Dataset Information

Time to change focus? Transitioning from higher neonatal to higher stillbirth mortality in Sao Paulo State, Brazil.

ABSTRACT: Differential trends in mortality suggest that stillbirths may dominate neonatal mortality in the medium to long run. Brazil has made major efforts to improve data collection on health indicators at granular geographic levels, and provides an ideal environment to test this hypothesis. Our goals were to examine levels and trends in stillbirths and neonatal deaths and the extent to which the mortality burden caused by stillbirths dominates neonatal mortality at the municipality- and state-level.We used data from the Brazilian Ministry of Health's repository on births, fetal, and neonatal deaths (2010-2014) to calculate stillbirth and neonatal mortality rates for São Paulo state's 645 municipalities.At the state level, 7.9 per 1000 pregnancies ended in stillbirth (fetal death >22 weeks gestation or fetal weight >500g), but this varied from 0.0 to 28.4 per 1000 across municipalities. 7.9 per 1000 live births also died within the first 28 days. 42% of municipalities had a higher stillbirth rate than neonatal mortality rate, and in 61% of areas with low neonatal mortality (<8.0 per 1000), stillbirth rates exceeded neonatal mortality rates.This analysis suggests large variability and inequality in mortality outcomes at the sub-national level. The results also imply that stillbirth mortality may exceed neonatal mortality in Brazil and similar settings in the next few decades, which suggests a need for a shift in policy. This work further underscores the importance of continued research into causes and prevention of stillbirth.

SUBMITTER: Andrews K

PROVIDER: S-EPMC5741246 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Time to change focus? Transitioning from higher neonatal to higher stillbirth mortality in São Paulo State, Brazil.

Andrews Kathryn K Bourroul Maria Lúcia Moraes MLM Fink Günther G Grisi Sandra S Scoleze Ferrer Ana Paula AP Diniz Edna Maria de Albuquerque EMA Brentani Alexandra A

PloS one 20171222 12

<h4>Background</h4>Differential trends in mortality suggest that stillbirths may dominate neonatal mortality in the medium to long run. Brazil has made major efforts to improve data collection on health indicators at granular geographic levels, and provides an ideal environment to test this hypothesis. Our goals were to examine levels and trends in stillbirths and neonatal deaths and the extent to which the mortality burden caused by stillbirths dominates neonatal mortality at the municipality- ...[more]

PMID: 29272295

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Dataset Information

Time to change focus? Transitioning from higher neonatal to higher stillbirth mortality in Sao Paulo State, Brazil.

Publications

Time to change focus? Transitioning from higher neonatal to higher stillbirth mortality in São Paulo State, Brazil.

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