ArticleReproductive health2014
Risk factors for perinatal death in two different levels of care: a case-control study.
Article in Reproductive health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Determinants of low fifth minute Apgar scores among newborns at North Shoa Zone Public Hospitals in Ethiopia.Scientific reports · 2025Article
- Investigating the Causes of Neonatal Mortality: An Umbrella Review.Iranian journal of public health · 2024Review
- Determinants of externally visible birth defects among perinatal deaths at Adama Comprehensive Specialized Hospital: a case-control study.BMC pediatrics · 2024Article
- Risk factors of neonatal mortality in Iran: a systematic review.Medical journal of the Islamic Republic of Iran · 2019Review
- Apgar Scores Are Associated with Attention-Deficit/Hyperactivity Disorder Symptom Severity.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2016Article
- Determinants of Neonatal Mortality in North Shoa Zone, Amhara Regional State, Ethiopia.PloS one · 2016Article
- Neonatal mortality and coverage of essential newborn interventions 2010 - 2013: a prospective, population-based study from low-middle income countries.Reproductive health · 2015Observational
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAccording 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.
objectiveTo investigate the maternal, gestational and neonatal factors associated with PND at two different levels of care.
methodsCase-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.
resultsAlthough 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.
conclusionsSeveral 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.
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