eísa.P.B.; Milanez, H.; Morais, S.S.; Souza, J.P. 2008: The associations between inter-pregnancy interval and maternal and neonatal outcomes in Brazil Maternal and Child Health Journal 12(2): 275-281
Sousa, A.; Hill, K.; Dal Poz, M.R. 2010: Sub-national assessment of inequality trends in neonatal and child mortality in Brazil International Journal for Equity in Health 9: 21
Lansky, S.ôn.; Lima Friche, A.él.A.d.; Silva, A.ôn.A.M.d.; Campos, D.; Azevedo Bittencourt, S.D.d.; Carvalho, M.ár.L.d.; Frias, P.G.d.; Cavalcante, R.S.; Cunha, A.J.é L.A.d. 2014: Birth in Brazil survey: neonatal mortality, pregnancy and childbirth quality of care Cadernos de Saude Publica 30(Suppl 1): S1-15
Temporin, F. 2020: How Does Deprivation Affect Early-Age Mortality? Patterns of Socioeconomic Determinants of Neonatal and Postneonatal Mortality in Bolivia Demography 57(5): 1681-1704
Temporin, F. 2020: How Does Deprivation Affect Early-Age Mortality? Patterns of Socioeconomic Determinants of Neonatal and Postneonatal Mortality in Bolivia Demography 57(5): 1681-1704
Lima, M.R.; Melo, M.S.; Coimbra, A.M. 1991: Palinologia de sedimentos da Bacia de São Paulo, Terciario do estado de São Paulo, Brasil - Palynology of the Tertiary sediments from the Sao Paulo basin, Sao Paulo, Brazil Rev. Inst. Geol. Sao Paulo 12(1-2): 7-20