Factors related to infant mortality for congenital anomalies, Paraná, Brazil 2010-2019

Objective: to investigate the factors related to infant deaths due to congenital anomalies in the municipalities belonging to the 14th Regional Health Region of Paraná, in the period from 2010 to 2019. Methodology: cross-sectional study based on secondary data from the Born Information System Living...

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Detalles Bibliográficos
Autores: Muniz, Nitza Ferreira, Spigolon, Dandara Novakowski, Melo, Willian Augusto de, Costa, Maria Antonia Ramos, Nunes, Altacílio Aparecido
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:Brasil
Institución:Universidade Federal de Itajubá (UNIFEI)
Repositorio:Research, Society and Development
Idioma:portugués
OAI Identifier:oai:ojs.pkp.sfu.ca:article/18421
Acceso en línea:https://rsdjournal.org/index.php/rsd/article/view/18421
Access Level:acceso abierto
Palabra clave:Congenital abnormalities
Risk factors
Infant mortality
Public health.
Anomalías Congénitas
Factores de riesgo
Mortalidad infantil
Salud pública.
Anormalidades congênitas
Fatores de risco
Mortalidade infantil
Saúde pública.
Descripción
Sumario:Objective: to investigate the factors related to infant deaths due to congenital anomalies in the municipalities belonging to the 14th Regional Health Region of Paraná, in the period from 2010 to 2019. Methodology: cross-sectional study based on secondary data from the Born Information System Living, Mortality Information System and Notifiable Diseases Information System. Results: the detection of anomalies before hospital discharge proved to be a protective factor against death. The following factors were associated with death: children with low birth weight (OR= 5.7, 95%CI= 3.37-9.77, p<0.001) and children of mothers without a partner (OR= 1.8, 95%CI= 1.10-2.98, p=0.019), inadequate number of prenatal consultations (OR=1.7, 95%CI= 1.01-2.84, p=0.047), double pregnancy and more (OR= 9.3, 95%CI= 1.63-53.52, p=0.031), premature birth (OR= 4.0, 95%CI= 2.39-6.85, p<0.001) and inadequate Apgar score within the first (OR= 5.5, 95%CI= 3.28-9.32, p<0.001) and fifth minute of life (OR= 8.9, 95%CI= 4.46-17.59, p<0.001). Conclusion: several factors are associated with mortality from congenital anomalies. Therefore, the importance of preventing these factors through strengthening the process of epidemiological surveillance of anomalies, family planning, adequate prenatal care and early diagnosis to improve the quality of life and survival of children with anomalies is emphasized.