Fatores associados ao obito neonatal de recem-nascidos de alto risco: estudo multicentrico em Unidades Neonatais de Alto Risco no Nordeste brasileiro

Silva, Cristiana Ferreira da; Leite, Álvaro Jorge Madeiro; Almeida, Nádia Maria Girão Saraiva de

doi:10.1590/0102-311x00050013

Cited by 44 publications

(63 citation statements)

References 25 publications

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“…Studies show that more important than the number of medical visits is the quality of these visits. The studies also show that professionals must be ready to provide services to pregnant women in a way that they can identify potential problems and risks to the woman and the fetus, promoting the reduction of diseases such as: prematurity; low weight at birth; and long hospitalization in intensive care units that increase public expenses related to potentially preventable morbidity and mortality during pregnancy (5,8) . The improvement of prenatal care quality in Brazil could prevent those maternal and infant deaths considered to be preventable.…”

Section: Discussionmentioning

confidence: 99%

“…In that period, vulnerability to socio-economic conditions, basic sanitation, health care, and access to preventive and healing services remains (7) . Most deaths were in the first days of life, while infants were still in the neonatal and pediatric intensive care units as a consequence of premature birth, intrapartum asphyxia, and gestational condition (8) . On the other hand, children released from maternity after birth are expected to be monitored by the health service: to control growth and development; and because this age group is more susceptible and vulnerable to diseases.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

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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show abstract

“…Silva et al (12) found that variables associated with death until the 27th day of life were type of delivery, notusing antenatal corticosteroids, preeclampsia, birth weight < 2500g, Apgar score < 7 at 5 minutes, endotracheal intubation, and notusing exogenous surfactant. For these authors, death was determined by the conditions of the pregnancy, delivery and the newborn.…”

Section: Discussionmentioning

confidence: 99%

Clinical profile of newborns undergoing physical therapy in a neonatal intensive care unit

Biazus

Kupke

2016

Fisioter. mov.

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Introduction: In neonatal therapy units, physical therapy is directed toward integral baby care. Objective: To describe the profile of newborns (NBs) hospitalized in a Neonatal Intensive Care Unit (NICU). Methods: Retrospective documentary study with data collection from medical records from July 2011 to July 2013. The sample consisted of NBs who performed motor and respiratory therapy. Data were grouped into five categories according to birth weight (≤ 1000g, 1001-1500g, 1501-2000g, 2001-2500g, ≥ 2501g). Results: total of 1,884 newborns were admitted to the NICU within the stipulated period, 168 (13.9%) underwent physical therapy. Of the 168 NBs who underwent physical therapy, 137 were born in the hospital (81.5%) and 31 were transferred there (18.5%); 17 of these babies died during the neonatal hospital stay (10.1%). All newborns of the extremely low birth weight group (≤ 1000g) required mechanical ventilation, 72.7% non-invasive ventilation and 16.6% high-frequency oscillatory ventilation. The occurrence of pneumothorax in the extremely low birth weight group was 13.8% and 16% in the group with birth weight 1001-1500g. Conclusion: Infants with low birth weight (<2500g) constituted the profile of NBs who underwent physical therapy, which was directly related to higher incidence of death and pneumothorax, as well as increased use of mechanical and non-invasive ventilation.

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“…We also call attention to the risk in the current and previous pregnancy (prior stillbirth, premature or low birth weight infants), the movement of the pregnant woman to delivery and women giving birth to low-weight babies (< 1,500 grams) in hospitals not equipped with a Neonatal Intensive Care Unit (NICU) (4) . Studies show that among newborns in NICU, Cesarean birth, failure to use steroids, pre-eclampsia, oligohydramnios, <2,500 grams at birth, Apgar<7 in the fifth minute of life, endotracheal intubation and failure to use a surfactant are also associated with neonatal death (8) . Death in this period reflects socioeconomic and reproductive conditions, and is also related to the quality of pre-natal care and care during delivery, revealing gaps in the healthcare network (9)(10) .…”

Section: Objectivementioning

confidence: 99%

High risk pregnancies and factors associated with neonatal death

Demitto

Gravena

Dell’Agnolo

et al. 2017

Rev. esc. enferm. USP

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Objective:To identify the factors associated with intra-hospital neonatal mortality based on the individual characteristics of at-risk pregnant mothers, delivery and newborns. Method: This was a cross-sectional epidemiological study of live newborns delivered by women attended at the high-risk outpatient unit of a philanthropic hospital in Maringá, Paraná, Brazil between September 2012 and September 2013. Results: Six hundred and eighty-eight women participated in the study. The neonatal mortality coefficient found was 17.7/1,000 live births, most in the early neonatal phase. Premature labor, fetal malformation and multiple gestations were associated with neonatal death. Premature, very low birth weight newborns and those with an Apgar score of less than seven, five minutes after birth were at high risk of death. Conclusion: Identifying risk factors can help plan actions to consolidate the perinatal network. Specific programs should be incentivized in other countries, in the search for significant perinatal results such as reducing neonatal mortality. . If we break down infant mortality by age, worldwide, neonatal (0 to 27 days) deaths account for 44% of all deaths among children under the age of five (3) . In Brazil this component is even larger, and can be as high as 70% in all regions (2) , with 11.2 deaths per thousand live births between 2011 and 2012 (4) . In the state of Paraná, neonatal deaths dropped from 2,426 in 1996 to 1,279 in 2014 (94.8% less). However, in spite of all the progress made, 71.8% of infant deaths in 2014 were in the neonatal period (5) . According to the Report on Levels and Trends in Infant Mortality (Relatório de Níveis e Tendência em Mortalidade Infantil), the main goal is to reduce mortality in the neonatal period, which is where most infant deaths occur (1) . To reduce maternal and infant mortality, and the high percentage of avoidable deaths, in 2012 a public policy for prenatal care and for the care of newborns at risk was created in Paraná. It focuses on early detection of pregnant women at risk, their prenatal care, risk stratification of mothers and infants, specialized ambulatory care for pregnant women and infants (under the age of one) at risk, and ensured delivery via a system that is linked to the hospital (6) . Numerous studies have attempted to analyze the causes of neonatal deaths. Studies show a strong link between neonatal deaths and maternal and infant life conditions and health, economic situation, and access to healthcare, and to biological conditions such as gestational age, weight at birth and Apgar index (7) . We also call attention to the risk in the current and previous pregnancy (prior stillbirth, premature or low birth weight infants), the movement of the pregnant woman to delivery and women giving birth to low-weight babies (< 1,500 grams) in hospitals not equipped with a Neonatal Intensive Care Unit (NICU) (4) . Studies show that among newborns in NICU, Cesarean birth, failure to use steroids, pre-eclampsia, oligohydramnios, <2,500 grams ...

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Fatores associados ao obito neonatal de recem-nascidos de alto risco: estudo multicentrico em Unidades Neonatais de Alto Risco no Nordeste brasileiro

Cited by 44 publications

References 25 publications

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

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

Clinical profile of newborns undergoing physical therapy in a neonatal intensive care unit

High risk pregnancies and factors associated with neonatal death

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