Morbidade neonatal near miss na pesquisa Nascer no Brasil

Abstract

Neonatal near miss in the Birth in Brazil survey Morbidade neonatal near miss na pesquisa Nascer no BrasilMorbilidad neonatal near miss en la encuesta Nacer en Brasil

A populational based study on the prevalence of neonatal near miss in a city located in the South of Brazil: prevalence and associated factors

“…10 Until the moment, there is no international consensus to define neonatal near miss morbidity and the comparison between countries or regions in the same country is limited. The criteria adopted here were recommended by Silva et al, 3 and based on the data from 2012 in Nascer no Brasil (Born in Brazil) research and, as they are validated, objective and have standardized registration, it was made possible to rely and evaluate the occurrence of this severe neonatal morbidity. However, the lack of integration between the data from the official information systems and the registration on the clinical records during the newborn's hospitalization, constituted some difficulties to identify the neonatal near miss in our country.…”

“…16 In these studies, the neonatal near miss morbidity rate was higher than the of neonatal mortality rate between 2.6 and 8.6 times. 4 Our study used the same criteria from Silva et al, 3 where the neonatal near miss morbidity and neonatal mortality rates were higher, respectively, 39.2 and 11.1 per thousand live births. Since this deals with a national cohort on hospital database that included 266 hospitals in all the Brazilian regions with more than 24 thousand live births, the differences in the demographic and socioeconomic characteristics of the pregnant women, as well as the diversity in the healthcare organization, contrasting with the reality in the city of Joinville, located in one of the most developed regions in the country, with good social indicators and health and an organized healthcare network.…”

“…The identification of neonatal near miss screening cases was based on Silvia et al 3 study, whose criteria showed an elevated sensitivity (92.5%) and specificity (97.1%). Neonatal near miss cases were considered if at least one of the live births met the following criteria: gestational age less than 32 weeks, birth weight less than 1500g, the use of mechanical ventilation, Apgar score at 5 th minute of life less than 7 and the presence of congenital malformations registered at SINASC.…”

“…[1][2][3][4][5] Studies show that the number of newborn babies who survived such morbidities affect is approximately 3 to 6 times greater than those who died. 1,3,6 Thus, its use is considered of great interest and may bring advantages in relation to neonatal mortality, since severe morbidities that affect newborn babies without causing death, in general, do not have visibility in the health statistics. Therefore, they are not the object of interventions in the public health context, especially regarding the quality of care in the area of maternal and child health.…”

“…1,5,6 In Brazil, morbidity has recently been studied and the diversity of the proposed criteria has impacts on its magnitude. 1,5,6 Using data from Nascer no Brasil (Born in Brazil) research, Silva et al 3 tested 19 demographic and socioeconomic variables related to health services and selected 5 considered to be predictors of neonatal death. Based on validated criteria of Silva et al 3 study, this study aims to identify the prevalence of neonatal near miss morbidity in the city of Joinville, SC and the associated factors.…”