{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:10:36Z","timestamp":1787314236315,"version":"build-2736575974"},"reference-count":37,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>Abstract: We aimed to evaluate factors associated with cases of neonatal near miss and neonatal deaths at six public maternity hospitals in S\u00e3o Paulo and Rio de Janeiro States, Brazil, in 2011. A prospective hospital-based birth cohort investigated these outcomes among live births with life-threatening conditions. Associations were tested using multinomial logistic regression models with hierarchical levels. High rates of near miss were observed for maternal syphilis (52.2\u2030 live births) and lack of prenatal care (80.8\u2030 live births). Maternal black skin color (OR = 1.9; 95%CI: 1.2-3.2), hemorrhage (OR = 2.2; 95%CI: 1.3-3.9), hypertension (OR = 3.0; 95%CI: 2.0-4.4), syphilis (OR = 3.3; 95%CI: 1.5-7.2), lack of prenatal care (OR = 5.6; 95%CI: 2.6-11.7), cesarean section and hospital, were associated with near miss; while hemorrhage (OR = 4.6; 95%CI: 1,8-11.3), lack of prenatal care (OR = 17.4; 95%CI: 6.5-46.8) and hospital, with death. Improvements in access to qualified care for pregnant women and newborns are necessary to reduce neonatal life-threatening conditions.<\/jats:p>","DOI":"10.1590\/0102-311x00179115","type":"journal-article","created":{"date-parts":[[2017,5,22]],"date-time":"2017-05-22T12:11:06Z","timestamp":1495455066000},"source":"Crossref","is-referenced-by-count":29,"title":["Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil"],"prefix":"10.1590","volume":"33","author":[{"given":"Pauline Lorena","family":"Kale","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Helena Prado de","family":"Mello-Jorge","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00e1tia Silveira da","family":"Silva","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra Costa","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Universidade Federal Fluminense,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1910","DOI":"10.1590\/S0102-311X2008000800019","article-title":"Proposta de modelo hierarquizado aplicado \u00e0 investiga\u00e7\u00e3o de fatores de risco de \u00f3bito infantil neonatal","volume":"24","author":"Lima S","year":"2008","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"S192","DOI":"10.1590\/0102-311X00133213","article-title":"Pesquisa Nascer no Brasil : perfil da mortalidade neonatal e avalia\u00e7\u00e3o da assist\u00eancia \u00e0 gestante e ao rec\u00e9m-nascido","volume":"30","author":"Lansky S","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/S0140-6736(14)60496-7","article-title":"Every newborn progress, priorities, and potential beyond survival","volume":"384","author":"Lawn JE","year":"2014","journal-title":"Lancet"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1038\/sj.jp.7211362","article-title":"A new score for predicting neonatal very low birth weight mortality risk in the NEOCOSUR South American Network","volume":"25","author":"Marshall G","year":"2005","journal-title":"J Perinatol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.bpobgyn.2008.12.005","article-title":"Neonatal near miss a measure of the quality of obstetric care","volume":"23","author":"Avenant T","year":"2009","journal-title":"Best Pract Res Clin Obstet Gynaecol"},{"key":"ref6","first-page":"21","article-title":"Neonatal near miss approach in the 2005 WHO Global Survey Brazil","volume":"86","author":"Pileggi C","year":"2010","journal-title":"J Pediatr (Rio J.)"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1186\/1472-6963-11-286","article-title":"The World Health Organization multicountry survey on maternal and newborn health study protocol","volume":"11","author":"Souza J","year":"2011","journal-title":"BMC Health Serv Res"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1111\/1471-0528.12637","article-title":"Development of criteria for identifying neonatal near-miss cases analysis of two WHO multicountry cross-sectional studies","volume":"121","author":"Pileggi-Castro C","year":"2014","journal-title":"BJOG"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"S182","DOI":"10.1590\/0102-311X00129613","article-title":"Morbidade neonatal near miss na pesquisa Nascer no Brasil Neonatal near miss in the Birth in Brazil survey","volume":"30","author":"Silva AAM","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s12887-015-0362-3","article-title":"Still births, neonatal deaths and neonatal near miss cases attributable to severe obstetric complications a prospective cohort study in two referral hospitals in Uganda","volume":"15","author":"Nakimuli A","year":"2015","journal-title":"BMC Pediatr"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1111\/1471-0528.12635","article-title":"Mode and timing of twin delivery and perinatal outcomes in low- and middle-income countries a secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health","volume":"121","author":"Ganchimeg T","year":"2014","journal-title":"BJOG"},{"key":"ref12","series-title":"Statistics in the health sciences. Logistic regression: a self-learning text","author":"Kleibaum DG","year":"1994"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/1471-0528.12659","article-title":"Advanced maternal age and pregnancy outcomes a multicountry assessment","volume":"121","author":"Laopaiboon M","year":"2014","journal-title":"BJOG"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s13048-015-0135-5","article-title":"Maternal and fetal outcome of pregnancy related hypertension in Mettu Karl Referral Hospital, Ethiopia","volume":"8","author":"Seyom E","year":"2015","journal-title":"J Ovarian Res"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1111\/1471-0528.12629","article-title":"Pre-eclampsia, eclampsia and adverse maternal and perinatal outcomes a secondary analysis of the World Health Organization Multicountry Survey on Maternal and Newborn Health","volume":"121Suppl","author":"Abalos E","year":"2014","journal-title":"BJOG"},{"key":"ref16","article-title":"Reported estimates of adverse pregnancy outcomes among women with and without syphilis a systematic review and meta-analysis","volume":"9","author":"Qin J","year":"2014","journal-title":"PLoS One"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/1471-2393-14-90","article-title":"Adverse birth outcomes among deliveries at Gondar University Hospital, Northwest Ethiopia","volume":"14","author":"Adane AA","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1093\/ntr\/ntt073","article-title":"Smoking and adverse maternal and child health outcomes in Brazil","volume":"15","author":"Levy D","year":"2013","journal-title":"Nicotine Tob Res"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"S85","DOI":"10.1590\/0102-311X00126013","article-title":"Assist\u00eancia pr\u00e9-natal no Brasil","volume":"30","author":"Viellas EF","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/j.clp.2014.08.008","article-title":"Conquering racial disparities in perinatal outcomes","volume":"41","author":"Willis E","year":"2014","journal-title":"Clin Perinatol"},{"key":"ref21","first-page":"2364","article-title":"Desigualdades raciais no acesso \u00e0 sa\u00fade da mulher no Sul do Brasil","volume":"27","author":"Bairros FS","year":"2011","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref22","first-page":"953","article-title":"Acesso e utiliza\u00e7\u00e3o de servi\u00e7os de pr\u00e9-natal na rede SUS do munic\u00edpio do Rio de Janeiro, Brasil","volume":"16","author":"Domingues RMSM","year":"2013","journal-title":"Rev Bras Epidemiol"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1590\/S1519-38292015000200007","article-title":"Pr\u00e9-natal em mulheres usu\u00e1rias do Sistema \u00danico de Sa\u00fade em duas maternidades no Estado do Rio de Janeiro, Brasil a cor importa?","volume":"15","author":"Fonseca SC","year":"2015","journal-title":"Rev Bras Sa\u00fade Matern Infant"},{"key":"ref24","series-title":"Programa de Humaniza\u00e7\u00e3o do Pr\u00e9-natal e Nascimento","year":"2000"},{"key":"ref25","first-page":"208043","article-title":"Perinatal outcome in women with hypertensive disorders of pregnancy a retrospective cohort study","volume":"2015","author":"Endeshaw G","year":"2015","journal-title":"Int Sch Res Notices"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1177\/1753944715597622","article-title":"Maternal and fetal outcome in women with hypertensive disorders of pregnancy the impact of prenatal care","volume":"9","author":"Barbosa IRC","year":"2015","journal-title":"Ther Adv Cardiovasc Dis"},{"key":"ref27","first-page":"1","article-title":"Hypertension in pregnancy natural history and treatment options","volume":"17","author":"Foo L","year":"2015","journal-title":"Curr Hypertens Rep"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/1471-2393-11-9","article-title":"A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil The Vigimoma Project","volume":"11","author":"Amaral E","year":"2011","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"744","DOI":"10.4103\/1119-3077.158141","article-title":"Maternal risk factors for singleton preterm births and survival at the University of Nigeria Teaching Hospital, Enugu, Nigeria","volume":"18","author":"Iyoke CA","year":"2015","journal-title":"Niger J Clin Pract"},{"key":"ref30","first-page":"766","article-title":"Preval\u00eancia de s\u00edfilis na gesta\u00e7\u00e3o e testagem pr\u00e9-natal estudo Nascer no Brasil","volume":"48","author":"Domingues RMSM","year":"2014","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref31","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1001396","article-title":"Global estimates of syphilis in pregnancy and associated adverse outcomes analysis of multinational antenatal surveillance data","volume":"10","author":"Newman L","year":"2013","journal-title":"PLoS Med"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1590\/S0034-89102010000100008","article-title":"Fatores associados \u00e0 realiza\u00e7\u00e3o de cesariana em hospitais brasileiros","volume":"44","author":"P\u00e1dua KS","year":"2010","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1590\/0102-311XPE02S114","article-title":"Sobre o parto e o nascer a import\u00e2ncia da preven\u00e7\u00e3o quatern\u00e1ria","volume":"30","author":"Souza JP","year":"2014","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1046\/j.1365-3016.2000.00222.x","article-title":"Factors associated with preterm births in southeast Brazil","volume":"14","author":"Bettiol H","year":"2000","journal-title":"Paediatr Perinat Epidemiol"},{"key":"ref35","first-page":"1","article-title":"Mortalidade neonatal descri\u00e7\u00e3o e efeito do hospital de nascimento ap\u00f3s ajuste de risco","volume":"42","author":"Barros AJ","year":"2008","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1186\/1471-2393-13-225","article-title":"Maternal postpartum morbidity in Marrakech what women feel what doctors diagnose?","volume":"13","author":"Assarag B","year":"2013","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1590\/S1413-81232010000200002","article-title":"A crian\u00e7a \u00e9 o pai do homem: novos 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