Programa de Pós-Graduação em Enfermagem, Faculdade de Enfermagem, Universidade Federal de Mato Grosso. Av. Alexandre Ferronato 1200. Bairro Residencial Cidade Jardim. 78550-728 Sinop MT Brasil.
Universidade Federal de Mato Grosso. Cuiabá MT Brasil.
Cien Saude Colet. 2024 Jan;29(1):e17462022. doi: 10.1590/1413-81232024291.17462022. Epub 2023 Apr 19.
We aimed to analyze factors associated with neonatal near-miss in Cuiabá, State of Mato Grosso, Brazil by performing a case-control study of live births in a capital city of central-western Brazil from January 2015 to December 2018 that included 931 cases and 1,862 controls. Data were obtained from the Live Births Information System and the Mortality Information System and variables were organized according to the hierarchical model. Association was analyzed by logistic regression with a 5% significance level. Data were expressed as crude and adjusted odds ratio (OR) and respective confidence intervals (95%CI). The following factors were associated with neonatal near miss: mothers with two (OR = 1.63; 95%CI: 1.01-2.63) or three or more previous pregnancies (OR=1.87; 95%CI: 1.09-3.21), without any live children (OR = 2.57; 95%CI: 1.56-4.24 ) or one live child at birth (OR = 1.53; 95%CI: 1.04-2.26), multiple pregnancy (OR = 4.57; 95%CI: 2.95-7.07), fewer than six prenatal consultations (OR = 2.20; 95%CI: 1.77-2.72), whose deliveries took place in public/university hospitals (OR = 2.25; 95%CI: 1.60-3.15) or philanthropic hospitals (OR = 1.62; 95%CI: 1.16-2.26), with non-cephalic presentation (OR = 2.71 95%CI: 1.87-3.94) and uninduced labor (OR = 1.47; 95%CI: 1.18-1.84).
我们旨在通过对巴西中西部首府 2015 年 1 月至 2018 年 12 月期间活产儿进行病例对照研究，分析与新生儿接近错失相关的因素。该研究共纳入 931 例病例和 1862 例对照，数据来源于活产儿信息系统和死亡率信息系统，并根据层次模型对变量进行了整理。采用具有 5%显著性水平的逻辑回归进行关联分析。数据表示为粗比数比（OR）和调整后的 OR（95%CI）。以下因素与新生儿接近错失相关：有两次（OR=1.63；95%CI：1.01-2.63）或三次及以上既往妊娠史，无活产儿（OR=2.57；95%CI：1.56-4.24）或仅存活 1 个活产儿，多胎妊娠（OR=4.57；95%CI：2.95-7.07），产前检查次数少于 6 次（OR=2.20；95%CI：1.77-2.72），分娩在公立医院/大学医院（OR=2.25；95%CI：1.60-3.15）或慈善医院（OR=1.62；95%CI：1.16-2.26），非头位分娩（OR=2.71 95%CI：1.87-3.94）和非诱导分娩（OR=1.47；95%CI：1.18-1.84）。
