Risk factors for perinatal death in two different levels of care: a case-control study

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dc.contributor.authorSilveira Soares Moura, Paula Maria [UNESP]
dc.contributor.authorMaestá, Izildinha [UNESP]
dc.contributor.authorRugolo, Ligia Maria Suppo de Souza [UNESP]
dc.contributor.authorRamos Berbel Angulski, Luis Felipe [UNESP]
dc.contributor.authorCaldeira, Antonio Prates
dc.contributor.authorPeraçoli, José Carlos [UNESP]
dc.contributor.authorRudge, Marilza Vieira Cunha [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Estadual de Montes Claros (UNIMONTES)
dc.date.accessioned2014-12-03T13:10:34Z
dc.date.available2014-12-03T13:10:34Z
dc.date.issued2014-01-30
dc.description.abstractBackground: According to the World Health Organization, there are over 6.3 million perinatal deaths (PND) a year worldwide. Identifying the factors associated with PND is very helpful in building strategies to improve the care provided to mothers and their babies.Objective: To investigate the maternal, gestational and neonatal factors associated with PND at two different levels of care.Methods: Case-control study including 299 PND cases and 1161 infants that survived the early neonatal period (controls) between 2001-2006 in two hospitals at different care levels (secondary and tertiary) located in southeastern Brazil. Correlations between study variables and PND were evaluated by univariate analysis. PND-related variables were included in a multiple logistic regression model, and independent estimates of PND risk were obtained.Results: Although five-minute Apgar score <7, low birthweight and maternal hemorrhage were associated with PND in the secondary care center, no independent risk factors were identified at this level of care. In the tertiary hospital, PND was positively associated with primiparity, male sex, prematurity, low 5-minute Apgar score, and pregnancy complicated by arterial hypertension or intrauterine infection.Conclusions: Several risk factors positively associated with PND were indentified in the tertiary, but not in the secondary care level hospital. Since most of the risk factors herein identified are modifiable through effective antenatal and intrapartum care, greater attention should be given to preventive strategies.en
dc.description.affiliationSao Paulo State Univ UNESP, Postgrad Program Gynecol Obstet & Mastol, Botucatu Med Sch, Botucatu, SP, Brazil
dc.description.affiliationSao Paulo State Univ UNESP, Dept Gynecol & Obstet, Botucatu Med Sch, Botucatu, SP, Brazil
dc.description.affiliationSao Paulo State Univ UNESP, Dept Pediat, Botucatu Med Sch, Botucatu, SP, Brazil
dc.description.affiliationSao Paulo State Univ UNESP, Botucatu Med Sch, Sci Initiat PIBIC CNPq, Botucatu, SP, Brazil
dc.description.affiliationState Univ Montes Claros Unimontes MG, Dept Womens & Childrens Hlth, Montes Claros, Brazil
dc.description.affiliationUnespSao Paulo State Univ UNESP, Postgrad Program Gynecol Obstet & Mastol, Botucatu Med Sch, Botucatu, SP, Brazil
dc.description.affiliationUnespSao Paulo State Univ UNESP, Dept Gynecol & Obstet, Botucatu Med Sch, Botucatu, SP, Brazil
dc.description.affiliationUnespSao Paulo State Univ UNESP, Dept Pediat, Botucatu Med Sch, Botucatu, SP, Brazil
dc.description.affiliationUnespSao Paulo State Univ UNESP, Botucatu Med Sch, Sci Initiat PIBIC CNPq, Botucatu, SP, Brazil
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent7
dc.identifierhttp://dx.doi.org/10.1186/1742-4755-11-11
dc.identifier.citationReproductive Health. London: Biomed Central Ltd, v. 11, 7 p., 2014.
dc.identifier.doi10.1186/1742-4755-11-11
dc.identifier.fileWOS000331695100002.pdf
dc.identifier.issn1742-4755
dc.identifier.lattes9012667997804219
dc.identifier.lattes8499437381595614
dc.identifier.lattes6758680388835078
dc.identifier.lattes1197755531108177
dc.identifier.orcid0000-0002-9227-832X
dc.identifier.urihttp://hdl.handle.net/11449/112269
dc.identifier.wosWOS:000331695100002
dc.language.isoeng
dc.publisherBiomed Central Ltd.
dc.relation.ispartofReproductive Health
dc.relation.ispartofjcr2.014
dc.relation.ispartofsjr1,228
dc.rights.accessRightsAcesso aberto
dc.sourceWeb of Science
dc.subjectPerinatal deathen
dc.subjectRisk factorsen
dc.subjectCare levelsen
dc.subjectMaternityen
dc.titleRisk factors for perinatal death in two different levels of care: a case-control studyen
dc.typeArtigo
dcterms.rightsHolderBiomed Central Ltd
unesp.author.lattes9012667997804219
unesp.author.lattes8499437381595614
unesp.author.lattes6758680388835078
unesp.author.lattes1197755531108177
unesp.author.orcid0000-0002-9227-832X[7]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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