Mortalidade neonatal no Município de Londrina, Paraná, Brasil, nos anos 1994, 1999 e 2002

Abstract

Despite technological progress in recent decades, neonatal mortality accounts for some two-thirds of infant deaths where the infant mortality rates are low. This study analyzes neonatal deaths in Londrina, Paraná, Brazil, during three periods, beginning with 1994, the year when pediatric and neonatal intensive care beds were created in the city. The data were collected from live birth certificates in the National Information System on Live Births (SINASC) and individual analysis of neonatal death certificates. Births declined in the city, but the low birthweight rate increased from 7.7 to 8.8% and the preterm birth rate from 6.3 to 8.4%. Multiple births also increased. Caesarian sections varied from 48 to 52%. The percentage of deaths from congenital malformations increased. The vast majority of neonatal deaths are preventable, mainly by providing specialized care during pregnancy. The neonatal mortality rate has declined recently, from 10.1 to 6.4 per 1,000 live births. The authors conclude that neonatal care is improving in Londrina.

Determinantes contextuais da mortalidade neonatal no Rio Grande do Sul por dois modelos de análise

“…25 Birth weight and prematurity are major risk factors for neonatal mortality. 3,7,11,18 In the present study, there was found an inverse relationship between birth weight and neonatal death, consistent with other studies conducted in Pelotas (Southern Brazil), São Paulo (Southeastern Brazil), and Recife (Northeastern Brazil). 3,12,22 Pre-term newborns were almost twice as likely to die in the neonatal period compared with full-term infants, as reported in a study conducted in São Paulo.…”

Avaliação das declarações de nascido vivo como fonte de informação sobre defeitos congênitos

“…20 In the city of Londrina, state of Paraná, deaths from BDs occurred, in a decreasing order of importance, due to: multiple defects, heart diseases, diaphragmatic hernia, polycystic kidneys and hydrocephaly. 21 It is more diffi cult to identify multiple BDs when the information is based on SINASC data (0.1%oo LBs). However, after linkage with SIM data, those individuals with multiple BDs are more clearly identifi ed (1.1%oo LBs).…”

Caracterização das internações em uma unidade de terapia intensiva pediátrica, de um hospital-escola da região sul do Brasil

“…Freqüentemente, efetua-se o atendimento desvinculado da rede pública em geral, rompendo com a integralidade da atenção à saúde, de fundamental importância na assistência à saúde infantil (15) . Quanto ao sexo, os óbitos foram maiores entre as meninas, nos dois anos de funcionamento da UTIP (16) , fato este observado entre as crianças nascidas em 1989, em hospitais de Maringá, pois as do sexo feminino apresentaram risco de morrer 1,4 vezes o correspondente ao sexo masculino, sendo este diferencial de 33,3% no período neonatal e 72,7% no período pós-neonatal, paradoxalmente aos resultados citados por vários autores (18,20) em que há sobremortalidade infantil masculina.…”