SciELO - Scientific Electronic Library Online

vol.7 issue1Infant mortality in the State of São Paulo, 1999: principal components analysis of multiple causes of deathBreast feeding indicators in the municipality of Ribeirão Preto, São Paulo author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Revista Brasileira de Epidemiologia

Print version ISSN 1415-790X


ALMEIDA, Solange Duarte de Mattos  and  BARROS, Marilisa Berti de Azevedo. Health care and neonatal mortality. Rev. bras. epidemiol. [online]. 2004, vol.7, n.1, pp.22-35. ISSN 1415-790X.

A Case control study was developed to identify the main factors associated with neonatal mortality, by analyzing socio-economic, maternal morbidity and especially health care related variables. Data were obtained from household interviews in Campinas, São Paulo, Brazil, 2001-2002. The study included 117 cases and 234 controls. The multiple logistic regression analysis in a hierarchic model identified the following as associated to neonatal death risk: socioeconomic variables (income, immigration, number of dwellers, no choice of delivery hospital); maternal morbidity (vaginal bleeding, early delivery due to health problems; time elapsed between hospital admission and delivery); quality of prenatal care (number of orientations received); health status of the newborn (gestational age, low birth weight and 5-minute APGAR). Conclusion: This study indicates the need to improve prenatal care, mainly for pregnant women with poor socioeconomic status and those in risk of preterm delivery.

Keywords : Neonatal mortality; Risk factors; Case control study.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf )