Infant mortality and prenatal care: contributions of the clinic in the light of Canguilhem and Foucault

Abstract

This review study aimed to verify how studies conducted in Brazil have related infant mortality to prenatal care and to present contributions of the clinic in the light of Canguilhem and The relationship between infant mortality and prenatal care is related to the insufficient number of consultations or to the quality of the care provided. Even when the number of and routine consultations in the prenatal care were adequate, avoidable deaths were present.For the qualification of prenatal care, it is suggested that the clinical knowledge and other elements that comprise the process of human living are considered, in order that the clinical view is enlarged and articulated to the technologies available in the health system and, together, they are able to contribute to the reduction of infant mortality in Brazil. Mortalidad infantil y prenatal: contribuciones de la clínica bajo la perspectiva de Canguilhem y FoucaultEste estudio de revisión tuvo por objetivo verificar cómo investigaciones realizadas en Brasil relacionan la mortalidad infantil y el prenatal, y presentar contribuciones de la clínica bajo el marco teórico de Canguilhem y Foucault para la calificación de la asistencia.Se realizó una revisión integradora de la literatura a partir de búsquedas en las bases de datos SciELO, LILACS, MEDLINE y BDENF, en el período de 2000 a 2009. La relación entre la mortalidad infantil y el prenatal se refiere al número insuficiente de consultas o a la calidad de la atención prestada. Mismo cuando el número y la rutina de consultas en el prenatal fueron adecuadas, las muertes evitables estuvieron presentes. Para la calificación de la asistencia ofrecida, se sugiere que sean considerados el conocimiento clínico y los demás elementos componentes del proceso del vivir humano, con la intención de que la perspectiva clínica sea ampliada y articulada a las tecnologías disponibles en el sistema de salud y, en conjunto, consigan contribuir para la reducción de la mortalidad infantil en Brasil.

Evaluation of pre-natal care from the perspective of different models in primary care

“…It is important to evaluate the quality of prenatal care due to its potential for avoiding infant (4) and maternal deaths. Hence, the present study aimed to evaluate the quality of the pre-natal care for the lowrisk pregnancy, given in primary care, comparing the traditional model and the Family Health Strategy.…”

Evitabilidade Do Óbito Infantil E Fetal: Interlocução Entre Comitê E Atenção Primária À Saúde

“…Em relação às classificações de evitabilidade, o componente com maior índice no cenário nacional foi a classificação "redutível por adequada atenção à gestação" (4)(5)(6) . Este dado revela a existência de fragilidades na assistência realizada no pré-natal, indicando a necessidade de estratégias gerenciais para a redução dos óbitos evitáveis no âmbito da Atenção Primária à Saúde (APS) (7) .…”

Factors Associated With Infant Mortality in the Metropolitan Region of Cariri, Ceará, Brazil

“…The fourth goal was the infant mortality reduction, which aims to reduce 2/3 of the overall rate of infant mortality between 1990 and 2015 1 . To achieve the fourth MDG, a fast enlargement of child health interventions in different countries is needed.…”