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

ABSTRACT:

Background

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.

Methods

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.

Results

At the state level, 7.9 per 1000 pregnancies

SUBMITTER: Andrews K 

PROVIDER: S-EPMC5741246 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature