Pesquisa Nascer no Brasil: perfil da mortalidade neonatal e avaliação da assistência à gestante e ao recém-nascido

Lansky, Sônia; Friche, Amélia Augusta de Lima; Silva, Antônio Augusto Moura da; Campos, Deise; Bittencourt, Sônia Duarte de Azevedo; Carvalho, Márcia Lazaro de; Frias, Paulo Germano de; Cavalcante, Rejane Silva; Cunha, Antônio José Lêdo Alves da

doi:10.1590/0102-311x00133213

Cited by 344 publications

(391 citation statements)

References 35 publications

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“…These characteristics are similar, although more sensitive (higher cutoff points for gestational age and birth weight) than those adopted as pragmatic criteria for the definition of near miss in the present study. We did not find an association between advanced maternal age and neonatal mortality, contrary to the results for stillbirth and early neonatal mortality in the WHO study 2 .…”

Section: Discussioncontrasting

confidence: 99%

“…A university hospital may offer better obstetric and neonatal care, due to both a qualified staff that follows proven effective protocols and the availability of advance medical technology. Lansky et al 2 emphasize the implementation of best practices for labor and delivery as a powerful action plan to end preventable neonatal deaths. In the birth cohort study in Pelotas (Rio Grande do Sul State, Brazil), perinatal results were associated with hospital performance (material and human resources, and patient care practices), regardless of the service's user population 35 .…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors such as maternal characteristics (low income, low schooling, extreme age group, and hypertensive diseases of pregnancy), newborn characteristics (prematurity, low birth weight, asphyxia, congenital malformation, infection), and obstetric/neonatal care issues are frequently investigated in neonatal mortality studies 1,2,3,4 .…”

Section: Introductionmentioning

confidence: 99%

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Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil

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“…(12) Maintenance of the decline in mortality trend might be associated with the improvement of primary care quality, an increase in ESF coverage, and qualification of childbirth and birth care. (3,9,15,16) Despite significant advances, however, iniquities in access and quality of care among population groups and the country's territories remain. (7,16) In addition to cross-sector public policies and healthcare actions and programs, new strategies for the reduction of infant mortality have been proposed, (17) such as infant death surveillance.…”

Section: Discussionmentioning

confidence: 99%

Mortalidade infantil: tendência temporal e contribuição da vigilância do óbito

et al. 2016

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Objective: To analyze the temporal trend in infant mortality in the city of Recife, state of Pernambuco, Brazil and evaluate the contribution of death surveillance as an instrument for improving vital statistics and action planning. Methods: Infant, neonatal, and post-neonatal mortality rates were calculated from 1980 to 2012. An exponential regression model was used for trend analysis. A study on the variables, the basic and associated causes of death certificates, and avoidability was conducted to evaluate the contribution of infant death surveillance. Results: The trend in infant mortality rate and its age components was shown to be decreasing. After research on infant death surveillance, no death certificate variable remained incomplete, and the underlying cause of death was better determined in 52% of deaths. Almost 80% of deaths were classified as preventable, and 51.3% were classified as reducible by appropriate care provided to women during their pregnancy. Conclusion: Infant mortality presented a decreasing trend, and infant death surveillance contributed to improve vital statistics, which are essential for maternal-infant health planning actions. ResumoObjetivo: Analisar a tendência temporal da mortalidade infantil na cidade de Recife, Pernambuco, Brasil e avaliar a contribuição da vigilância do óbito como instrumento para aprimoramento das estatísticas vitais e planejamento de ações. Métodos: Foram calculados os coeficientes de mortalidade infantil, neonatal e pós-neonatal para o período de 1980 a 2012. Utilizou-se o modelo de regressão exponencial para análise da tendência. Para avaliar a contribuição da vigilância do óbito infantil foi realizado um estudo sobre as variáveis, causas básicas e associadas da Declaração de Óbito, e da evitabilidade. Resultados: A tendência do coeficiente de mortalidade infantil e seus componentes etários foram decrescentes. Após a investigação da vigilância do óbito infantil nenhuma variável da Declaração de Óbito ficou incompleta e, em 52% dos óbitos, a causa básica foi melhor definida. Quase 80% dos óbitos foram classificados como evitáveis e 51,3% reduzíveis por adequada atenção à mulher na gestação. Conclusão: A mortalidade infantil apresentou tendência decrescente e a vigilância do óbito infantil contribuiu para aprimorar as estatísticas vitais, fundamental para o planejamento das ações de saúde materno-infantil.

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“…There is a high percentage of perinatal causes, such as prematurity, which indicates the importance of factors related to pregnancy, delivery, and postpartum, generally avoidable trough qualified health care 5 .…”

Section: Introductionmentioning

confidence: 99%

Principais causas da mortalidade na infância no Brasil, em 1990 e 2015: estimativas do estudo de Carga Global de Doença

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et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Objective: To analyze under-5 mortality rates and leading causes in Brazil and states in 1990 and 2015, using the Global Burden of Disease Study (GBD) 2015 estimates. Methods: The main sources of data for all-causes under-5 mortality and live births estimates were the mortality information system, surveys, and censuses. Proportions and rates per 1,000 live births (LB) were calculated for total deaths and leading causes. Results: Estimates of under-5 deaths in Brazil were 191,505 in 1990, and 51,226 in 2015, 90% of which were infant deaths. The rates per 1,000 LB showed a reduction of 67.6% from 1990 to 2015, achieving the proposed target established by the Millennium Development Goals (MDGs). The reduction generally was more than 60% in states, with a faster reduction in the poorest Northeast region. The ratio of the highest and lowest rates in the states decreased from 4.9 in 1990 to 2.3 in 2015, indicating a reduction in socioeconomic regional disparities. Although prematurity showed a 72% reduction, it still remains as the leading cause of death (COD), followed by diarrheal diseases in 1990, and congenital anomalies, birth asphyxia and septicemia neonatal in 2015. Conclusion: Under-5 mortality has decreased over the past 25 years, with reduction of regional disparities. However, pregnancy and childbirth-related causes remain as major causes of death, together with congenital anomalies. Intersectoral and specific public health policies must be continued to improve living conditions and health care in order to achieve further reduction of under-5 mortality rates in Brazil.

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Pesquisa Nascer no Brasil: perfil da mortalidade neonatal e avaliação da assistência à gestante e ao recém-nascido

Cited by 344 publications

References 35 publications

Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil

Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil

Mortalidade infantil: tendência temporal e contribuição da vigilância do óbito

Principais causas da mortalidade na infância no Brasil, em 1990 e 2015: estimativas do estudo de Carga Global de Doença

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