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Revista chilena de pediatría

versión impresa ISSN 0370-4106

Resumen

MANRIQUEZ P, Gemita  y  ESCUDERO O, Carlos. Analysis of risk factors for neonatal death in Chile, 2010-2014. Rev. chil. pediatr. [online]. 2017, vol.88, n.4, pp.458-464. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062017000400003.

Aim: To analyze socio-demographic as maternal and newborn factors associated with neonatal mortality in a tertiary hospital in Chile. Patients and Method: A retrospective analysis of case (neonatal death) and control (live births) was performed. A match 1:2 proportion considering year, month of birth and gender was made. By reviewing medical records and existing databases, we analyzed sociodemographic and pathophysiological variables of the mother and their newborn in a period between 2010 and 2014. Results: During the period of study 81 neonatal deaths occurred in the hospital, with an estimated rate of 5.8 per thousand live births. Sixty-five cases were recruted, who were compared with 130 controls. The main causes of death were prematurity and congenital malformations. It was found that the presence of preterm birth (OR: 3; 95% CI 1.1-8.7), newborn small for gestational age (OR: 4; 95% CI 1.7-12.1) Apgar score at minute 4-7 (OR: 4; 95% CI 1.8-10.5), maternal activity outside the household (OR: 4; 95% CI 2.3-8.7), and cesarean delivery (OR: 3; 95% CI 1.5-5.6) were the most prevalent risk factors. Conclusion: Neonatal mortality is associated with prematurity. Therefore it is of relevance to continue promoting efforts to prevent preterm birth.

Palabras clave : Neonatal mortality; referral hospital; prematurity; Chile.

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