Gravidez na adolescência e outros fatores de risco para mortalidade fetal e infantil no Município do Rio de Janeiro, Brasil

Oliveira, Elaine Fernandes Viellas de; Gama, Silvana Granado Nogueira da; Silva, Cosme Marcelo Furtado Passos da

doi:10.1590/s0102-311x2010000300014

Cited by 57 publications

(75 citation statements)

References 30 publications

(36 reference statements)

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“…Dentre as hemorragias, ressalta-se a presença de trombofilias em pacientes com histórico de abortos recorrentes e perdas fetais, identificando-se a associação entre fatores trombogênicos e má história obstétrica. A literatura propõe investigação de rotina para trombofilias em mulheres que já sofreram abortos, considerando a possibilidade de tratamento com heparina de baixo peso molecular durante a gravidez atual, evitando efeitos deletérios desta associação (19) . O diabetes gestacional é uma intercorrência frequente no ciclo grávido-puerperal e que apresenta alta incidência de morbimortalidade fetal e neonatal.…”

Section: Discussionunclassified

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Silva¹,

Mazotti²,

Zilly³

et al. 2016

ACS

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Conflito de interesses:Não Contribuição dos autores: BRM concepção e planejamento do projeto de pesquisa, obtenção ou análise/interpretação dos dados, redação. AZ obtenção ou análise/ interpretação dos dados, redação e revisão crítica. HF obtenção ou análise/interpretação dos dados, redação e revisão crítica. SC obtenção ou análise/interpretação dos dados, redação e revisão crítica. RMMS concepção e planejamento do projeto de pesquisa, obtenção ou análise/interpretação dos dados, redação e revisão crítica. Contato para correspondência: Rosane Meire Munhak Silva E-mail: zanem2010@hotmail. AbstractIntroduction: Despite the progress made in health care, it appears that fetal death remains a concern for public health services for a long time. It was neglected, and few investments were made to reduce it. Objective: Search scientific evidence demonstrating fetal, maternal, and social risk factors are related to fetal death. Material and Method: Integrative literature review of 16 papers from Scielo, Bireme and Pubmed, between 2005 and 2014, only in English and Portuguese and selected from the question: What fetal, maternal, and social risk factors are associated with fetal death? Titles and abstracts were read to select those to be read in their entirety, and for this, two researchers read the publications in order to see if the inclusions were consistent. Data collection occurred from September to December 2014. The hierarchical classification system known as level of evidence was used. Results: Publications cite risk factors for fetal death are not isolated events. The fetal risk factors described in 43.75% of the studies highlighted the low weight and congenital malformation. Maternal factors were cited in 81.25% of the articles, especially those related to maternal morbidities, such as hypertensive and hemorrhagic syndromes, syphilis, and gestational diabetes. In 43.75% of the publications, we could perceive the influence of low education, as well as black or brown skin; low socioeconomic conditions and inadequate prenatal care. Conclusion: Building studies on fetal health becomes relevant, since these have been little explored despite their incontestable importance for public health, and consider it as an indicator of quality of care prenatal.

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Section: Discussionunclassified

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Silva¹,

Mazotti²,

Zilly³

et al. 2016

ACS

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“…White race prevailed in the subject municipality and the 2010 Brazilian census confirmed that the white population in the state of Paraná was 7,344,122 individuals, while the sum of the other races was 3,100,404 -virtually three times more (25) . In the literature, however, the brown and black races, added to the population with a lower socioeconomic level, present the highest infant death index (22) . Good vitality conditions at birth such as an Apgar score higher than seven, proper weight at birth, and gestational age ≥37 weeks occurred to most of the children that died in the neonatal and post-neonatal period in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Virtually all deliveries were in a hospital environment. However, although deliveries are assisted by professionals and have access to intensive care services, extending the children's lifetime and reducing deaths, quality in the delivery care is crucial, considering that most of the newborns' diseases in Brazil are related to inefficacious and inefficient obstetric care (11,(21)(22) . In this setting the health team must be ready to provide care for cardiopulmonary resuscitation in the delivery room to prevent perinatal asphyxia and/or anoxia; this is an important mechanism to reduce neonatal mortality (23) .…”

Section: Discussionmentioning

confidence: 99%

Mortality among children under the age of one: analysis of cases after discharge from maternity *

Santos

Ferrari

Bertolozzi

et al. 2016

Rev. esc. enferm. USP

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Objective:To analyze infant death after discharge from maternity in the time period between 2000 and 2013. Method: A cross-sectional retrospective quantitative study in a municipality northward in the state of Paraná. Data were analyzed using the SPSS®, and were subjected to Chi-square test, logistical regression, 95% confidence interval, and a significance level of p<0.05. Results: Two hundred forty-nine children were born, discharged from maternity and subsequently died; 10.1% in the neonatal period and 89.9% in the post-neonatal period. Pregnancy follow-up, birth, and child monitoring took place mainly in the public health system. There was a statistically significant association between the infant component and place of delivery (p=0.002; RR=1.143; IC95%=1.064-1.229), and a lower number of childcare medical visits (p=0.001; RR=1.294; IC95%=1.039-1.613). The causes of death in the neonatal period were perinatal conditions (40%); external causes (32%); and congenital malformations (20%). In the post-neonatal period, congenital malformations (29.9%), external causes (24.1%); and infectious-parasitic diseases (11.2%) were the causes of death. Conclusion: Virtually all children were born in conditions of good vitality that were worsened due to potentially preventable diseases that led to death.

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“…A mortalidade infantil, por constituir-se um grave problema de saúde pública, demanda investimentos na melhoria geral das condições de vida da população, incluindo a reestruturação da assistência prestada à gestante e recém-nascido, com articulação entre os serviços de atenção básica e os de assistência ao parto; garantindo o acesso igualitário à qualidade do pré-natal e ao processo de parto, nascimento e hospitalização do recém-nascido (19) . Apesar do não ter sido encontrada associação entre número de consultas de pré-natal e óbitos, autores destacam que não fazer o pré-natal aumenta o risco para a ocorrência de perdas fetais, óbitos infantis e baixo peso ao nascer (20)(21)(22) . Assim, ressalta-se a importância da qualidade da assistência para identificação precoce das gestantes de risco (23) .…”

Section: Discussionunclassified

“…Apesar da não associação entre óbito do recém-nascido com a pouca idade materna, autores apontam que filhos de adolescentes apresentam maior risco de morte no primeiro ano de vida (21) . Frente a isto, faz-se necessá-rio que os profissionais de saúde criem vínculo efetivo com as mães adolescentes, incluído as famílias dessas jovens na assistência, favorecendo o diálogo e contribuindo para fortalecer o apoio familiar.…”

Section: Discussionunclassified

Perfil De Morbimortalidade De Recém-Nascidos De Risco

Martins¹,

Barcelon²,

Lima³

et al. 2014

Cogitare Enferm.

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RESUMO:Estudo descritivo analisou o perfil de morbimortalidade, nos seis primeiros meses de vida, entre neonatos de risco nascidos em Cuiabá -Mato Grosso, em janeiro de 2011. As PERFIL DE MORBIMORTALIDAD DE RECIÉN NACIDOS DE RIESGO RESUMEN:Estudio descriptivo que ha analizado el perfil de morbimortalidad, en los seis primeros meses de vida, entre neonatos de riesgo nacidos en Cuiabá -Mato Grosso, en enero de 2011. Las fuentes de datos fueron Declaración de Nacido Vivo e investigación domiciliar después de seis meses del nacimiento. El estudio fue aprobado por Comité de Ética en Investigación y las familias firmaron el Término de Consentimiento Libre y Esclarecido. Fueron estudiados 113 recién nacidos, 70,8% presentaron morbidad en el primero semestre de vida, principalmente enfermedades respiratorias y diarreicas; la morbidad fue mayor entre recién nacidos cuyas madres no trabajaban fuera, adolescentes y que amamantaban por poco tiempo; 5,3% de los niños fallecieron, siendo 83,3% en el periodo neonatal; los óbitos ocurrieron más entre recién nacidos con poco peso al nacer, prematuros, cuyas madres no trabajaban fuera. Se espera que los resultados sean subsidiadas políticas específicas de atención al grupo de recién nacidos vivos de riesgo. DESCRIPTORES: Recién nacido, Grupos de riesgo, Morbidad infantil, Mortalidad infantil PROFILE OF MORBIDITY AND MORTALITY IN AT-RISK NEWBORNSABSTRACT: This descriptive study analyzed the profile of morbidity and mortality in the first six months of life among at-risk neonates in Cuiabá in the state of Mato Grosso, in January 2011. The data sources were the Certificate of Live Birth and home interviews held six months after the birth. The study was approved by the Research Ethics Committee and the families signed the Terms of Free and Informed Consent. 113 newborns were studied, of whom 70.8% presented morbidity in the first six months of life, mainly involving respiratory and diarrheal diseases; morbidity was greater among newborns whose mothers did not work outside the home, who were adolescents, or who breast-fed for little time; 5.3% of the children died, of whom 83.3% died in the neonatal period; the deaths occurred more among newborns with low birth weights, or who were premature, or whose mothers did not work outside the home. It is hoped that the results may support specific policies for care to the group composed of live at-risk newborns.

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Gravidez na adolescência e outros fatores de risco para mortalidade fetal e infantil no Município do Rio de Janeiro, Brasil

Cited by 57 publications

References 30 publications

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Fatores Epidemiológicos Correlacionados Ao Risco Para Morte Fetal: Revisão Integrativa Da Literatura

Mortality among children under the age of one: analysis of cases after discharge from maternity *

Perfil De Morbimortalidade De Recém-Nascidos De Risco

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