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Revista Cubana de Salud Pública

versão impressa ISSN 0864-3466versão On-line ISSN 1561-3127

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DE LA CRUZ GALLARDO, Carlos Mario; ROBLES CALVILLO, Victor Hugo  e  HERNANDEZ BLE, José Alejo. Neonatal mortality and associated factors in Macuspana, Tabasco, Mexico. Rev Cubana Salud Pública [online]. 2009, vol.35, n.1. ISSN 0864-3466.

Introduction Neonatal mortality is a world health problem and at the same time, it is an indicator of the quality of child and maternal care. Objective This paper was aimed at identifying the factors associated to neonatal mortality in Macuspana municipality located in Tabasco, Mexico in the period 2004-2005. Methos A retrospective case-control study was performed. The cases were 51 dead people aged 0 to 27 days and 153 live newborn controls, according to the place of residence of their parents and birth dates. Results The associated variables were birthweight <2 500 g OR 12.5 (CI95% 11.62-13.37); gestational age (<37 weeks OR 8.33 (CI 95% 7.18-9.47); illiterate mothers OR 3.7 (CI 95% 3.9-4.20); disease at pregnancy OR 2.32 (CI95% 2.28-2.35), less than 3 prenatal visits to the doctor's, OR 1.88 (IC95% 1.62-2.13). Conclusions Neonatal mortality is a public health problem in Macuspana. It was confirmed that there is still possibilities for the reduction of neonatal mortality if adequate control on pregnancy, early diagnosis of diseases, timely detection of complications and assurance of hospital care for the pregnant woman and the neonatum are guaranteed.

Palavras-chave : Neonatal mortality; associated factors; prematurity; low birthweight.

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