BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

98. PatternsofMorti6ity in Childhood
and variations in the quality of medical
services could account for these differences.
To illustrate the differences between
urban and rural populations, data are provided
in Table 42 and Figure 47 for the
three areas of San Juan Province. In the
city of San Juan immaturity was assigned
as a cause in 1,786.9 neonatal deaths per
100,000 live births, while the rates in the
suburban and rural areas were 2,904.0 and
2,536.4, respectively. Also a difference was
noted between the city of Ribeirblo Prate
TABLE 42. Immaturity as Underlying or Associated
Areas of Cause San Juan of Neonatal Province.
Mortality' in Three
Areas ofSanJuanProvince.
Neonatal deaths
Area
With
Area Total immaturity
No. Rate No. Rate
N RTherefore,
San Juan (city) ............. 172 2,055.3 104 1,780.9
Suburban departments ....... 353 4,457.1 230 2,004.0
Rural departments ........... 381 3,060.5 244 2,530.4
lates per 100,000 live births,
Fla. 47. Immaturity as Underlying or Associated
Cause of Neonatal Mortality in Three Areas of
San Juan Province.
DEATHS PER100.000LIVE SITHS
0 ,000 - 2000 000 - 4000 &00o
suu.SIAND IMIsPA
RUMSLDIPASI HEIS
SINJuA u
=IMMATURITY
[=WITHOUT MNTION
and the interior city of Franca, with a
higher rate in the latter.
The reasons for these intriguing findings
are not known. It is clear from the data on
nutritional deficiency that this condition of
high susceptibility is also frequently found
as an underlying or associated cause in
these same suburban and rural areas.
the possibility exists that in
these areas low birth weights are more common
than in urban areas of the same projects
owing to the unfavorable nutritional
state of mothers.
NEONATAL MORTALITY FROM MATERNAL CONDITIONS (760-763)
The group of maternal conditions affecting
the health of the product of conception
and the survival of the infant is classified
into three main subgroups: conditions unrelated
to pregnancy (760, 761), toxemia
(762), and maternal antepartum and intrapartui
infection (763). The group as a
whole was responsible for 827 neonatal
deaths in all 15 projects. The rates by
projects are shown in Table 43 and Figure
48. Mortality from these causes exhibits
great variations, from 92.1 deaths per
100,000 live births in Recife to 270.8 in the
El Salvador project. Differences in quality
of data according to place of birth and
death and completeness of clinical records
may be determining factors in these variations.
However, the marked differences
found between the projects in Northern
America and some in Latin America are an
indication of serious health conditions in
the mother in the latter areas.
Conditions Unrelated to Pregnancy
(760, 761)
An important group of morbid conditions
can alter the normal course of pregnancy or
delivery or interfere with the health of the