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BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

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250 <strong>Patterns</strong> <strong>of</strong> Mortality in Childhood<br />

TABLE 151.<br />

Neonatal and Infant Mortality, by Birth Order in Four Projects.<br />

Birth orderprjc<br />

UNITED STATES<br />

CHILE MEXICO CANADA<br />

Monterrey Sherbrooke California<br />

project<br />

Neonatal Infant Neonatal<br />

Infant Neonatal Infant Neonatal Infant<br />

Total ................ <br />

1.................... <br />

2 .................... <br />

3 .................... <br />

4 .................... <br />

5 and over ............ <br />

26.6 55.2 26.0<br />

19.9 39.4 19.5<br />

22.8 47.8 18.9<br />

27.7 57.8 19.4<br />

32.3 67.0 23.9<br />

42.4 90.6 38.1<br />

60.7 13.5 18.3 12.7 17.5<br />

40.5 9.6 12.6 8.9 12.8<br />

48.4 10.7 10.3 12.1 16.7<br />

49.7 18.8 23.7 16.2 22.0<br />

50.9 21.1 27.3 21.8 28.9<br />

90.0 22.3 30.5 23.5 30.6<br />

£ Rates per 1,000 live births.<br />

were in general similar, increasing respectively<br />

from 12.8 and 12.6 per 1,000 live<br />

births for first births to 30.6 and 30.5 for<br />

those <strong>of</strong> fifth and higher orders.<br />

Although <strong>mortality</strong> for birth order 5 and<br />

over is given only for that group as a whole,<br />

the death rates increase markedly within<br />

that group to very high rates for those <strong>of</strong><br />

10th or higher birth orders, as was shown by<br />

Woodbury (1925) in his study <strong>of</strong> <strong>mortality</strong><br />

in eight cities in the United States. Thus,<br />

in projects <strong>of</strong> the Investigation, when large<br />

proportions <strong>of</strong> the infant deaths were <strong>of</strong><br />

fifth or higher birth orders, as in Recife,<br />

many infant deaths would be <strong>of</strong> very high<br />

birth order. In 11 Latin American projects<br />

the proportions <strong>of</strong> infant deaths in the group<br />

<strong>of</strong> birth order 5 and ,ver were above 30<br />

per cent, namely:<br />

Project Per cent<br />

Recife 50.7<br />

Monterrey 48.6<br />

Medellin 47.5<br />

Cartagena 39.2<br />

Ribeirdo Prto 36.7<br />

Cali 36.6<br />

Chaco Province 35.3<br />

El Salvador 34.8<br />

Kingston-St. Andrew 34.0<br />

San Juan Province<br />

S~o Paulo<br />

32.9<br />

30.6<br />

The percentages for the projects in Chile<br />

Birth Fla. Order 123. Infant in Chile and and Neonatal Monterrey Mortality Projects. by<br />

00 - CHILE PROJECT MONTERREY<br />

Fl. 124. Infant and Neonatal Mortality by<br />

Birth Order in Sherbrooke and California Projects.<br />

0 -SHERBROOKE CALIFORNIA<br />

PROJECT<br />

a<br />

5 30-<br />

60 ­<br />

.........................<br />

'J <br />

: 40 '..'INFANT<br />

a _ . .. ,..<br />

INFANT<br />

........................<br />

0 2<br />

"<br />

/<br />

-.<br />

- /.<br />

INFANT<br />

20 NEONATAL ......-.....<br />

o * NONA£t<br />

10 . IOAA NO~A<br />

oI<br />

0<br />

I 2 3 4 5 I 2 3 4<br />

0.<br />

2 3 4 5# I 2 3 4 3+<br />

BIRTHORDER<br />

ITH ORDER

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