Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes.

Cristine Vieira Do Bonfim,Conceição Maria De Oliveira,Amanda Priscila De Santana Cabral Silva,Neison Cabral Ferreira Freire,Mirella Bezerra Rodrigues Vilela

doi:10.1590/0034-7167-2019-0088

Cristine Vieira Do Bonfim, Conceição Maria De Oliveira + Show 3 more

Open Access

https://doi.org/10.1590/0034-7167-2019-0088

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Abstract

to analyze social inequalities in spatial distribution of fetal and infant mortality by avoidable causes and identify the areas of greater risk of occurrence. avoidable deaths of fetal and infant residents of Recife/Brazil were studied. The rates of avoidable fetal and infant mortality were calculated for two five-year periods, 2006-2010 and 2011-2015. The scan statistics was used for spatial analysis and related to the social deprivation index. out of the total 2,210 fetal deaths, 80% were preventable. Avoidable fetal mortality rates increased by 8.1% in the five-year periods. Of the 2,846 infant deaths, 74% were avoidable, and the infant mortality rate reduced by 0.13%. in the spatial analysis, were identified clusters with higher risk for deaths. The social deprivation index showed sensibility with areas of worse living conditions.

Highlights

OBJECTIVESInfant mortality is a high magnitude event of worldwide transcendence related to biological, sociocultural and care determinants[1]
The coefficients of avoidable fetal mortality were 7.4 and 8.0 per 1,000 total births for each respective five-year period, which represented an increase of 8.1%
The spatial distribution showed that 24.5% of the districts in Recife presented coefficients of avoidable fetal mortality greater than 9.4 per 1,000 total births during the first five-year period (Figure 1A and Table 1)

Summary

Introduction

OBJECTIVESInfant mortality is a high magnitude event of worldwide transcendence related to biological, sociocultural and care determinants[1]. Fetal death is the loss of life after the 22nd complete week of pregnancy, which culminates in a stillborn fetus. This allows healthcare assessment, studies have indicated the invisibility of this event, which results in less attention given to its prevention[3,4,5]. In Brazil, in that same year, the estimated rate was 8.6 per 1,000 births[3]. The World Health Organization proposed the overall goal of reducing the rate of stillbirths to 12 per 1,000 births in each country by the year 2035 the 2% reduction rate will have to be more than doubled[5]

Objectives

Results

Conclusion