The objective was to analyze the distribution of deaths due to accidents and violence in children under 1 year of age. Methods: the number of deaths was obtained from the website of the Informatics Department of the Unified Health System considering the period 2004-2019. Results: In the period there were 16,274 deaths of babies due to accidents (n=12,984) and violence (n=3,290), making up the fifth cause of death in the first year of life. Most of the deaths from accidents were due to "other causes of accidental trauma" (n=11,300), and more than 75% of them were due to aspiration of objects, food, gastric contents. Aggression (n=1450) tended to increase during the study period. Conclusion: Accidents and violence are the fifth leading cause of death for children under 1 year of age. In view of the preventability of these deaths, it is crucial to propose interventions that precede the child's birth, preferably involving prenatal care.