0103/2026 - FATORES ASSOCIADOS AO NEAR MISS NEONATAL NA REGIÃO SUDESTE DO BRASIL: RESULTADOS DO NASCER NO BRASIL II FACTORS ASSOCIATED WITH NEONATAL NEAR MISS IN THE SOUTHEASTERN REGION OF BRAZIL: RESULTS FROM BITH IN BRAZIL II
Objetivo: Analisar os fatores associados ao near miss neonatal (NMN) em hospitais públicos e privados da região Sudeste do Brasil. Métodos: Estudo de coorte prospectiva com 7.552 nascidos vivos de gestações únicas do estudo Nascer no Brasil II (2021–2023). O NMN foi definido pelos critérios de Pileggi-Castro et al. (2014) e as variáveis independentes foram organizadas em modelo hierárquico: nível distal (características sociodemográficas), intermediário (condições maternas e assistência pré-natal) e proximal (complicações obstétricas, tipo de parto e sexo do recém-nascido). As associações foram estimadas por regressão logística. Resultados: O NMN ocorreu em 12,5% dos nascidos vivos. Após ajuste, associaram-se ao desfecho: residência urbana (OR=1,75), ausência de companheiro (OR=1,36), síndromes hipertensivas da gestação, diabetes pré-gestacional (OR=2,76), sífilis (OR=5,44), realização de menos de 50% das consultas pré-natais (OR=2,14), etilismo (OR=1,50), morbidade materna grave (OR=1,96), parto por fórceps/vácuo (OR=2,39) e sexo masculino (OR=1,23). Conclusão: O NMN associou-se a determinantes clínicos, sociodemográficos e assistenciais, evidenciando desigualdades persistentes na atenção pré-natal e intraparto e a necessidade de fortalecer políticas integradas de cuidado materno e neonatal.
Palavras-chave:
Near miss; Complicações na Gravidez; Fatores de Risco; Fatores Socioeconômicos; Serviços de Saúde Maternoinfantil.
Abstract:
Objective: To analyze the factors associated with neonatal near miss (NMN) in public and private hospitals in the Southeast region of Brazil. Methods: A prospective cohort study with 7,552 live births from singleton pregnancies from the "Born in Brazil II" study (2021–2023). NMN was defined according to the criteria of Pileggi-Castro et al. (2014), and the independent variables were organized in a hierarchical model: distal level (sociodemographic characteristics), intermediate level (maternal conditions and prenatal care), and proximal level (obstetric complications, type of delivery, and sex of the newborn). Associations were estimated using logistic regression. Results: Neonatal mortality (NMN) occurred in 12.5% of live births. After adjustment, the following were associated with the outcome: urban residence (OR=1.75), absence of a partner (OR=1.36), hypertensive syndromes of pregnancy, pre-gestational diabetes (OR=2.76), syphilis (OR=5.44), less than 50% of prenatal visits (OR=2.14), alcoholism (OR=1.50), severe maternal morbidity (OR=1.96), forceps/vacuum delivery (OR=2.39), and male sex (OR=1.23). Conclusion: NMN was associated with clinical, sociodemographic, and care determinants, highlighting persistent inequalities in prenatal and intrapartum care and the need to strengthen integrated maternal and neonatal care policies.
Keywords:
Near miss; Pregnancy Complications; Risk Factors; Socioeconomic Factors; Maternal and Child Health Services.
FACTORS ASSOCIATED WITH NEONATAL NEAR MISS IN THE SOUTHEASTERN REGION OF BRAZIL: RESULTS FROM BITH IN BRAZIL II
Resumo (abstract):
Objective: To analyze the factors associated with neonatal near miss (NMN) in public and private hospitals in the Southeast region of Brazil. Methods: A prospective cohort study with 7,552 live births from singleton pregnancies from the "Born in Brazil II" study (2021–2023). NMN was defined according to the criteria of Pileggi-Castro et al. (2014), and the independent variables were organized in a hierarchical model: distal level (sociodemographic characteristics), intermediate level (maternal conditions and prenatal care), and proximal level (obstetric complications, type of delivery, and sex of the newborn). Associations were estimated using logistic regression. Results: Neonatal mortality (NMN) occurred in 12.5% of live births. After adjustment, the following were associated with the outcome: urban residence (OR=1.75), absence of a partner (OR=1.36), hypertensive syndromes of pregnancy, pre-gestational diabetes (OR=2.76), syphilis (OR=5.44), less than 50% of prenatal visits (OR=2.14), alcoholism (OR=1.50), severe maternal morbidity (OR=1.96), forceps/vacuum delivery (OR=2.39), and male sex (OR=1.23). Conclusion: NMN was associated with clinical, sociodemographic, and care determinants, highlighting persistent inequalities in prenatal and intrapartum care and the need to strengthen integrated maternal and neonatal care policies.
Palavras-chave (keywords):
Near miss; Pregnancy Complications; Risk Factors; Socioeconomic Factors; Maternal and Child Health Services.
Pereira, B, Pereira, APE, Marano, D. FATORES ASSOCIADOS AO NEAR MISS NEONATAL NA REGIÃO SUDESTE DO BRASIL: RESULTADOS DO NASCER NO BRASIL II. Cien Saude Colet [periódico na internet] (2026/mai). [Citado em 12/09/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-ao-near-miss-neonatal-na-regiao-sudeste-do-brasil-resultados-do-nascer-no-brasil-ii/20001?id=20001
