Aspectos da mortalidade infantil, conforme informações da investigação do óbito

Santana, Isadora Porte; Santos, Jamille Moura dos; Costa, Josane Rosenilda da; Oliveira, Rosana Rosseto de; Orlandi, Márcia Helena Freire; Mathias, Thaís Aidar de Freitas

doi:10.1590/s0103-21002011000400017

Cited by 15 publications

(19 citation statements)

References 9 publications

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“…A study carried out in a region of the state of Paraná revealed that urinary tract infections were the main cause of premature labor, which, in turn, can lead to low birth weight. (11) In the last studied triennium, low birth weight and prematurity were significant factors for infant mortality, with increased risk in relation to the first triennium. Concomitant to this, in the last threeyear period there has also been an increase in the percentage of cesarean deliveries.…”

Section: Discussionmentioning

confidence: 99%

Independent risk factors associated with infant deaths

Silva

Mathias

2014

Acta paul. enferm.

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Objective: Identifying the independent risk factors associated with infant deaths registered in Brazilian public information systems. Methods: A cross-sectional study using secondary data recorded in public information systems for eleven years. The association of mortality rates was observed according to death periods using univariate and multivariate regression tests. Results: The infant mortality rate decreased by 20.7 % in the study period. The list of independent factors associated with infant deaths shows the necessity for measures to increase public actions aimed at the early onset of prenatal care, continuing until the postpartum, puerperal period and in the growth and development of the newborn. Conclusion: The independent risk factors for infant death were low birth weight, gestation duration of less than 37 weeks, multiple pregnancy, maternal educational level lower than eight years, Apgar score and less than seven antenatal pregnancy. ResumoObjetivo: Identificar os fatores de risco independentes associados aos óbitos infantis registrados nos sistemas informatizados públicos brasileiros. Métodos: Estudo transversal com dados secundários registrados no período de onze anos nos sistemas informatizados públicos. A associação das taxas de mortalidade foi verificada segundo períodos de óbito utilizando-se testes de regressão univariada e multivariada. Resultados: A mortalidade infantil apresentou redução de 20,7% no período estudado. A lista de fatores independentes associados aos óbitos infantis indica a necessidade de medidas para intensificar as ações públicas visando o início precoce da assistência pré-natal, no pós-parto, acompanhamento no puerpério, e o crescimento e desenvolvimento do recém-nascido. Conclusão: Os fatores de risco independentes para o óbito infantil foram: baixo peso ao nascer, duração da gestação inferior a 37 semanas, gravidez múltipla, escolaridade materna inferior a oito anos, boletim de Apgar e menos de sete consultas pré-natais.

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Section: Discussionmentioning

confidence: 99%

Independent risk factors associated with infant deaths

Silva

Mathias

2014

Acta paul. enferm.

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“…A gestational age of less than 37 weeks and low weight at birth are determinant factors for neonatal morbidity-mortality and estimated survival of the newborn (12,13) . Thus, factors such as gestational age and weight at birth probably motivated care not being provided at the first service sought by the pregnant woman, with consequent referral to hospitals with greater capacity for medium and high complexity healthcare.…”

Section: Justificationsmentioning

confidence: 99%

Access to care for women during childbirth in university hospitals: characterization and associated factors

Monteschio

Sgobero

Marcon

et al. 2014

Rev. Gaúcha Enferm.

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This study aimed to analyze the socioeconomic, demographic, obstetric, neonatal and healthcare factors associated with access to care by women during childbirth. It was a transversal study conducted on puerperal women in two university hospitals in the state of Paraná, Brazil in 2011. Access to childbirth was analyzed according to socioeconomic, demographic, obstetric, neonatal and healthcare variables. The puerperal women were interviewed during hospitalization, in the first 72 hours after birth. The data was analyzed by relative frequencies and calculation of the x2, considering a significant association when p≤ 0.05. The overall rate of women referred to university hospitals was 17.7%. A significant associated was found between access to childbirth and: residing in other cities; premature birth; underweight newborns; complications in the current pregnancy and the use of ambulances. It was concluded that the associated factors found in this study suggest that pregnant women with some risk required referral to university hospitals.

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“…Similarly, there are evidences that barriers to access to the patient medical records and to the death certificate contributed to the delay in the conclusion of the case within the established period 12 . Also, it is possible that obstacles arise for carrying out of the home interview, due to refusal by the family, change of address or non-existence of the address, as stated in studies on child deaths carried out in the Northeast 13,14 . The time of investigation higher than that specified works against appropriateness of the information for decision on actions for intervention and improvement of care, as well as contributing to abandonment of the investigative process, since at every moment new cases arise that need to be given priority.…”

Section: Discussionmentioning

confidence: 99%