Çocuk Sağlığı ve Hastalıkları Dergisi 2013 , Vol 56 , Num 3
Analysis of infant mortality causes and a new national mortality registration system in Turkey
*Ayşe Korkmaz1 Şirin Aydın2, Aysu Duyan Çamurdan3, Nurullah Okumuş4, Fatma Neşe Onat5, Sema Özbaş2, Emine Polat5, Saliha Şenel4, Başak Tezel2, Hasan Tezer3, Mehmet Rıfat Köse6
T.C. Sağlık Bakanlığı, Türkiye Halk Sağlığı Kurumu, Çocuk ve Ergen Sağlığı Daire Başkanlığı, Bebek Ölümleri Çalışma Grubu Hacettepe Üniversitesi Tıp Fakültesi 1Pediatri Profesörü, T.C. Sağlık Bakanlığı Türkiye Halk Sağlığı Kurumu 2Çocuk ve Ergen Sağlığı Daire Başkanlığı, Gazi Üniversitesi Tıp Fakültesi 3Pediatri Doçenti, Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi 4Pediatri Doçenti, 5Pediatri Uzmanı, T.C. Sağlık Bakanlığı 6Sağlık Politikaları Kurulu *İletişim: akorkmaz9@hotmail.com In this study, we aimed to investigate the causes of infant mortality and the reliability and credibility of the Infant Mortality Monitoring System, which was founded five years ago by the Ministry of Health, Public Health Agency, Department of Child and Adolescent Health. The main, intermediate and final causes of infant mortality, which were defined by the Local City Commissions and the Infant Mortality Study Group, were compared in order to define the correlation between the two groups. For this, 2046 cases were selected to cover nearly all cities in Turkey, from 2008. In all cases, hospital files and all medical documents were investigated by the Study Group. According to the time of death, 1157 (56.5%) were early neonatal deaths and 399 (19.5%) were late neonatal deaths, leading to 1556 (76.1%) neonatal deaths; 490 (23.9%) were postneonatal deaths. According to the classification of the Local City Commissions and the Infant Mortality Study Group, the main causes of mortality were prematurity (42.8% and 45.0%, respectively), intermediate causes of mortality were prematurity and respiratory distress syndrome (12.0% and 17.3%, respectively), and the final causes of mortality were respiratory distress syndrome (24.8% and 27.2%, respectively). The correlation rates between the mortality causes of the Local City Commissions and the Infant Mortality Study Group were highest (76.4%) in the main causes of death, while correlation was less with respect to the intermediate and final causes of death (34.3% and 56.8%, respectively). In Turkey, current infant mortality seems to originate greatly from neonatal mortality, which is mainly caused by prematurity and its complications. In order to achieve a further decline in the infant mortality rate, preterm births should be decreased or prevented in the future. In addition, in order to optimize the Infant Mortality Monitoring System and to decrease interobserver discrepancies between the diagnoses, a new list of systematic causes of deaths should be available. Anahtar Kelimeler : bebek mortalitesi, bebek ölüm hızı, bebek ölüm nedenleri.
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