Assessment of the profile of births and deaths in a referral hospital

Rego, Maria Albertina Santiago; França, Elisabeth Barboza; Travassos, Ana Paula Azevedo; Barros, Fernando C.

doi:10.2223/jped.2004

Cited by 10 publications

(22 citation statements)

References 24 publications

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“…(15,37,38) The values of the first years that were assessed may suffer from inadequate medical records. However, in 2010, the NICU established a strategy to increase the use of antenatal corticosteroids, suggesting they be prescribed when indicated, upon receiving the request for a vacancy for the pregnant woman.…”

Section: Discussionmentioning

confidence: 99%

“…The following parameters were studied: maternal age (<20, 20-34 and ≥35 years), (14,15) mother's residence (Viçosa, other municipalities), received prenatal care (at least one visit), (2,16,17) twin pregnancy, (14) use of antenatal corticosteroids (at least one dose for pregnancies lasting <35 weeks), (18) delivery and maternal illnesses (hypertension, bleeding in the last trimester, diabetes, heart disease and infection, including chorioamnionitis, pneumonia, urinary tract infection and intrapartum fever). (15) …”

Section: Methodsmentioning

confidence: 99%

“…(15) The Clinical Risk Index for Babies (CRIB) was used to evaluate the initial clinical severity in premature infants with BW <1,500 g. (26) …”

Section: Methodsmentioning

confidence: 99%

“…The morbidities studied included hyaline membrane disease (HMD), bronchopulmonary dysplasia (BPD), (20,28) patent ductus arteriosus (PDA), (20) late-onset neonatal sepsis, (29) necrotizing enterocolitis (NEC), (20,30) asphyxia, (2,15) and severe peri-intraventricular hemorrhage (grades III or IV PIVH). (31) Propedeutics performed included transfontanellar ultrasonography (TFUS) (32) and doppler echocardiogram (DEcho).…”

Section: Methodsmentioning

confidence: 99%

“…Feeding was characterized as breastfeeding (BF; exclusively breastfed and supplemented) and artificial feeding (AF; formula). (15,33,34) The conditions at discharge were categorized as: home, hospital nursery and transferred to the hospital of the city of origin or to another hospital (i.e., based on the need for heart surgery or another more complex procedure).…”

Section: Methodsmentioning

confidence: 99%

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Características epidemiológicas e óbitos de prematuros atendidos em hospital de referência para gestante de alto risco

Freitas¹,

Sant’Ana²,

Longo³

et al. 2012

Rev. bras. ter. intensiva

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ObjectiveTo analyze the process of care provided to premature infants in a neonatal intensive care unit and the factors associated with their mortality. MethodsCross-sectional retrospective study of premature infants in an intensive care unit between 2008 and 2010. The characteristics of the mothers and premature infants were described, and a bivariate analysis was performed on the following characteristics: the study period and the "death" outcome (hospital, neonatal and early) using Pearson's chi-square test, Fisher's exact test or a chi-square test for linear trends. Bivariate and multivariable logistic regression analyses were performed using a stepwise backward logistic regression method between the variables with p<0.20 and the "death" outcome. A p value <0.05 was considered to be significant. ResultsIn total, 293 preterm infants were studied. Increased access to complementary tests (transfontanellar ultrasound and Doppler echocardiogram) and breastfeeding rates were indicators of improving care. Mortality was concentrated in the neonatal period, especially in the early neonatal period, and was associated with extreme prematurity, small size for gestational age and an Apgar score <7 at 5 minutes after birth. The late-onset sepsis was also associated with a greater chance of neonatal death, and antenatal corticosteroids were protective against neonatal and early deaths. ConclusionsAlthough these results are comparable to previous findings regarding mortality among premature infants in Brazil, the study emphasizes the need to implement strategies that promote breastfeeding and reduce neonatal mortality and its early component.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…(15) The Clinical Risk Index for Babies (CRIB) was used to evaluate the initial clinical severity in premature infants with BW <1,500 g. (26) …”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Características epidemiológicas e óbitos de prematuros atendidos em hospital de referência para gestante de alto risco

Freitas¹,

Sant’Ana²,

Longo³

et al. 2012

Rev. bras. ter. intensiva

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Extremos de idade materna e mortalidade infantil: análise entre 2000 e 20091

Ribeiro

Ferrari

Sant'Anna

et al. 2014

Revista Paulista de Pediatria

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OBJECTIVE: To analyze the characteristics of infant mortality at the extremes of maternal age. METHOD: Retrospective, cross-sectional quantitative study using data from Live Birth Certificates, Death Certificates and from Child Death Investigation records in Londrina, Paraná, in the years of 2000-2009. RESULTS: During the 10-year study period, there were 176 infant deaths among mothers up to 19 years of age, and 113 deaths among mothers aged 35 years or more. The infant mortality rate among young mothers was 14.4 deaths per thousand births, compared to 12.9 deaths in the other age group. For adolescent mothers, the following conditions prevailed: lack of a stable partner (p<0.001), lack of a paid job (p<0.001), late start of prenatal care in the second trimester of pregnancy (p<0.001), fewer prenatal visits (p<0.001) and urinary tract infections (p<0.001). On the other hand, women aged 35 or more had a higher occurrence of hypertension during pregnancy (p<0.001), and of surgical delivery (p<0.001). Regarding the underlying cause of infant death, congenital anomalies prevailed in the group of older mothers (p=0.002), and external causes were predominant in the group of young mothers (p=0.019). CONCLUSION: Both age groups deserve the attention of social services for maternal and child health, especially adolescent mothers, who presented a higher combination of factors deemed hazardous to the child's health.

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