Fetal and infant mortality trends according to the avoidability of causes of death and maternal education

ABSTRACT: Objective: To estimate trends of fetal (FMR) and neonatal (NMR) mortality rates due to avoidable causes maternal education in the city Rio de Janeiro (2000–2018). Methods: Ecological time series study. Mortality Live Birth Information System Data. The List Avoidable Causes Death Due Interventions Brazilian Health was used for deaths an adaptation deaths, according indicators (low <4 high ≥12, years study). Joinpoint regression models were FMR, based on one thousand births, NMR, live births. Results: FMR decreased from 11.0 9.3% NMR 11.3 7.8% (2000/2018). In 2006, (10.5%) exceeded (9.0%), remaining higher. From 2000 2018, annual decrease 0.8% (2000 2018) 3.8% until 2007, decreasing 1.1% by 2011; then on, it remained stable. causes, especially those reducible adequate prenatal care, showed higher rates. Both low-education women than high-education level, difference being much more pronounced at end period: low- respectively 16.4 4.5% (2000) 48.5 3.9% (2018), 18.2 6.7% 28.4 5.0% (2018). Conclusion: favorable trend not observed children mothers with low education, revealing inequalities. mostly avoidable, related care childbirth.