Population-based study on infant mortality

• Published in: Ciência & saude coletiva Vol. 22; no. 3; pp. 931 - 939
• Main Authors: Lima, Jaqueline Costa, Mingarelli, Alexandre Marchezoni, Segri, Neuber José, Zavala, Arturo Alejandro Zavala, Takano, Olga Akiko
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil 01.03.2017
• Subjects: Adult; Age Factors; Apgar Score; Brazil; Congenital Abnormalities - epidemiology; Congenital Abnormalities - mortality; Female; Health Policy; Humans; Infant; Infant Mortality; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature; Logistic Models; Male; Mothers - statistics & numerical data; Pregnancy; Prenatal Care - statistics & numerical data; Sex Factors; Young Adult
• ISSN: 1678-4561
• DOI: 10.1590/1413-81232017223.12742016

Although Brazil has reduced social, economic and health indicators disparities in the last decade, intra- and inter-regional differences in child mortality rates (CMR) persist in regions such as the state capital of Mato Grosso. This population-based study aimed to investigate factors associated with child mortality in five cohorts of live births (LB) of mothers living in Cuiabá (MT), Brazil, 2006-2010, through probabilistic linkage in 47,018 LB. We used hierarchical logistic regression analysis. Of the 617 child deaths, 48% occurred in the early neonatal period. CMR ranged from 14.6 to 12.0 deaths per thousand LB. The following remained independently associated with death: mothers without companion (OR = 1.32); low number of prenatal consultations (OR = 1.65); low birthweight (OR = 4.83); prematurity (OR = 3.05); Apgar ≤ 7 at the first minute (OR = 3.19); Apgar ≤ 7 at the fifth minute (OR = 4.95); congenital malformations (OR = 14.91) and male gender (OR = 1.26). CMR has declined in Cuiabá, however, there is need to guide public healthcare policies in the prenatal and perinatal period to reduce early neonatal mortality and further studies to identify the causes of preventable deaths.