2005, Number 1
<< Back Next >>
Perinatol Reprod Hum 2005; 19 (1)
Early neonatal mortality analysis at the Instituto Nacional de Perinatología, 1999-2001
Rivera-Rueda MA, Hernández-Trejo M, Hernández-Peláez G, Llano-Rivas I, Di Castro-Stringher P, Yllescas-Medrano E, Canales-de-la-Fuente R, Ahued-Ahued JR
Language: Spanish
References: 15
Page: 13-21
PDF size: 135.34 Kb.
ABSTRACT
Objective: The early neonatal mortality was analyzed based on perinatal characteristics and time of neonatal death at the Insituto Nacional de Perinatología.
Material and methods: To analyze the cases, we considered birth weight, gestational age, primary causes of death, and time of neonatal death. Rate of neonatal mortality and incidence (per 1,000 live births) and survival tables were reported.
Results: The neonatal mortality rate was 17.13; the incidence was 2.48 deaths/day. Congenital birth defects (34%) and immaturity (27%) were the principal causes of death. According to the time of death, 34.4% of the deaths happened in the first 59 minutes, 32.4% from one to 23 hours, and 33.2% from one to seven days. There was an inverse relationship between rates, related with birth weight and gestational age. The probability of survival was less in neonates with a weight less than 1,000 g and below 25 weeks.
Conclusions: Those neonates whose birth weight was above 750 g and gestational age above 26 weeks had a low mortality rate. The main causes of death were congenital birth defects and immaturity.
REFERENCES
Alexander GR, Kogan M, Baden D, Carlo W, Allen M, Mor J. US birth weight/gestational age-specific neonatal mortality: 1995-1997 rates for whites, hispanics, and blacks. Pediatrics 2003; 111: e61-6.
Luo ZC, Karlberg J. Timing of birth and infant and early neonatal mortality in Sweden 1973-1975: longitudinal birth register study. BMJ 2001; 323: 1-5.
Behrman RE. Overview of pediatrics. In: Behrman RE, Kliegman RM, Jenson HB (eds.). Nelson Texbook of Pediatrics. 17th Ed. Philadelphia: Saunders; 2004, p. 1-6.
Rivera RMA, Velázquez VB. Mortalidad del recién nacido pretérmino. En: Ahued AJR (ed.). Prematurez un enfoque perinatal. Editores de Textos Mexicanos; 2004: 450-61.
Rivera RMA, Coria SI, Zambrana CM, Castelazo ME, Ahued AR. Tendencias de la mortalidad perinatal en el Instituto Nacional de Perinatología. Ginec Obstet Mex 1999; 67: 578-86.
Organización Panamericana de la Salud. Clasificación Estadística Internacional de Enfermedades y Problemas Relacionados con la Salud. 10a. revisión. Washington DC: OPS; 1995.
Contreras-Lemus J, Flores-Huerta S, Cardona-Pérez JA. Propuesta de un certificado de defunción para mejorar el registro y reporte de la muerte en el periodo perinatal. Sal Pub Mex 2001; 43: 217-22.
Joseph KS, Kramer MS, Allen AC, Cyr M, Ohlsson A, Wu Wen S. Gestational age-and birthweight-specific declines in infant mortality in Canada, 1985-94. Paediatr Perinat Epidemiol 2000; 14: 332-9.
Centro Latinoamericano de Perinatología y Desarrollo Humano-CLAP-OPS/OMS. Mor-talidad fetal, neonatal y perinatal. (actualiza-ción: mayo 2003). http://www.clap.hc.edu.uy.
Estadísticas de mortalidad en México: muertes registradas en el año 2001. Sal Pub Mex 2002; 44: 565-81.
Hinojosa-Pérez JO, Piña-Ceballos VM, Tamez-Vargas A, Gutiérrez-Ramírez SF, Zavala-Galván N, González GMM, et al. Morbi-mortalidad del recién nacido con peso menor de 1,500 g en Monterrey, Nuevo León. Bol Med Hosp Infant Mex 2003; 60: 571-8.
Larroque B, Bréat G, Kaminski M, Dehan M, André M, Burguet A, et al. Survival of very preterm infants: Epipage, a population based cohort study. Arch Dis Fetal Neonatal 2004; 89: F139-44.
Epidemiology data sources and measurements. In: Jekel JF, Katz DL, Elmore JG. Epidemiology, biostatistics and preventive medicine. Philadelphia: WB Saunders; 2002, p. 20-42.
Velasco-Murillo V, Palomares-Trejo A, Navarrete-Hernández E. Causalidad y tendencia de la mortalidad perinatal en el Instituto Mexicano del Seguro Social, 1998-2002. Cir Ciruj 2003; 71: 303-13.
Moss W, Darmstadt GL, Marsh DR, Black RE, Santosham M. Research priorities for the reduction of perinatal and neonatal morbidity and mortality in developing country communities. J Perinatol 2002; 22: 484-95.