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BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

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50 PatternSi <strong>of</strong> Mortalityin Childhood<br />

Fia. 28. Distribution <strong>of</strong> Infants Dying in Neonatal Period Born inHospitals, by Birth-Weight Group,<br />

in 13 Cities and Two Projects.'<br />

40<br />

METROPOLITAN CAUFORNIA<br />

KINGSTON PROJECT<br />

77.6<br />

SRIERROOKE MEDELLIN SANTIAGO SAN SALVADOR CARTAGENA RISEIRAO PRETO<br />

(cn'Yr<br />

73,5<br />

3 - 78.4 73.7 72.3 72.2 71.9 71.2<br />

30[-<br />

RECFE<br />

70.5<br />

CAU<br />

69.3<br />

LA PAZ<br />

68.6<br />

SAN JUAN<br />

PROVINCE<br />

65.3<br />

SAO PAULO<br />

60.9<br />

RESISTENCIA MONTERREY<br />

59.9 53.9<br />

2o<br />

01<br />

BIRTHWEIGHTIN GRAMS<br />

BIRTHWEIGHTOF 500 GRAMSO<br />

tESS<br />

The percenaloges for birth wights <strong>of</strong> 2300<br />

groms or loss are indicated o'ovo the<br />

bracketed lou Iow.hlrlh.welght groops.<br />

order according to the proportions falling<br />

in the low-weight group <strong>of</strong> 2,500 grams or<br />

less.<br />

With the exception <strong>of</strong> Metropolitan Kingston,<br />

the Latin American projects had relatively<br />

low proportions <strong>of</strong> neonatal deathe<br />

in the lowest weight group, 1,000 grams or<br />

less. The percentage for Kingston was 18.8<br />

ani the others varied from 7.8 in San Juan<br />

Province and 8.0 in Monterrey to 15.6 in<br />

Medellin. In the projects in California and<br />

Sherbrooke, respectively, 35.9 and 30.0 per<br />

cent <strong>of</strong> neonatal deaths were in this lowweight<br />

group. To illustrate the differences<br />

between these two projects and the other 13,<br />

Figure 28 subdivides this weight group into<br />

500 grains or less (lower portion <strong>of</strong> the bar)<br />

and 600-1,000 grams. In the Sherbrooke<br />

and California projects (Table 9) the percentages<br />

in the subgroup 500 grains or less<br />

were 8.6 and 7.5, respectively, while in the<br />

other areas only from 0.4 to 2.5 per cent<br />

were in that subgroup. Thus, in addition<br />

to possible deficiencies in recording signs <strong>of</strong><br />

life, it is likely that immature babies are<br />

more frequently delivered as live births and<br />

not as fetal deaths in the Canadian and<br />

California projects than in the others. Shapiro<br />

et al. (1968), in exploring differences<br />

in international comparisons <strong>of</strong> neonatal

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