BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

302 Patternsof Mortalityin Childhood
Fio. 151. Percentage of Infants Dying in First of the infants had been born in hospitals--
Year of Life Who Were Born in Hospital, by Type
San Juan (city) with 93.1 per cent, Ribeira o
of Attendant at Birth, in 24 Areas of 15 Projects.
PINCEN
Prto (city) 95.1 per cent, and Santiago 95.3
0 20 40 60 so too per cent. The lowest percentages, 15.1 and
Hn m34.0, *I
were found in Viacha and the rural
.... municipios of El Salvador. As expected,
nio McII
suburban and rural populations had lower
Mi. 1. "no omm -SONthe
neighboring cities.
l)roportions of deliveries in hospitals than
go PM
In several areas trained midwives per-
In fact,
____ __ formed the deliveries in hospitals.
SUSALVACDOEmin
five areas (the three in San Juan Prov­
,i- - ince, Resistencia in Chaco Province, and
CC,
Metropolitan Kingston) they performed
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over half the deliveries. As for deliveries
cAU
r"ELL
at home, rarely were they attended by
physicians; some were attended by trained
CIA'o.
Sa1,011%.L
uMSAL. ,AD L
midwives, but many in the Latin American
ATEA
projects were attended by untrained midwives
or by a family member or neighbor.
PHSICIAN MIDWIFE t UNSPIC,1,
HOSPITALIZATION FOR UNDERLYING CAUSE OF
DEATH
The percentages of deceased children un- hospital care. It is interesting to note that
der 5 years of age who were hospitalized at 94.6 per cent of the neonatal deaths in the
some time for treatment of the underlying two Northern American projects were of
cause of death are presented for two age infants who remained in hospital from
groups: under 28 days and 28 days through birth to death, while only 65.0 per cent
4 years (Table 179 and Figures 152 and were in that category in the Latin American
153). They are based on deaths for which projects. This is due in part to the high
data on hospitalization were known. proportion of neonatal deaths occurring in
Of the infants who died in the neonatal the first day of life in the Northern Amerperiod
in all 15 projects combined, 66.9 ican projects (59.2 per cent). In the Latin
per cent remained in the hospital from American areas the highest percentages of
birth to death; 18.5 per cent were hos- infants dying in the neonatal period who
pitalized at some time for the cause lead- remained in hospital from birth to death
ing to death; and 14.6 per cent received no were 82.1 in Ribeirdo Pr to (city) and 81.6