Departamento de Pós-Graduação em Políticas Públicas e Desenvolvimento Local, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória 29027502, Brazil.
Departamento de Enfermagem, Laboratório de Escrita Científica, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória 29027502, Brazil.
Int J Environ Res Public Health. 2021 Nov 6;18(21):11671. doi: 10.3390/ijerph182111671.
This is an ecological and time-series study using secondary data on perinatal mortality and its components from 2008 to 2017 in Espírito Santo, Brazil. The data were collected from the Mortality Information System (SIM) and Live Births Information System (SINASC) of the Unified Health System Informatics Department (DATASUS) in June 2019. The perinatal mortality rate (×1000 total births) was calculated. Time series were constructed from the perinatal mortality rate for the regions and Espírito Santo. To analyze the trend, the Prais-Winsten model was used. From 2008 to 2017 there were 8132 perinatal deaths (4939 fetal and 3193 early neonatal) out of a total of 542,802 births, a perinatal mortality rate of 15.0/1000 total births. The fetal/early neonatal ratio was 1.5:1, with a strong positive correlation early neonatal mortality rate, perinatal mortality rate, r (9) = 0.8893, with a significance level of = 0.000574. The presence of differences in trends by health region was observed. Risk factors that stood out were as follows: mother's age ranging between 10 and 19 or 40 and 49 years old, with no education, a gestational age between 22 and 36 weeks, triple and double pregnancy, and a birth weight below 2499 g. Among the causes of death, 49.70% of deaths were concentrated in category of the tenth edition of the International Classification of Diseases, fetuses and newborns affected by maternal factors and complications of pregnancy, labor, and delivery (P00-P04), and 11.03% were in the category of intrauterine hypoxia and birth asphyxia (P20-P21), both related to proper care during pregnancy and childbirth. We observed a slow reduction in the perinatal mortality rate in the state of Espírito Santo from 2008 to 2017.
这是一项使用巴西圣埃斯皮里图州 2008 年至 2017 年围产儿死亡及其构成部分的二次数据进行的生态和时间序列研究。数据于 2019 年 6 月从统一卫生系统信息学部（DATASUS）的死亡率信息系统（SIM）和活产信息系统（SINASC）收集。计算了围产儿死亡率（每 1000 例总分娩）。为了分析趋势，使用了普赖斯-温斯坦模型。2008 年至 2017 年，在 542802 例分娩中，共有 8132 例围产儿死亡（4939 例胎儿死亡和 3193 例早期新生儿死亡），围产儿死亡率为 15.0/1000 例总分娩。胎儿/早期新生儿的比例为 1.5:1，早期新生儿死亡率、围产儿死亡率之间存在强烈的正相关关系，r(9)=0.8893， =0.000574。观察到各卫生区的趋势存在差异。突出的危险因素如下：母亲年龄在 10 至 19 岁或 40 至 49 岁之间，没有受过教育，妊娠龄在 22 至 36 周之间，三胎和双胎妊娠，以及出生体重低于 2499 克。在死亡原因中，49.70%的死亡集中在国际疾病分类第十版的 P00-P04 类别，即受母亲因素和妊娠、分娩并发症影响的胎儿和新生儿，以及 11.03%的死亡集中在宫内缺氧和出生窒息（P20-P21）类别，两者均与妊娠和分娩期间的适当护理有关。我们观察到 2008 年至 2017 年，圣埃斯皮里图州的围产儿死亡率呈缓慢下降趋势。
