Table 3.
Crude estimated risks (PR) of neonatal near miss and neonatal death according to some pregnancy outcomes. SIP/PAHO 2018–2020.
| Alive without NNM (n = 83,918) |
Neonatal near miss* (n = 1,250) |
Neonatal death (n = 695) |
||||
|---|---|---|---|---|---|---|
| Pregnancy outcomes | N (%) | N (%) | PR (95%CI) | N (%) | PR (95%CI) | p-value# |
| Mode of deliverya | .053 | |||||
| C-section | 30736 (36.8) | 654 (52.6) | 1.90 (1.43–2.53) | 340 (49.1) | 1.64 (1.08–2.51) | |
| Spontaneous vaginal | 52700 (63.1) | 584 (46.9) | Ref. | 353 (50.9) | Ref. | |
| Operative vaginal | 93 (0.1) | 6 (0.5) | 5.53 (2.68–11.43) | 0 (-) | – | |
| Assistance during childbirthb | <.001 | |||||
| MD/obstetrician | 68912 (84.8) | 1121 (90.7) | Ref. | 653 (96.0) | Ref. | |
| Nurse | 3017 (3.7) | 12 (1.0) | 0.25 (.14–.44) | 4 (0.6) | 0.14 (.07–.29) | |
| Only other health professionals | 9327 (11.5) | 103 (8.3) | 0.68 (.24–1.91) | 23 (3.4) | 0.26 (.07–1.04) | |
| Gestational age at birthc | ||||||
| <32 weeks | 116 (0.1) | 354 (28.8) | – | 312 (46.2) | 27.8 (183.0–4.7) | |
| 32–36 | 4637 (5.6) | 412 (33.6) | – | 154 (22.8) | 11.94 (6.91–2.63) | |
| ≥37 weeks | 77792 (94.2) | 462 (31.1) | – | 210 (31.1) | Ref. | |
| Birth weight | ||||||
| <2500 g | 5191 (6.2) | 881 (70.5) | – | 482 (69.4) | 32.07 (19.74–52.11) | |
| 2500–3999 g | 76806 (91.5) | 347 (27.8) | – | 204 (29.4) | Ref. | |
| ≥4000 g | 1921 (2.3) | 22 (1.8) | – | 9 (1.3) | 1.76 (.66–4.69) | |
| Congenital anomaliesd | 560 (0.7) | 37 (3.0) | 4.31 (2.36–7.87) | 91 (13.4) | 19.81 (6.56–59.78) | <.001 |
| 5-min Apgar < 7e | 18 (<0.1) | 377 (30.3) | – | 189 (27.3) | 152.9 (76.4–305.8) | |
| Neonatal resuscitation requiredf | 1667 (2.0) | 433 (34.8) | 2.95 (17.15–25.60) | 307 (44.5) | 33.29 (17.57–63.07) | <.001 |
*Neonatal Near Miss: birthweight <1750 g or 5-min Apgar < 7 or GA <33 weeks. #Comparison between neonatal near-miss and neonatal death.
Missing information for: a: 397; b: 2691; c: 1414; d: 510; e: 6; f: 654.