title: [Determinants of neonatal mortality: a case-control study in Fortaleza, Ceará State, Brazil].
abstract: This case-control study with 132 cases and 264 controls aimed to determine predictors of neonatal mortality using hierarchical modeling. Cases were defined as newborns that died within 28 days of birth, and controls as the survivors, among infants of mothers living in Fortaleza, Ceará State, Brazil. Hierarchical logistic regression identified factors associated with neonatal death: maternal race, with brown/black race showing a protective effect (OR = 0.23; IC95%: 0.09-0.56), time spent from home to the hospital > 30 minutes (OR = 3.12; 95%CI: 1.34-7.25), time < 1h or > 10 hours between hospital admission and delivery (OR = 2.43; 95%CI: 1.24-4.76), inadequate prenatal care (OR = 2.03; 95%CI: 1.03-3.99), low birth weight (OR = 14.75; 95%CI: 5.26-41.35), prematurity (OR = 3.41; 95%CI: 1.29-8.98), and male gender (OR = 2.09; 95%CI: 1.09-4.03). In this case series, neonatal deaths were associated with the quality of prenatal care and direct care during labor.
authors.affiliation: Universidade Federal do Ceará, Rua Papi Júnior 1225, Fortaleza, CE, Brazil. renatamnm@yahoo.com.br
authors.forename: Renata Mota do
authors.initials: RM
authors.lastname: Nascimento
authors.forename: Alvaro Jorge Madeiro
authors.initials: AJ
authors.lastname: Leite
authors.forename: Nádia Maria Girão Saraiva de
authors.initials: NM
authors.lastname: Almeida
authors.forename: Paulo César de
authors.initials: PC
authors.lastname: Almeida
authors.forename: Cristiana Ferreira da
authors.initials: CF
authors.lastname: Silva
mesh_terms: D001938:Brazil / Q000453:epidemiology; D016022:Case-Control Studies; D005260:Female; D005865:Gestational Age; D006801:Humans; D007226:Infant Mortality; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D011295:Prenatal Care / Q000592:standards; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D013997:Time Factors