@article{Reis_Kaizer_Schüler-Faccini_2021, title={Prevalence of fetal and neonatal mortality due to congenital anomalies in the state of Maranhão, Brazil, from 2001–2016}, volume={41}, url={https://seer.ufrgs.br/index.php/hcpa/article/view/111370}, abstractNote={<p>Introduction: The infant mortality rate (IMR) is an important health indicator directly<br />associated with living conditions, prenatal care coverage, social development<br />conditions, and parental education, among others. Worldwide, the infant mortality rate<br />was 29/1000 live births in 2017. Therefore, this study aimed to evaluate the fetal and<br />infant mortality rates due to congenital anomalies (CA) in Maranhão from 2001 to 2016.<br />Methods: Data were obtained from the SINASC, and SIM databases. We used<br />simple linear regression, Poisson distribution, and ANOVA (Bonferroni’s post hoc test).<br />We analyzed the public data (2001–2016) of 1934858 births and determined the fetal,<br />neonatal, perinatal, and post-neonatal mortality rates associated with CA by mesoregions.<br />Results: The IMR in Maranhão was 17.01/1000 live births (95%CI, 13.30-20.72)<br />and CA was the cause of death in 13.3% of these deaths. Mortality due to CA<br />(per 1000 live births) was 0.76 (95%CI, 0.74–0.85) for fetal mortality rate and<br />2.27 (95%CI, 1.45-3.10) for infant mortality rate. Geographic and temporal variations<br />were observed with a slight increase in recent years for deaths attributable to CA,<br />and in the northern part of Maranhão.<br />Conclusions: Mortality rates due to CA in Maranhão increased over the period 2001–2016<br />possibly as a result of improved maternal-infant health conditions eliminating other<br />causes of death. Therefore, efforts to improve early diagnosis and better treatment<br />of congenital anomalies should be considered to reduce its impact on child mortality.</p>}, number={3}, journal={Clinical and Biomedical Research}, author={Reis, Luzivan Costa and Kaizer, Wesley Luciano and Schüler-Faccini, Lavínia}, year={2021}, month={out.} }