Atendimento à criança e às mães: investigação do óbito evitável em menores de cinco anos

Abstract

This study aims to evaluate the treatment of children and mothers in basic health units based on the investigation of deaths in children under five years. This is an evaluative study, that analyzed 41 deaths ocurred in 2008 in the city of Maringá, state of Paraná, Brasil. 90.2% of these deaths were preventable. 38.5% of the pregnant women had theirfirst prenatal consultation in the first quarter of pregnancy. 50.0% had more than six consultations. 73.1% were assessed for risk pregnancy. 34.6% of chart records had information on prenatal laboratory tests. 50.0% of births occurred by cesarean section. 87.5% of charts contained records of child growth monitoring and risk assessment of newborns. None had records of neuromotor development. 50.0% had complete vaccination records. 75.0% received home visits from a family healthcare team. All children at low risk had three visits to doctors. Only one high-risk newborn reached seven medical consultations. The conclusion is that there are failures in the professional records of prenatal care, as well as in the quality of monitoring of children considered at risk.

Mortalidade infantil: tendência temporal e contribuição da vigilância do óbito

“…(3,9) In addition to collective and individual activities directly related to care, Brazil has been developing health surveillance actions, such as research on deaths, which may contribute to a better understanding of death determinant chains, especially those that are preventable. (10) Although death surveillance is considered a good indicator of healthcare systems' effectiveness, (11) the Brazilian Ministry of Health made it compulsory only in 2010, aiming at improving the quality of vital information and promoting reflections for workers and managers in the care provided to women and children. (2) The objective of the present study was to analyze temporal trends in infant mortality in the city of Recife, state of Pernambuco, Brazil, and evaluate the contribution of death surveillance as an instrument for improving vital statistics and action planning.…”

Assessment of infant mortality surveillance: case study

“…29 In spite of the strategy's potential, international research on the social autopsy of mother and child deaths conducted in several countries found resistance among health workers to report or discuss these deaths due to fear of being held accountable or penalised. 27 Analyses and studies of each death have also helped improve the healthcare information systems since, after the investigations, the team that discussed the case usually attributes new root causes to the infant's death, and completes and/or validates the variables of the live birth and death certificates, 9,12,13,16,17 as observed in this assessment. Furthermore, improving vital information systems promotes changes and adjustments to the child mortality profile and enables appropriate planning of actions for its challenging.…”

“…5,7,8 In Brazil, a similar strategy was implemented by the Ministry of Health (MH) in 2010, with the publication of a normative base of Infant Death and Foetal Surveillance, 9 although municipal and state initiatives with different conformations have existed for some years. [10][11][12][13][14][15] In Recife, since 2003, infant mortality surveillance was implemented to investigate and discuss all infant deaths (except those caused by congenital malformations) of mothers living in Brazil. Cases are discussed with healthcare workers, inspectors, and managers in order to identify preventable deaths caused by medical errors, to use this information for reflection and planning, and to adopt measures to reduce infant mortality.…”

Strengths and Weaknesses of Primary Child Health Care Models: An Integrative Review

“…Limitations were also identified in children's medical records regarding breastfeeding and monitoring weight, height and vaccinations [51][52]. This finding may indicate that important factors in healthy development are not being recorded and therefore must be shared among the professionals who offer childcare in PHC.…”