Direito à saúde e Unidades de Tratamento Intensivo Neonatal (UTINs): uma breve reflexão sobre a eficácia das decisões judiciais no Estado do Maranhão

Ramos, Edith María Barbosa; Sousa, Lidia Cunha Schramm de

doi:10.18593/ejjl.12230

Cited by 1 publication

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“…Therefore, an evaluation of this detailed relationship in the different low birth weight strata, coupled with an analysis of the determining factors, also considered as mediators, should be interpreted as a strong point of this study. In addition, the use of two official health information systems ratified by the Ministry of Health of Brazil (Live Birth Information System and Mortality Information System), available across the national territory and with a high level of quality [24–27] with the specific data of Porto Alegre, may also be considered strengths of this study (Additional file 1).…”

Section: Discussionmentioning

confidence: 99%

The relationship between the different low birth weight strata of newborns with infant mortality and the influence of the main health determinants in the extreme south of Brazil

Vilanova

Hirakata

Buriol

et al. 2019

Popul Health Metrics

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BackgroundLow birth weight (LBW) newborns present different health outcomes when classified in different birth weight strata. This study evaluated the relationship of birth weight with Infant mortality (IM) through the influence of biological, social, and health care factors in a time series.MethodsRetrospective cohort study with data collected from Information Systems (Live Births and Mortality). The mortality trends were performed for each birth weight stratum: extremely low, < 1000 g; very low, 1000–1499 g; low, 1500–2499 g; insufficient, 2500–2999 g; adequate, 3000–3900 g; and macrosomia, > 4000 g. Chi-square tests analyzed IM rates. Sequential Poisson regression analyzed the impact of the determinant factors.ResultsA total of 277,982 newborns were included in the study and 2088 died before their first year. There was a tendency for a decrease in mortality in all strata of weight. With the exception of macrosomics, all other strata had a higher risk for IM when compared with adequate birth weight. Extremely LBW newborns presented higher risk for mortality when born in a public hospital. A higher percentage of infant deaths were associated with lower maternal age and lower schooling for all strata. Prenatal care with less than three visits demonstrated a risk for IM in low, insufficient, and adequate birth weight strata. The cesarean section was a protective factor for IM in Extremely and Very LBW strata and it was a risk factor in adequate birth weight stratum.ConclusionsLBW had a greater association with IM, especially those children of younger mothers and those born in public hospitals.

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Section: Discussionmentioning

confidence: 99%