{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T21:19:06Z","timestamp":1790889546204,"version":"4.1.0"},"reference-count":62,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2021,11,6]],"date-time":"2021-11-06T00:00:00Z","timestamp":1636156800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This is an ecological and time-series study using secondary data on perinatal mortality and its components from 2008 to 2017 in Esp\u00edrito Santo, Brazil. The data were collected from the Mortality Information System (SIM) and Live Births Information System (SINASC) of the Unified Health System Informatics Department (DATASUS) in June 2019. The perinatal mortality rate (\u00d71000 total births) was calculated. Time series were constructed from the perinatal mortality rate for the regions and Esp\u00edrito Santo. To analyze the trend, the Prais\u2013Winsten model was used. From 2008 to 2017 there were 8132 perinatal deaths (4939 fetal and 3193 early neonatal) out of a total of 542,802 births, a perinatal mortality rate of 15.0\/1000 total births. The fetal\/early neonatal ratio was 1.5:1, with a strong positive correlation early neonatal mortality rate, perinatal mortality rate, r (9) = 0.8893, with a significance level of p = 0.000574. The presence of differences in trends by health region was observed. Risk factors that stood out were as follows: mother\u2019s age ranging between 10 and 19 or 40 and 49 years old, with no education, a gestational age between 22 and 36 weeks, triple and double pregnancy, and a birth weight below 2499 g. Among the causes of death, 49.70% of deaths were concentrated in category of the tenth edition of the International Classification of Diseases, fetuses and newborns affected by maternal factors and complications of pregnancy, labor, and delivery (P00\u2013P04), and 11.03% were in the category of intrauterine hypoxia and birth asphyxia (P20\u2013P21), both related to proper care during pregnancy and childbirth. We observed a slow reduction in the perinatal mortality rate in the state of Esp\u00edrito Santo from 2008 to 2017.<\/jats:p>","DOI":"10.3390\/ijerph182111671","type":"journal-article","created":{"date-parts":[[2021,11,7]],"date-time":"2021-11-07T20:41:14Z","timestamp":1636317674000},"page":"11671","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Perinatal Mortality Analysis in Esp\u00edrito Santo, Brazil, 2008 to 2017"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8604-587X","authenticated-orcid":false,"given":"Italla Maria Pinheiro","family":"Bezerra","sequence":"first","affiliation":[{"name":"Departamento de P\u00f3s-Gradua\u00e7\u00e3o em Pol\u00edticas P\u00fablicas e Desenvolvimento Local, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria (EMESCAM), Vit\u00f3ria 29027502, Brazil"},{"name":"Departamento de Enfermagem, Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria (EMESCAM), Vit\u00f3ria 29027502, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Lucas Souza","family":"Ramos","sequence":"additional","affiliation":[{"name":"Departamento de Enfermagem, Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria (EMESCAM), Vit\u00f3ria 29027502, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micael Colodetti","family":"Pianissola","sequence":"additional","affiliation":[{"name":"Departamento de Enfermagem, Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria (EMESCAM), Vit\u00f3ria 29027502, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Adami","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Epidemiologia do Centro Universit\u00e1rio ABC (FMABC), Santo Andr\u00e9 09060590, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0361-6391","authenticated-orcid":false,"given":"Jo\u00e3o Batista Francalino da","family":"Rocha","sequence":"additional","affiliation":[{"name":"Ci\u00eancias da Sa\u00fade no Centro Universit\u00e1rio ABC (FMABC), Santo Andr\u00e9 09060870, Brazil"},{"name":"Centro de Ci\u00eancias da Sa\u00fade e do Desporto (CCSD), Universidade Federal do Acre (UFAC), Rio Branco 69920900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6475-3285","authenticated-orcid":false,"given":"Mariane Albuquerque Lima","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Ci\u00eancias da Sa\u00fade no Centro Universit\u00e1rio ABC (FMABC), Santo Andr\u00e9 09060870, Brazil"},{"name":"Centro de Ci\u00eancias da Sa\u00fade e do Desporto (CCSD), Universidade Federal do Acre (UFAC), Rio Branco 69920900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magda Ribeiro","family":"de Castro","sequence":"additional","affiliation":[{"name":"Departamento de Enfermagem da Universidade Federal do Esp\u00edrito Santo (UFES), Vit\u00f3ria 29075910, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana da Fons\u00eaca","family":"Bezerra","sequence":"additional","affiliation":[{"name":"Departamento de Enfermagem Materno Infantil (DEMI) da Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro 21941901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiana Rosa Neves","family":"Smiderle","sequence":"additional","affiliation":[{"name":"Departamento de Enfermagem, Laborat\u00f3rio de Escrita Cient\u00edfica, Escola Superior de Ci\u00eancias da Santa Casa de Miseric\u00f3rdia de Vit\u00f3ria (EMESCAM), Vit\u00f3ria 29027502, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6895-4914","authenticated-orcid":false,"given":"Luiz Vinicius de Alcantara","family":"Sousa","sequence":"additional","affiliation":[{"name":"Departamento de Sa\u00fade da Coletividade do Centro Universit\u00e1rio FMABC, Santo Andr\u00e9 09060870, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8993-3031","authenticated-orcid":false,"given":"Carlos Eduardo","family":"Siqueira","sequence":"additional","affiliation":[{"name":"Environment and Public Health, School for the Environment, Transnational Brazilian Project, The Mauricio Gast\u00f3n Institute for Latino Community Development and Public Policy, UMass Boston, Boston, MA 02125, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Carlos","family":"de Abreu","sequence":"additional","affiliation":[{"name":"Departamento de Educa\u00e7\u00e3o Integrada em Sa\u00fade na Universidade Federal do Esp\u00edrito Santo (UFES), Vit\u00f3ria 29027502, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1111\/ajo.12454","article-title":"Validation of local review for the identification of contributory factors and potentially avoidable perinatal deaths","volume":"56","author":"Masson","year":"2016","journal-title":"Aust. 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