Evaluation of infant deaths during Covid-19 pandemic in Adıyaman, a southeastern province of Turkey
Year 2023,
Volume: 9 Issue: 1, 1 - 9, 23.04.2023
Erdoğan Öz
,
Osman Küçükkelepçe
,
Habip Almış
,
Mehmet Emin Parlak
,
Osman Kurt
Abstract
Aim: Evaluation of infant deaths during the Covid-19 Pandemic period in Adıyaman, a southeastern province of Turkey.
Materials and Methods: All infant mortality files submitted to Adıyaman Provincial Health Directorate Infant Mortality Investigation Commission in 2020 and 2021 were examined.
Results: 109 out of 11.019 live births in Adıyaman in 2020 and 135 of 11.979 live births in 2021 died before their first birthday. While the infant mortality rate was 9.9 per thousand in 2020, in 2021, it increased by 24% to 12.3 per thousand. There was no evidence that the Covid-19 pandemic directly increased infant mortality.
Conclusion: A significant portion of infant deaths are babies of mothers who had risky pregnancies. Therefore, all steps to protect maternal health will be the first and most effective way to reduce infant mortality.
References
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- World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021 Access date: August, 2022
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- Baird S, Friedman J, Schady N. Aggregate income shocks and infant mortality in the developing world. Review of Economics and statistics. 2011;93(3):847-856. https://doi.org/10.1162/REST_a_00084
- Ray D, Linden M. Health, inequality and income: a global study using simultaneous model. Journal of Economic Structures. 2018;7(1):1-28.
- Bugelli A, Borgès Da Silva R, Dowbor L, Sicotte C. The Determinants of Infant Mortality in Brazil, 2010–2020: A Scoping Review. International journal of environmental research and public health. 2021;18(12):6464.
- Garcia LP, Fernandes CM, Traebert J. Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil. Jornal de pediatria. 2019;95:194-200. https://doi.org/10.1016/j.jped.2017.12.007
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- OECD Data (Organisation for Economic Co-operation and Development). Available at: https://data.oecd.org/healthstat/infant-mortality-rates.htm Accessed in August, 2022
- Nourazari S, Davis SR, Granovsky R, et al. Decreased hospital admissions through emergency departments during the COVID-19 pandemic. The American journal of emergency medicine. 2021:42;203-210.
- Rollins N, Minckas N, Jehan F, et al. A public health approach for deciding policy on infant feeding and mother–infant contact in the context of COVID-19. The Lancet Global Health. 2021;9(4):e552-e557. doi.org/10.1016/S2214-109X(20)30538-6
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- Filiz Taş, Oktay AA, Gülpak M. Kahramanmaraş İl Merkezinde Meydana Gelen Bebek Ölümlerinin Değerlendirilmesi. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi. 2018:13(1);7-12. doi.org/10.17517/ksutfd.393180
- Çatak B, Öner C. Bebek Ölümlerinin Temel Nedeneri Değişiyor mu? Kayıt Temelli Kesitsel bir Çalışma. Turkish Journal Of Family Medicine And PrimaryCare. 2019;13(3): 311-317. doi.org/10.21763/tjfmpc.609770
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- Yılmaz M, Bayraktar F. Düzce ilinin 2014-2017 yılları arasındaki perinatal ölüm ve bebek ölümü verilerinin değerlendirilmesi/Evaluatıon of perinatal and infant mortality data in Duzce between 2014-2017. ESTÜDAM Halk Sağlığı Dergisi. 2020:5(1);35-42.
- Xie RH, Gaudet L, Krewski D, Graham ID, Walker MC, Wen SW. Higher cesarean delivery rates are associated with higher infant mortality rates in industrialized countries. Birth. 2015:42(1);62-69. doi.org/10.1111/birt.12153
- Shapiro-Mendoza CK, Lackritz EM. Epidemiology of late and moderate preterm birth. In Seminars in Fetal and Neonatal Medicine. 2012:17(3);120-125. doi.org/10.1016/j.siny.2012.01.007
- Salihu HM, Aliyu MH, Pierre-Louis BJ, Alexander GR. Levels of excess infant deaths attributable to maternal smoking during pregnancy in the United States. Maternal and child health journal. 2003:7(4);219-227. doi.org/10.1023/A:1027319517405
- Terra de Souza AC, Cufino E, Peterson KE, GardnerJ, Vasconcelos do Amaral MI, Ascherio A. Variations in infant mortality rates among municipalities in the state of Ceará, Northeast Brazil: an ecological analysis. International Journal of Epidemiology. 1999:28(2);267-275. doi.org/10.1093/ije/28.2.267
- Lamichhane R, Zhao Y, Paudel S, Adewuyi EO. Factors associated with infant mortality in Nepal: a comparative analysis of Nepal demographic and health surveys (NDHS) 2006 and 2011. BMC public health. 2017:17(1);1-18.
- Kozuki N, Lee AC, Silveira MF, et al. The associations of parity and maternal age with small-for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis. BMC Public Health. 2013:13(3);1-10.
- Mohammed M, Akuoko M. Subnational variations in electricity access and infant mortality: Evidence from Ghana. Health Policy OPEN. 2022:3;100057. doi.org/10.1016/j.hpopen.2021.100057
- National Vital Statistics Reports. International comparisons of infant mortality and related factors2010. Available at: https://stacks.cdc.gov/view/cdc/25388 Accessed on August,2022
- Kiross GT, Chojenta C, Barker D, Loxton D. Individual-, household-and community-level determinants of infant mortality in Ethiopia. PloS one. 2021:16(3);e0248501. doi.org/10.1371/journal.pone.0248501
- Türkiye Cumhuriyeti 2020 Sağlık İstatistikleri Yıllığı. Available at: https://dosyasb.saglik.gov.tr/Eklenti/43399,siy2020-tur-26052022pdf.pdf?0 Access date August, 2022
- Cerit Ç. Porsuk AÖ. Bebek Ölümlerinin İncelenmesi: Kırklareli Örneği. Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi. 2021;6(1):60.
Türkiye’nin bir güneydoğu ili Adıyaman’da Covid-19 pandemi sürecinde bebek ölümlerinin değerlendirilmesi
Year 2023,
Volume: 9 Issue: 1, 1 - 9, 23.04.2023
Erdoğan Öz
,
Osman Küçükkelepçe
,
Habip Almış
,
Mehmet Emin Parlak
,
Osman Kurt
Abstract
Amaç: Türkiye'nin Güneydoğu ili Adıyaman'da Covid-19 Pandemi döneminde bebek ölümlerinin değerlendirilmesi.
Gereç ve Yöntem: 2020 ve 2021 yıllarında Adıyaman İl Sağlık Müdürlüğü Bebek Ölümlerini Araştırma Komisyonuna sunulan tüm bebek ölüm dosyaları incelenmiştir.
Bulgular: 2020 yılında Adıyaman'da 11,019 canlı doğumdan 109'u ve 2021 yılında 11,979 canlı doğumdan 135'i bir yaşını doldurmadan ölmüştür. 2020 yılında bebek ölüm hızı binde 9,9 olurken; 2021'de %24 artarak binde 12,3’e yükselmiştir. Covid-19 pandemisinin bebek ölüm oranını doğrudan arttırdığına dair bir kanıt bulunmamıştır.
Sonuç: Bebek ölümlerinin önemli bir kısmı riskli gebelik geçiren annelerin bebekleridir. Bu sebeple; anne sağlığını korumaya yönelik atılacak tüm adımlar, bebek ölümlerini azaltmanın ilk ve en etkili yolu olacaktır.
References
- World Health Organization. Available at: https://www.who.int/data/gho/data/themes/topics/indicator-groups/indicator-group-details/GHO/infant-mortality Access date: August, 2022
- World Health Organization. Available at: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021 Access date: August, 2022
- Türkiye İstatistik Kurumu. Available at: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710 Access date: August, 2022
- Türkiye Cumhuriyeti Sağlık Bakanlığı. Available at: https://sbsgm.saglik.gov.tr/Eklenti/44131/0/saglik-istatistikleri-yilligi-2021-haber-bultenipdf.pdf Access date: August, 2022
- Ely DM, Driscoll AK. Infant mortality in the United States, 2017: data from the period linked birth/infant death file.
- Baird S, Friedman J, Schady N. Aggregate income shocks and infant mortality in the developing world. Review of Economics and statistics. 2011;93(3):847-856. https://doi.org/10.1162/REST_a_00084
- Ray D, Linden M. Health, inequality and income: a global study using simultaneous model. Journal of Economic Structures. 2018;7(1):1-28.
- Bugelli A, Borgès Da Silva R, Dowbor L, Sicotte C. The Determinants of Infant Mortality in Brazil, 2010–2020: A Scoping Review. International journal of environmental research and public health. 2021;18(12):6464.
- Garcia LP, Fernandes CM, Traebert J. Risk factors for neonatal death in the capital city with the lowest infant mortality rate in Brazil. Jornal de pediatria. 2019;95:194-200. https://doi.org/10.1016/j.jped.2017.12.007
- Singh GK, Stella MY. Infant mortality in the United States, 1915-2017: large social inequalities have persisted for over a century. International Journal of Maternal and Child Health and AIDS. 2019;8(1):19. doi: 10.21106/ijma.271
- OECD Data (Organisation for Economic Co-operation and Development). Available at: https://data.oecd.org/healthstat/infant-mortality-rates.htm Accessed in August, 2022
- Nourazari S, Davis SR, Granovsky R, et al. Decreased hospital admissions through emergency departments during the COVID-19 pandemic. The American journal of emergency medicine. 2021:42;203-210.
- Rollins N, Minckas N, Jehan F, et al. A public health approach for deciding policy on infant feeding and mother–infant contact in the context of COVID-19. The Lancet Global Health. 2021;9(4):e552-e557. doi.org/10.1016/S2214-109X(20)30538-6
- Pedersen J. The influence of consanguineous marriage on infant and child mortality among Palestinians in the West Bank and Gaza, Jordan, Lebanon and Syria. Public Health Genomics. 2002;5(3);178-181.
- Korkmaz A, Aydın Ş, Çamurdan AD, ve ark. Türkiye’de bebek ölüm nedenlerinin ve ulusal kayıt sisteminin değerlendirilmesi. Çocuk Sağlığı ve Hastalıkları Dergisi. 2013;56(3):105-121.
- Filiz Taş, Oktay AA, Gülpak M. Kahramanmaraş İl Merkezinde Meydana Gelen Bebek Ölümlerinin Değerlendirilmesi. Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi. 2018:13(1);7-12. doi.org/10.17517/ksutfd.393180
- Çatak B, Öner C. Bebek Ölümlerinin Temel Nedeneri Değişiyor mu? Kayıt Temelli Kesitsel bir Çalışma. Turkish Journal Of Family Medicine And PrimaryCare. 2019;13(3): 311-317. doi.org/10.21763/tjfmpc.609770
- Gregory EC, Drake P, Martin JA. (2018). Lack of change in perinatal mortality in the United States, 2014-2016. US Department of Health & Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
- Yılmaz M, Bayraktar F. Düzce ilinin 2014-2017 yılları arasındaki perinatal ölüm ve bebek ölümü verilerinin değerlendirilmesi/Evaluatıon of perinatal and infant mortality data in Duzce between 2014-2017. ESTÜDAM Halk Sağlığı Dergisi. 2020:5(1);35-42.
- Xie RH, Gaudet L, Krewski D, Graham ID, Walker MC, Wen SW. Higher cesarean delivery rates are associated with higher infant mortality rates in industrialized countries. Birth. 2015:42(1);62-69. doi.org/10.1111/birt.12153
- Shapiro-Mendoza CK, Lackritz EM. Epidemiology of late and moderate preterm birth. In Seminars in Fetal and Neonatal Medicine. 2012:17(3);120-125. doi.org/10.1016/j.siny.2012.01.007
- Salihu HM, Aliyu MH, Pierre-Louis BJ, Alexander GR. Levels of excess infant deaths attributable to maternal smoking during pregnancy in the United States. Maternal and child health journal. 2003:7(4);219-227. doi.org/10.1023/A:1027319517405
- Terra de Souza AC, Cufino E, Peterson KE, GardnerJ, Vasconcelos do Amaral MI, Ascherio A. Variations in infant mortality rates among municipalities in the state of Ceará, Northeast Brazil: an ecological analysis. International Journal of Epidemiology. 1999:28(2);267-275. doi.org/10.1093/ije/28.2.267
- Lamichhane R, Zhao Y, Paudel S, Adewuyi EO. Factors associated with infant mortality in Nepal: a comparative analysis of Nepal demographic and health surveys (NDHS) 2006 and 2011. BMC public health. 2017:17(1);1-18.
- Kozuki N, Lee AC, Silveira MF, et al. The associations of parity and maternal age with small-for-gestational-age, preterm, and neonatal and infant mortality: a meta-analysis. BMC Public Health. 2013:13(3);1-10.
- Mohammed M, Akuoko M. Subnational variations in electricity access and infant mortality: Evidence from Ghana. Health Policy OPEN. 2022:3;100057. doi.org/10.1016/j.hpopen.2021.100057
- National Vital Statistics Reports. International comparisons of infant mortality and related factors2010. Available at: https://stacks.cdc.gov/view/cdc/25388 Accessed on August,2022
- Kiross GT, Chojenta C, Barker D, Loxton D. Individual-, household-and community-level determinants of infant mortality in Ethiopia. PloS one. 2021:16(3);e0248501. doi.org/10.1371/journal.pone.0248501
- Türkiye Cumhuriyeti 2020 Sağlık İstatistikleri Yıllığı. Available at: https://dosyasb.saglik.gov.tr/Eklenti/43399,siy2020-tur-26052022pdf.pdf?0 Access date August, 2022
- Cerit Ç. Porsuk AÖ. Bebek Ölümlerinin İncelenmesi: Kırklareli Örneği. Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi. 2021;6(1):60.