Mortalidade infantil evitável e fatores associados em Porto Alegre, Rio Grande do Sul, Brasil, 2000-2003

Jobim, Rita; Aerts, Denise Rangel Ganzo de Castro

doi:10.1590/s0102-311x2008000100018

Cited by 30 publications

(53 citation statements)

References 15 publications

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“…Apesar do não ter sido encontrada associação entre número de consultas de pré-natal e óbitos, autores destacam que não fazer o pré-natal aumenta o risco para a ocorrência de perdas fetais, óbitos infantis e baixo peso ao nascer (20)(21)(22) . Assim, ressalta-se a importância da qualidade da assistência para identificação precoce das gestantes de risco (23) . Embora a presente pesquisa não tenha evidenciado associação entre óbito nos seis primeiros meses de vida e escolaridade materna, autores apontam a relação desta variável com a sobrevida da criança, uma vez que tal associação pode estar relacionada ao baixo padrão socioeconômico das mães e, com isso, a possibilidade do baixo peso do recém-nascido, devido às mães iniciarem tardiamente o pré-natal e apresentarem menor ganho de peso na gestação (20) .…”

Section: Discussionunclassified

Perfil De Morbimortalidade De Recém-Nascidos De Risco

Martins¹,

Barcelon²,

Lima³

et al. 2014

Cogitare Enferm.

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RESUMO:Estudo descritivo analisou o perfil de morbimortalidade, nos seis primeiros meses de vida, entre neonatos de risco nascidos em Cuiabá -Mato Grosso, em janeiro de 2011. As PERFIL DE MORBIMORTALIDAD DE RECIÉN NACIDOS DE RIESGO RESUMEN:Estudio descriptivo que ha analizado el perfil de morbimortalidad, en los seis primeros meses de vida, entre neonatos de riesgo nacidos en Cuiabá -Mato Grosso, en enero de 2011. Las fuentes de datos fueron Declaración de Nacido Vivo e investigación domiciliar después de seis meses del nacimiento. El estudio fue aprobado por Comité de Ética en Investigación y las familias firmaron el Término de Consentimiento Libre y Esclarecido. Fueron estudiados 113 recién nacidos, 70,8% presentaron morbidad en el primero semestre de vida, principalmente enfermedades respiratorias y diarreicas; la morbidad fue mayor entre recién nacidos cuyas madres no trabajaban fuera, adolescentes y que amamantaban por poco tiempo; 5,3% de los niños fallecieron, siendo 83,3% en el periodo neonatal; los óbitos ocurrieron más entre recién nacidos con poco peso al nacer, prematuros, cuyas madres no trabajaban fuera. Se espera que los resultados sean subsidiadas políticas específicas de atención al grupo de recién nacidos vivos de riesgo. DESCRIPTORES: Recién nacido, Grupos de riesgo, Morbidad infantil, Mortalidad infantil PROFILE OF MORBIDITY AND MORTALITY IN AT-RISK NEWBORNSABSTRACT: This descriptive study analyzed the profile of morbidity and mortality in the first six months of life among at-risk neonates in Cuiabá in the state of Mato Grosso, in January 2011. The data sources were the Certificate of Live Birth and home interviews held six months after the birth. The study was approved by the Research Ethics Committee and the families signed the Terms of Free and Informed Consent. 113 newborns were studied, of whom 70.8% presented morbidity in the first six months of life, mainly involving respiratory and diarrheal diseases; morbidity was greater among newborns whose mothers did not work outside the home, who were adolescents, or who breast-fed for little time; 5.3% of the children died, of whom 83.3% died in the neonatal period; the deaths occurred more among newborns with low birth weights, or who were premature, or whose mothers did not work outside the home. It is hoped that the results may support specific policies for care to the group composed of live at-risk newborns.

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Section: Discussionunclassified

Perfil De Morbimortalidade De Recém-Nascidos De Risco

Martins¹,

Barcelon²,

Lima³

et al. 2014

Cogitare Enferm.

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“…Além da renda, estudos têm apontado a baixa escolaridade materna como fator de risco para a mortalidade infantil (SANtOS et al, 2010;JOBIM;AERtS, 2008;IBGE, 2012). A educação é elemento central nas políticas públicas e observa-se uma tendência ao aumento da escolaridade na cidade de Porto Alegre.…”

Section: Discussionunclassified

Fazeres em Saúde Coletiva: Experiências e reflexões de jovens sanitaristas

Ferla¹,

Rocha²

2014

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“…The results show an attitude more of resignation on the part of the mothers, towards the miserable conditions of the context which overcame the perception of obstacles to health care access. 9,12,13,20,22,24 They also refl ect a position of little solidarity, based on the impersonality of the guiding question, which referred to the deaths of the children of mothers they did not know, which contributed to the development of blame in their statements.…”

Section: Discussionmentioning

confidence: 99%

“…However, the number of preventable infant deaths in the country remains considerable. 9,12,13 There is a strong link between preventable infant death and timely access to health care services, as preventable deaths, according to Rutstein et al 19 (1976), are defi ned as "deaths which could be partially or totally avoided by the presence of effective health care services". The emphasis is even greater when the scene of these deaths is a regional hub city, constitutionally bound to provide universal access and comprehensive health care according to the precepts of the SUS (Brazilian Unifi ed Health System).…”

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confidence: 99%

Mortalidade infantil evitavel e barreiras de acesso a atencao basica no Recife, Brasil

Vanderlei

Navarrete

2013

Rev. Saúde Pública

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OBJECTIVE:Analyze the factors infl uencing avoidable infant mortality from the perspective of the protagonists involved. METHODS:Qualitative study with a critical-constructivist approach, examining children's access to health care and avoiding preventable infant mortality through health care campaigns and services in Health District I of Recife, Northeastern Brazil, between February 2007 and February 2008. The theoretical sample was designed in two stages: I) institutions providing health services to children; II) interviewees: managers (11) (20), with sample size defi ned by "saturation of the speeches". Data was collected using individual semistructured interviews and case studies of avoidable infant death. Thematic content analysis was used, generating mixed categories (emerging and scripted). RESULTS:There were perceived to be confl icting positions between different stakeholder groups refl ecting their role in the care network. All institutional participants related infant deaths to the absence/poor dissemination of child health policies and inter-sectoral actions; professionals and mothers highlighted diffi culties in accessing health care due to insuffi cient global resources, especially the lack of doctorsinFamily Health Strategy, shifting health care to nurses. Lack ofdoctors,acutediseases rejection, and dehumanized and/or poortechnical quality carewere the mainfactors which the mothers relatedto deaths. Family Health Strategy participants from the Programme of Community Health Workers and mothers identifi ed thecondition ofsocial exclusionand maternal neglectwith deaths, but the case studyof deathrevealedthe association withlowerquality of care offered. CONCLUSIONS: Numerous barriers to access indicate insuffi cient BrazilianUnifi ed Health System implementation and lack of resolution of the main access route, the Family Health Strategy. The results indicate the need for improvement of structural and organizational factors of supply, with emphasis on mechanisms to stimulate the recruitment of doctors for the Family Health Strategy professional training of all staff consistent with the model of care to comply with health care policies for children and avoiding preventable infant mortality.

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Mortalidade infantil evitável e fatores associados em Porto Alegre, Rio Grande do Sul, Brasil, 2000-2003

Cited by 30 publications

References 15 publications

Perfil De Morbimortalidade De Recém-Nascidos De Risco

Perfil De Morbimortalidade De Recém-Nascidos De Risco

Fazeres em Saúde Coletiva: Experiências e reflexões de jovens sanitaristas

Mortalidade infantil evitavel e barreiras de acesso a atencao basica no Recife, Brasil

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