Infant Mortality in Novo Hamburgo: Associated Factors and Cardiovascular Causes

Abstract

BackgroundInfant mortality has decreased in Brazil, but remains high as compared to that of other developing countries. In 2010, the Rio Grande do Sul state had the lowest infant mortality rate in Brazil. However, the municipality of Novo Hamburgo had the highest infant mortality rate in the Porto Alegre metropolitan region.ObjectiveTo describe the causes of infant mortality in the municipality of Novo Hamburgo from 2007 to 2010, identifying which causes were related to heart diseases and if they were diagnosed in the prenatal period, and to assess the access to healthcare services.MethodsThis study assessed infants of the municipality of Novo Hamburgo, who died, and whose data were collected from the infant death investigation records.ResultsOf the 157 deaths in that period, 35.3% were reducible through diagnosis and early treatment, 25% were reducible through partnership with other sectors, 19.2% were non-preventable, 11.5% were reducible by means of appropriate pregnancy monitoring, 5.1% were reducible through appropriate delivery care, and 3.8% were ill defined. The major cause of death related to heart disease (13.4%), which was significantly associated with the variables ‘age at death’, ‘gestational age’ and ‘birth weight’. Regarding access to healthcare services, 60.9% of the pregnant women had a maximum of six prenatal visits.ConclusionIt is mandatory to enhance prenatal care and newborn care at hospitals and basic healthcare units to prevent infant mortality.

Determinants of infant mortality in last two decades: a bibliometric analysis

“…21 In some studies, low gestational age and low birth weight were the main indicators of infant mortality. [22][23][24][25][26] In contrast, some publications indicated that there was still a meaningful relationship between infant mortality and older mother age or higher birth weight. 27,28 The study has several limitations.…”

Cardiopatias congênitas em um hospital pediátrico

“…Entretanto, ele é um exame realizado em 10% dos recém-nascidos (Santos, Menezes, Sousa, 2013;Bastos, Araújo, Frota, Caetano, 2013;Moser, et al, 2014). Além de confirmar as hipóteses diagnósticas sugeridas pelo exame físico, pela radiografia de tórax, pelo eletrocardiograma (ECG) e por exames laboratoriais, o ecocardiograma permite a realização imediata de condutas diante de um Research, Society and Development, v. 9, n. 6, e60963362, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i6.3362 neonato com cardiopatia, alterando de maneira benéfica o prognóstico de diversas cardiopatias (Brum, Stein, Pellanda, 2015). Nesse estudo, notamos, para a seleção dos prontuários, nos baseamos nos pacientes que realizaram ECO e/ou ECG, com a análise dos dados coletados, que 62,85% realizaram ECG no ano de 2016, 83,33% no ano de 2017 (Franceschi, et al, 2019) e em 2018, 83,87%.…”

Mortality due to congenital heart disease in Pernambuco from 1996 to 2016

“…It should be highlighted that the number of deaths related to CHD is officially lower than in fact it should be. Underreporting in Brasil remains a constant reality since newborns often leave hospital clinically well, and on arrival at home begin to degenerate, thereby dying without hospital records registering the true cause of death 10,12 .…”