Fatores de risco para mortalidade neonatal no município de Serra, Espírito Santo

Lima, Eliane de Fátima Almeida; Sousa, Ana Inês; Griep, Rosane Härter; Primo, Cândida Çaniçali

doi:10.1590/s0034-71672012000400005

Cited by 23 publications

(33 citation statements)

References 17 publications

(37 reference statements)

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“…Among the biological variables, the low Apgar score has been described in the literature as a predictive variable that is more closely associated with neonatal death (8)(9)15) , recurrent in the present study, since Apgar score <7, both in the 1 st and 5 th minutes was associated with neonatal death. In Recife-PE, infant born with low birth weight who developed severe hypoxia (Apgar score 0-3) at the 1 st and …”

Section: Discussionsupporting

confidence: 61%

Neonatal mortality in infants with low birth weigh

Gaíva

Fujimori

Sato

2014

Rev. esc. enferm. USP

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Objective To evaluate the factors associated with neonatal mortality in infant born with low birth weight. Method Cross-sectional study that analyzed data from 771 live births with low birth weight (<2500 g) in the city of Cuiabá, MT, in 2010, of whom 54 died in the neonatal period. We obtained data from the Information System on Live Births and Mortality, by integrated linkage. Results In multiple logistic regression, neonatal mortality was associated with: number of prenatal visits less than 7 (OR=3.80;CI:1,66-8,70); gestational age less than 37 weeks (OR=4.77;CI:1.48-15.38), Apgar score less than 7 at the 1st minute (OR=4.25;CI:1.84-9.81) and the 5th minute (OR=5.72,CI:2.24-14.60) and presence of congenital anomaly (OR=14.39;IC:2.72-76.09). Conclusion Neonatal mortality in infants with low birth weight is associated with avoidable factors through adequate attention to prenatal care, childbirth and infants.

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Section: Discussionsupporting

confidence: 61%

Neonatal mortality in infants with low birth weigh

Gaíva

Fujimori

Sato

2014

Rev. esc. enferm. USP

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“…This study showed that only very low birth weight newborns (<1,500 grams) were at risk of death during the neonatal period (OR = 217.73), which may be explained by the fact that these infants required long periods in the NICU to gain weight, exposing them to infections and other complications (15) . Low birth weight is an important characteristic of the newborn, and is the main isolated predictor of neonatal death, with evidence of higher risk of death as birthweight goes down (4,16) . The existence of clinical incidents during gestation may predict adverse perinatal results that may have as an outcome neonatal death (17) .…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the type of gestation, it is known that newborns of multiple pregnancies are at higher risk of being premature and have low birth weight. Because of this, gemellarity is also considered a maternal factor associated with neonatal death (16) . Newborns of women with premature labor are 11 times more likely to die in the neonatal period.…”

Section: Discussionmentioning

confidence: 99%

High risk pregnancies and factors associated with neonatal death

Demitto

Gravena

Dell’Agnolo

et al. 2017

Rev. esc. enferm. USP

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Objective:To identify the factors associated with intra-hospital neonatal mortality based on the individual characteristics of at-risk pregnant mothers, delivery and newborns. Method: This was a cross-sectional epidemiological study of live newborns delivered by women attended at the high-risk outpatient unit of a philanthropic hospital in Maringá, Paraná, Brazil between September 2012 and September 2013. Results: Six hundred and eighty-eight women participated in the study. The neonatal mortality coefficient found was 17.7/1,000 live births, most in the early neonatal phase. Premature labor, fetal malformation and multiple gestations were associated with neonatal death. Premature, very low birth weight newborns and those with an Apgar score of less than seven, five minutes after birth were at high risk of death. Conclusion: Identifying risk factors can help plan actions to consolidate the perinatal network. Specific programs should be incentivized in other countries, in the search for significant perinatal results such as reducing neonatal mortality. . If we break down infant mortality by age, worldwide, neonatal (0 to 27 days) deaths account for 44% of all deaths among children under the age of five (3) . In Brazil this component is even larger, and can be as high as 70% in all regions (2) , with 11.2 deaths per thousand live births between 2011 and 2012 (4) . In the state of Paraná, neonatal deaths dropped from 2,426 in 1996 to 1,279 in 2014 (94.8% less). However, in spite of all the progress made, 71.8% of infant deaths in 2014 were in the neonatal period (5) . According to the Report on Levels and Trends in Infant Mortality (Relatório de Níveis e Tendência em Mortalidade Infantil), the main goal is to reduce mortality in the neonatal period, which is where most infant deaths occur (1) . To reduce maternal and infant mortality, and the high percentage of avoidable deaths, in 2012 a public policy for prenatal care and for the care of newborns at risk was created in Paraná. It focuses on early detection of pregnant women at risk, their prenatal care, risk stratification of mothers and infants, specialized ambulatory care for pregnant women and infants (under the age of one) at risk, and ensured delivery via a system that is linked to the hospital (6) . Numerous studies have attempted to analyze the causes of neonatal deaths. Studies show a strong link between neonatal deaths and maternal and infant life conditions and health, economic situation, and access to healthcare, and to biological conditions such as gestational age, weight at birth and Apgar index (7) . We also call attention to the risk in the current and previous pregnancy (prior stillbirth, premature or low birth weight infants), the movement of the pregnant woman to delivery and women giving birth to low-weight babies (< 1,500 grams) in hospitals not equipped with a Neonatal Intensive Care Unit (NICU) (4) . Studies show that among newborns in NICU, Cesarean birth, failure to use steroids, pre-eclampsia, oligohydramnios, <2,500 grams ...

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“…Na ocasião de verificar as possíveis contrapartidas alcançáveis via Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH-SUS), a pesquando do uso de Sistemas de Informações em Saúde nacionais, os SIS nacionais. 7,[13][14][15][16] A partir desse grupo literário viabilizou-se um recorte pormenorizado de características basilares que tangenciaram múltiplos contextos de saúde enlaçados no desempenho da enfermagem. Da análise interpretativa desses conteúdos, depreendeu-se que o uso acertado dos SIS representa substancial aliado ao redesenho de condutas da enfermagem.…”

Section: Desarticulações Labor Ais Da Enfermagem Frente Aos Sistemas unclassified

“…E à guisa de julgamentos crítico-reflexivos, unanimemente é chamada para a enfermagem a tarefa de aliar informações clínicas, gerenciais e epidemiológicas advindas dos SIS nacionais ao seu quadro de atuação. 7,[13][14][15][16] Na expectativa de planejar a tomada de decisão em enfermagem, o emprego e ajustada manipulação dos SIS nacionais consubstanciaram elementos de ajuda valorosa à atividade do enfermeiro. 7,[13][14][15][16] A apropriação, pela enfermagem, dessas fontes de informação pode desencadear reflexos no gerenciamento dos serviços, na qualidade assistencial e, quiçá, incitar contribuições às políticas públicas.…”

Section: Desarticulações Labor Ais Da Enfermagem Frente Aos Sistemas unclassified

Impact of Health Information Management on Brazilian Nursing Practice From 2004 to 2009

Matos¹,

Vieira²,

Franco³

2015

REME: Revista Mineira De Enfermagem

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RESUMOA crescente busca de qualidade no atendimento à saúde abrange o gerenciamento da informação em saúde como elemento constitucional de realidades profissionais e assistenciais aprimoradas. Em face de o engajamento profissional assumir papel tático nessa conjuntura, desenvolveu-se uma revisão integrativa da literatura com o objetivo de analisar os impactos do gerenciamento da informação em saúde que permearam os processos de trabalho da Enfermagem brasileira no período de 2004 a 2009. Identificaram-se os reflexos da integração de sistemas e tecnologias de informação no contexto da atuação do profissional enfermeiro. Efetuou-se levantamento bibliográfico na base de dados da Biblioteca Virtual em Saúde, sendo que 20 produções somadas à Política Nacional de Informação e Informática em Saúde versão 2.0 foram analisadas mediante três linhas de significado. Relevou-se o empoderamento da enfermagem brasileira em 60% dos estudos, em 25% ficaram expressas as desarticulações laborais da profissão frente aos Sistemas de Informação em Saúde nacionais e 15% das produções remeteram a um cenário caracterizado por percalços experimentados pela Enfermagem. Evidenciou-se o interesse da Enfermagem em gerar conhecimentos e programar estratégias consoantes os fenômenos gerenciais da informação em saúde. Todavia, o enfermeiro não se apoderou veementemente dos mecanismos mais acertados para tal processo. Palavras-chave: Gestão da Informação em Saúde; Enfermagem; Sistemas de Informação; Sistemas de Informação em Saúde; Informática em Enfermagem; Processamento Automatizado de Dados. ABSTR ACT Health information management is an essential practice in the constant quest for quality patient care. In this context professional commitment is fundamental; the present study is an integrative literature review that aims at analysing the impact of health information management in nursing practice in Brazil from 2004 to 2009, identifying the consequences of system integration and the advances in information technology

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Fatores de risco para mortalidade neonatal no município de Serra, Espírito Santo

Cited by 23 publications

References 17 publications

Neonatal mortality in infants with low birth weigh

Neonatal mortality in infants with low birth weigh

High risk pregnancies and factors associated with neonatal death

Impact of Health Information Management on Brazilian Nursing Practice From 2004 to 2009

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