Skip Navigation

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by GRAY, R. H
Right arrow Articles by DE MELO, L. F
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by GRAY, R. H
Right arrow Articles by DE MELO, L. F
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1991 Oxford University Press

research-article

Levels and Determinants of Early Neonatal Mortality in Natal, Northeastern Brazil: Results of a Surveillance and Case-Control Study

RONALD H GRAY*, ELENICE M FERRAZ**, MARIA S AMORIM{dagger} and LILILIAN F DE MELO{dagger}

*Dept of Population Dynamics, Johns Hopkins School of Hygiene and Public Health Baltimore, Maryland 21205, USA.
**Dept de Medicina Geral e Communitana, Univ. do Brasilia Brasilia, Brasil.
{dagger}Depto de Pediatica, da Univ, Federal do Rio Grande do Norte Brasil.

An institution-based surveillance and nested case-control study was conducted in Natal, Northeastern Brazil to estimate the level and determinants of early neonatal mortality. The early neonatal mortality rate was 25.5 per 1000 livebirths, 75% of early neonatal deaths were premature low birthweight infants, and the mortality rates were 591 and 31B per 1000 respectively, for preterm small for gestational age (PT-SGA) and preterm appropriate for gestational age (PT-AGA) infants. Mortality was 50 per 1000 for term low birthweight, and 8.6 for term normal birthweight AGA infants. In addition to prematurity and low birthweight, the main risk factors associated with early neonetal death were maternal smoking, complications during pregnancy or interpartum, and inadequate antenatal care. The associations were weaker for prepregnancy factors such as single marital status or low maternal body weight, and no significant associations were observed with socioeconomic status. These findings suggest that in this population, efforts to reduce early neonatal deathshould focus on improved maternal care and the prevention of prematurity.

Received 1 January 1991


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 BMJHome page
Z. A Bhutta, I. Khan, S. Salat, F. Raza, and H. Ara
Reducing length of stay in hospital for very low birthweight infants by involving mothers in a stepdown unit: an experience from Karachi (Pakistan)
BMJ, November 13, 2004; 329(7475): 1151 - 1155.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.